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 Welcome to the "Official" website of Hancock Rescue Squad     Washington County Station 59 59

 

 

 

 

 

 

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RECRUITMENT INFORMATION

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Looking for something to do with your spare time?

Always wanted to help the community?

Interested in Emergency Services?

Want to become a member?

Hancock Rescue Squad is always accepting applications for membership.

Contact Tim Rollins for more information at

trollins@hancockrescue.com

or stop by the station for an application

 


Application For Membership of
The Hancock Rescue Squad
GENERAL INFORMATION
Name:

Address:

Home Number:

Cell:

Email Address:

Date of Birth:

Drivers License Number:

State:

Place of Employment:

Phone:


AFFILIATIONS & CERTIFICATIONS
Are you a member of any other department?:
Yes: No:

If so, please list which one(s):


Please list your current certifications:


PERSONAL INFORMATION

Why do you want to join Hancock Rescue Squad?:


REFERENCES

Please list 3 character references along with their name, number, and relationship:


CRIMINAL RECORD
Have you ever been convicted of a crime?:
Yes: No:

If so, please explain:



Have you ever been convicted of any moving violations, in a vehicle?:
Yes: No:

If so, please explain:


SIGNATURE
By clicking "ACCEPT" you are at least 18 years of age and are giving Hancock Rescue Squad the right to check your character references and perform a background check, if so desired by the company, and all contents of this application are correct and truthful.

ACCEPT: DO NOT ACCEPT:


 

 

 

 

 

 

 

 

 

 

 

 

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Contact the Webmaster if you have any questions or comments about the site.

 

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