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Hampstead VFC Operational Fund


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2022 Responses
Fire EMS
Jan 56 121
Feb 60 104
Mar 54 108
Apr 36 100
May 41 126
Jun 53 124
Jul 85 125
Aug 59 132
Sep 52 109
Oct 55 142
Nov
Dec
Total 551 1191

2021 Responses
Fire EMS
Jan 51 97
Feb 45 97
Mar 50 131
Apr 36 137
May 35 119
Jun 38 115
Jul 45 101
Aug 64 117
Sep 52 124
Oct 58 136
Nov 58 124
Dec 72 142
Total 604 1440

Past Responses
Fire EMS
2020 554 1143
2019 537 1208
2018 551 1390
2017 792 1454
2016 719 1397
2015 812 1410
2014 752 1288
2013 608 1251
2012 619 1366
2011 627 1250
2010 617 1296
2009 636 1169
2008 695 1192

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Since
January 1, 2019
3,198,696
Visitors Today
Nov 28, 2022
1,085

Employment Application

Required   Indicates Required Field
Position Desired: Required
Personal Information
Last Name: Required
First Name: Required
Middle Name: Required
Current Address: Required
City: Required
State: Required
Zip Code: Required
Home Phone:
Work Phone:
Cell Phone:
Social Security Number:
Email Address: Required
Do you have a valid Drivers License?: Required
State of Issue:
License Number:
Expiration Date:
License Class:
CDL: Yes
No
Total Current Points:
Have your driving privileges ever been suspended or revoked? :
If yes, Why?:
Are you a U.S. CItizen?: Required
Date of Birth: Required
Emergency Contact Information
In Case of Emergency Contact: Required
Emergency Contact Address: Required
Emergency Contact City: Required
Emergency Contact State: Required
Emergency Contact Phone #: Required
Emergency Contact Relationship: Required
Criminal Information
Other than minor traffic offenses, have you ever been convicted of a criminal act, or have any criminal charges pending?: Required
If yes, Please explain:
Education Experience
Related training you bring to the company (ex. CPR):
List any other organizations you belong to:
References
Provide three (3) references, not related to you. Please provide a name, address and phone number for all three: Required
Are you a member of any other Fire, EMS, or Rescue organization?: Required
Fire / Rescue / EMS Type:
Have you ever been rejected from this or any other Fire, EMS, or Rescue organization?: Required
If yes, explain:
Current Fire / EMS Certifications (If Any)
CPR Expiration Date:
EMS Certification Level:
Enter EMS Certification ID #:
EMS Certification Expiration Date:
Fire / Rescue Training:
NIMS ICS 100:
NIMS ICS 200:
NIMS ICS 300:
NIMS ICS 400:
NIMS ICS 700:
NIMS ICS 800:
Other Comments for the committee about your application?:
I certify that all statements are true. I understand that any false statements made will be grounds for rejection or dismissal. I agree to abide by the By-Laws and rules of the Hampstead Volunteer Fire Engine & Hose Company #1
By typing my name I am certifying that all the information is honest and correct.
Signature of Applicant: Required
Date of submission: Required 11/28/2022 2315
Resume Attachment:
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Hampstead Volunteer Fire Engine &
Hose Company No. 1

1341 North Main Street
P.O. Box 231
Hampstead, Maryland 21074
Emergency Dial 911
Station 2 Voice: 410-239-4280
Station 2 Activities: 410-374-2424
Station 2 Fax: 410-239-0523
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