Nanticoke, PA · Luzerne County

No notary required

Junior Application for Membership

This application is for people seeking junior firefighter membership with the Nanticoke Fire Department and requires information about the applicant, education, experience, and references.

What this form is

The Nanticoke Fire Department uses this application to consider applicants for junior firefighter membership in one of its listed companies. Applicants provide personal, education, fire service, reference, and employment information, and the applicant and a parent or legal guardian sign the affidavit. The application also requests copies of the applicant’s birth certificate and working papers.

Who needs it

Anyone applying for junior firefighter membership with the Nanticoke Fire Department needs to complete this application with a parent or legal guardian.

How to submit it

Submit the application to the Nanticoke Fire Department at Fire Headquarters, 2 E. Ridge St., Nanticoke, PA 18634. Include copies of the applicant’s birth certificate and working papers.

About notarization

This application is signed and dated without a notary; the applicant and parent or legal guardian must meet with the fire chief or designee before the applicant is sworn in.

How to submit this form

  1. 1

    Download The Application

    Download the Junior Application for Membership PDF.

  2. 2

    Complete The Application

    Print clearly, answer every question, and provide the requested personal, education, experience, reference, and employment details.

  3. 3

    Gather Required Copies

    Include a copy of the applicant’s birth certificate and a copy of the applicant’s working papers.

  4. 4

    Sign And Submit

    Have the applicant and parent or legal guardian sign and date the application, then submit it to Fire Headquarters at 2 E. Ridge St., Nanticoke.

Frequently asked questions

Do I need a notary for the Junior Application for Membership?
No. The application calls for signatures from the applicant and a parent or legal guardian, not a notary. They must meet with the fire chief or designee before the applicant is sworn in.
How do I submit the Junior Application for Membership?
Submit the application to Fire Headquarters, 2 E. Ridge St., Nanticoke, PA 18634. Include copies of the applicant’s birth certificate and working papers.
What documents should accompany the application?
The application asks applicants to submit a copy of their birth certificate and a copy of their working papers with the completed application.
Who must sign the application?
The applicant and a parent or legal guardian must sign and date the affidavit section. The form also includes a section for the chief’s signature after the required meeting.

Need something notarized?

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