Applications - Solomons Volunteer Rescue Squad & Fire Department

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2023 Incidents
	Fire	EMS
Jan	98	234
Feb	82	202
Mar	103	221
Apr	119	205
May	66	169
Jun	0	0
Jul	0	0
Aug	0	0
Sep	0	0
Oct	0	0
Nov	0	0
Dec	0	0
Total	468	1031

Past Call Stats
	Fire	EMS
2011	760	2302
2012	690	2193
2013	558	2144
2014	627	2265
2015	715	2497
2016	1114	2112
2017	1209	1972
2018	1266	2290
2019	1463	2438
2020	1503	2370
2021	1358	2557
2022	1399	2713

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Applications

Please fill out the department online application. Once completed it will be submitted to the membership committee for review. You will be contacted once reviewed and will be relayed the status of your application. Please ensure the email address provided is accurate as this will be the form of communication with the applicant. It is the applicants responibilty to check thier email.

Thank you considering becoming a member of the Solomons Volunteer Rescue Squad and Fire Department. We look forward to meeting you and becoming part of our family. ~The Solomons Volunteers

Indicates Required Field

Applicant Information

Membership Type:

Cadet Member (Age 14-15)
Junior Member (Age 16-17)
Regular Member (Age 18+)
Associate Member
CTA Cadet
Returning Member
Transfer from another Calvert County Dept

Last Name:

First Name:

Middle Name:

Mailing Address:

City:

Zip Code:

Date of Birth:

Social Security Number:
If you prefer to not fill out your SSN then a member of the recruitment team will contact you for the information.

Phone Number:

Email Address:

State and Class of Drivers License:

Drivers License Number:

Work/School Information

Occupation:

Place of Employment:

Name of School (If applicable):

Medical Information

Medical Conditions:
Do you have any current medical or physical conditions which may limit your participation in department activities? If, None please put N/A

Emergency Contact and Relationship:

Emergency Contact Phone Number:

Physician:

Physician Phone Number:

Emergency Response Experience

Emergency Experience:
Do you have any experience in the emergency response field to include firefighting, EMS, or rescue? If so explain. If none, please put N/A

Past Departments:
Were you ever removed or expelled from any Fire/Rescue/EMS Department? If so, What department and when? If none, please put N/A.

Training Obtained:
If none, please put N/A

Certifications:
If none, please put N/A

Criminal Information

Criminal Info.:
Have you ever been convicted of a crime other than a misdemeanor? If so please explain. If none, please put N/A

References

Applicant References:
Provide three (3) references, not related to you. Please provide a name, address and phone number for all three.

Application Certification

Application Signature:
I certify that all statements are true. I understand that any false statements made will be grounds for rejection or dismissal. I agree to abide by the By-Laws and rules of the Solomons Volunteer Rescue Squad and Fire Department.

Parent or Guardian Signature:
Signature of Parent or Guardian (If applicant is under 18). Upon applicant review the Parent or Guardian will be contacted for verification of signature.

Submission Date:

09/29/2023 0338

Please read Carefully By submitting this application for membership in the Solomons Volunteer Rescue Squad and Fire Department (SVRSFD), I authorize investigation of all statements contained therein. I hereby authorize SVRSFD to make any contacts considered necessary for me to become a member, such as current employers, criminal records, etc. It is understood and agreed that any misrepresentation by me in this application, will be sufficient cause for cancellation of the application or for separation from SVRSFD as a member at any time. I understand that this application is the property of Solomons Volunteer Rescue Squad and Fire Department and will become part of my personnel file if I am accepted as a member. POLICY STATEMENT: SVRSFD is an equal opportunity organization and shall not discriminate against any member or applicant due to age, sex, marital status, national origin, religion, race, physical or mental handicap unrelated to the performance of the job or any other prohibited reasons. The Membership Committee will review this application and additional information developed during background checks. Applicants may be disqualified for criminal conduct. If applicant is less than 18 years of age, a parent or legal guardian MUST submit this application.

Only those persons with the highest professional, ethical, moral and legal standards, in the sole and exclusive opinion of the Board, shall be allowed to be members of the squad. If in the sole and absolute discretion of the Board any applicant or member shall fail to meet those standards, then that member shall be subject to immediate dismissal. Grounds for dismissal shall include, but not be limited to, any false statement on the member's initial application, conviction of any crime, be it misdemeanor or felony, the receipt of probation before judgment as to any crime, be it misdemeanor or felony, or any other matter that in the Board's opinion would cause an applicant or member to be unfit. Applicant acknowledges and agrees to the same. Applicant further acknowledges and agrees that this application is ongoing throughout any potential membership and that any matter of any sort which could affect a member's fitness to serve, including but not limited to conviction of any crime or receipt of probation before judgement, shall immediately be reported to the Board of Directors. Failure to report any such incident or matter shall in and of itself be grounds for dismissal.

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www.FirehouseSolutions.com	Solomons Volunteer Rescue and Fire 13150 HG Trueman Rd. P.O. Box 189 Solomons, MD 20688	Emergency Dial 911 Non-Emergency: 410-326-6657 E-mail: Info@svrsfd.org