Application - Springmill Fire

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12/28/2020
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Membership Interest Form

**Please note, applicants will still need to complete a paper application in addition to the Online Interest Form**

A downloadable application can be found: SMFC PDF Application Link

Membership Interest

I desire to become a member of the Spring Mill Fire Company with the following status:*
- Active
- Contributing
- Junior
- Social
Social membership is exempt from a background check.
** ACTIVE MEMBERSHIP APPLICANTS ARE ONLY ALLOWED TO BE AN ACTIVE FIREFIGHTER WITH ONE WHITEMARSH TWP FIRE CO **
Full Name*
Date of Birth*
DD slash MM slash YYYY
Age
Operator License State & Number
Street Address*
City/State/Zip*
Previous Address (If less than 5 years or Outside PA)
Employer/School:
Occupation
Phone (H)
Cell
Email
Are you a member of another FIRE COMPANY?
- Yes
- No
Please list where below.
Are you requesting membership to be a
- Firefighter
- Fire Police
- Diver
Do you have any formal firefighting training
- Yes
- No
If yes, please list below:

(Certificates Required as Proof)
Do you have any formal dive training
- Yes
- No
If yes, please include the latest dive certification date:

(Certificate Date Required as Proof)
What Other attributes do you have that you feel would make you a productive member? (Please List Below)
Applicable Constitution and By-Law Articles

ARTICLE VIII - APPLICATIONS AND/OR REINSTATEMENT FOR ACTIVE/CONTRIBUTING MEMBERSHIP
Section 1 – Application for Membership
Applications for Active, Social or Contributing Membership must be made in writing, stating name, age, occupation and residence of the candidate, with the signatures of two (2) Active Members who shall be known as Sponsors. The application for membership must be accompanied by the annual dues which shall be set by the Board of Directors. Each application shall be read in open meeting, recorded in the minutes and referred to the Membership Committee who shall report at the following stated meeting. All applications shall be posted for thirty (30) days prior to the committee report. All applications for active membership shall submit to a background check as determined by the Board of Directors. Any valid concerns regarding a candidate should be addressed to the membership committee in writing within fifteen (15) days of posting.

ARTICLE II -MEMBERSHIP
Section 5 - Social Membership
Social Membership may be conferred upon any person having attained twenty-one (21) years of age, upon the payment of annual dues not less than the annual dues of an active member.
Have you ever been convicted of a crime other than a Summary Offense?
- Yes
- No
However, a conviction of a crime will not necessarily result in membership being declined

CAUSES FOR MEMBERSHIP APPLICATION TO BE REJECTED:
1) Printing being non-legible
2) Providing false information
3) Unacceptable PA background check & Child Abuse clearance
Email
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Spring Mill Fire Department
1210 East Hector St.
Conshohocken, PA 19428

Contact Info:
Phone: 610-825-1164
Fax: 610-825-7409
E-mail: info@springmillfire.com