Nanticoke, PA · Luzerne County

No notary required

Adult Application for Membership

This application lets adults apply for membership in the Nanticoke Fire Department, choosing a position and company and providing personal, education, and work history.

What this form is

Adults use this application to seek active firefighter, social member, or fire police membership with a Nanticoke Fire Department company. It asks for contact and background information, education, fire service experience, references, and employment history, and includes an affidavit authorizing an investigation and criminal background check. Applicants for active firefighter membership must complete a state-certified basic firefighting course within two years of acceptance.

Who needs it

Adults applying to join a Nanticoke Fire Department company as an active firefighter, social member, or fire police member need 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 without a notary; the affidavit is part of the application, and the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Adult Application for Membership PDF.

  2. 2

    Complete The Application

    Print clearly, answer each question fully and accurately, and select a position and company.

  3. 3

    Gather Supporting Materials

    You may provide copies of training certificates; accepted applicants must submit proof of age.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who can use the Adult Application for Membership?
Adults applying for active firefighter, social member, or fire police membership with a Nanticoke Fire Department company can use this application.
What information does the application request?
It asks for personal and contact details, education, fire service experience, references, employment history, and answers about prior applications and convictions.
Do I need a notary for the Adult Application for Membership?
No. The application has no notary block; the affidavit is part of the application, and the signer signs and dates it.
How do I submit the Adult Application for Membership?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Adult Application for Membership doesn’t need a notary — but if you have another Nanticoke form that does, a commissioned online notary can help.