Penn Yan, NY · Yates County
Volunteer Fire Company Membership Application
This application is for people seeking membership in one of the Penn Yan Volunteer Fire Companies and provides information for internal membership processing.
What this form is
Applicants use this form to apply through Ellsworth Hose, Hydrant Hose, Sheldon Hose, or Hunter Hook and Ladder. It asks for personal and employment details, availability, emergency-services experience, references, and information relevant to eligibility. Applicants also affirm their statements, authorize information releases, and indicate whether they are willing to undergo a medical examination.
Who needs it
Anyone seeking membership in one of the Penn Yan Volunteer Fire Companies should complete this application and provide the requested information.
How to submit it
The form says to apply through one of the listed companies and gives the address as 125 Elm Street, Penn Yan, New York 14527.
About notarization
The application is signed and dated by the applicant; its separate information-release authorization has a notary signature and stamp area and directs the applicant to sign in front of a notary.
How to submit this form
- 1
Download The Application
Download the membership application PDF.
- 2
Complete The Application
Fill in the requested personal, employment, experience, availability, and reference information.
- 3
Prepare Any Separate Details
If applicable, attach a separate sheet with details about a dishonorable discharge or criminal conviction, as the form directs.
- 4
Sign And Submit
Sign and date the application, complete the information-release authorization, and apply through a listed company at the address on the form.
Frequently asked questions
- Who can use the Volunteer Fire Company Membership Application?
- People applying to Ellsworth Hose, Hydrant Hose, Sheldon Hose, or Hunter Hook and Ladder can use this application.
- What information does the application ask for?
- It requests personal and employment details, activity availability, emergency-services experience, references, and information related to membership eligibility.
- Do I need a notary for the Volunteer Fire Company Membership Application?
- The application itself is signed and dated without a notary. Its separate information-release authorization directs the applicant to sign in front of a notary and provides a notary signature and stamp area.
- How do I submit the application?
- The form says to apply through one of the listed fire companies and provides the address 125 Elm Street, Penn Yan, New York 14527.
Need something notarized?
This Volunteer Fire Company Membership Application doesn’t need a notary — but if you have another Penn Yan form that does, a commissioned online notary can help.