Firefighter Application

Contact Information

Current Residence

Employment

References

Fire and EMS Experience

Certification and Process

I understand that the duties are physically challenging and that my membership will be dependent upon my successful completion of a medical exam and a drug screening to be conducted by a medical facility selected and approved by the Hampden Fire Department.

By signing below, I hereby authorize and consent to undergo a background check including CORI and SORI to be conducted on behalf of HFD and I certify that the information provided on this application is accurate and complete. I understand and agree that misrepresentations or omissions in this application may result in termination of the application process or membership.

HFD does not discriminate against any applicant because of race, color, age, sex, religion, national origin or ancestry, marital status, sexual orientation, veteran’s status, or disability.