Rushville, NY · Yates County
Rushville Hose Company Application for Membership
This application is for people seeking active, social, junior, fire police, or certified first responder membership in the Rushville Hose Company.
What this form is
The application lets prospective members provide personal and employment details, choose a membership position, and answer questions about age and health conditions. Applicants declare that their statements are true and agree to start required training within one year if accepted; certified first responders also agree to provide one year of active service after completing class. The form includes a background check section for arson convictions.
Who needs it
Anyone applying for active, social, junior, fire police, or certified first responder membership in the Rushville Hose Company should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the form calls for a background check for arson convictions but does not mention a notarized attachment.
How to submit this form
- 1
Download The Application
Download the Rushville Hose Company Application for Membership.
- 2
Complete The Application
Enter your personal and employment details, select a membership position, and answer the questions that apply.
- 3
Sign And Date
Declare that your statements are true, then sign and date the application.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who can apply for Rushville Hose Company membership?
- The application is for people seeking active, social, junior, fire police, or certified first responder membership in the Rushville Hose Company.
- What information does the application ask for?
- It asks for personal and employment details, the position sought, age and health information, and background check details. Active applicants provide a driver's license number.
- Do I need a notary for the Rushville Hose Company membership application?
- No. Sign and date the application; it calls for a background check for arson convictions but does not mention a notarized attachment.
- How do I submit the membership application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Rushville Hose Company Application for Membership doesn’t need a notary — but if you have another Rushville form that does, a commissioned online notary can help.