Become a Bay District Volunteer

Use the form below to apply for membership to the Bay District Volunteer Fire Department. After completing this form, a representative of the membership committee will contact you. In the meantime, feel free to come down and visit the stations.

The Bay District Volunteer Fire Department has Three (3) Membership types:

Associate – Open to all persons 16 years and older. Associate Membership provides support to the Bay District Volunteer Fire Department by assisting with Fire Prevention, Fund Raising and Fire Ground Rehabilitation.

Cadet Membership - Open to all persons ages 14–15. Cadet Members participate in approved training activities designed to build foundational fire service knowledge. Cadets also develop essential teamwork skills and a strong sense of camaraderie through group activities that encourage personal growth and community involvement.

Junior Membership – open to all persons 16 – 17 years old. Junior Members participate in all firefighting activities (i.e. – responds to emergency incidents, participates in training, assist with fund raising and performs fire prevention activities).

Senior Membership – Senior Membership is open to all persons 18 and older. Senior Members participate in all firefighting activities (i.e. – responds to emergency incidents, participates in training, assist with fund raising and performs fire prevention activities).

*All prospective members MUST print the BDVFD Health Certificate and have it filled out by your physician and returned to Bay District Volunteer Fire Department prior to being accepted into probationary membership”

*Prospective members will be required to pay a non-refundable fee of $20.00 for the background check and key fob at the first membership meeting prior to acceptance of application (This does not apply to Junior Members; Junior Members need to have $5.00 fee for key fob for doors).

Indicates Required Field

PERSONAL

Submitted on

10/14/2026 0643

Membership Type

Select Below Associate Cadet Junior Senior

Name

Last, First, Middle Initial

Address

Street Address, City, State, Zip Code

E-mail Address

How long have you lived at this address?

Home Phone

Cell Phone

Sex

Select Below Female Male

Where are you currently employed

If you were in the Armed Forces, when were you discharged?

Date of Birth

Driver's License #

Driver's License State

Select Below Alabama - AL Alaska - AK American Samoa - AS Arizona - AZ Arkansas - AR California - CA Colorado - CO Connecticut - CT Delaware - DE District of Columbia - DC Federated States of Micronesia - FM Florida - FL Georgia - GA Guam - GU Hawaii - HI Idaho - ID Illinois - IL Indiana - IN Iowa - IA Kansas - KS Kentucky - KY Louisiana - LA Maine - ME Marshall Islands - MH Maryland - MD Massachusetts - MA Michigan - MI Minnesota - MN Mississippi - MS Missouri - MO Montana - MT Nebraska - NE Nevada - NV New Hampshire - NH New Jersey - NJ New Mexico - NM New York - NY North Carolina - NC North Dakota - ND Northern Mariana Islands - MP Ohio - OH Oklahoma - OK Oregon - OR Palau - PW Pennsylvania - PA Puerto Rico - PR Rhode Island - RI South Carolina - SC South Dakota - SD Tennessee - TN Texas - TX Utah - UT Vermont - VT Virgin Islands - VI Virginia - VA Washington - WA West Virginia - WV Wisconsin - WI Wyoming - WY

Have you ever been convicted of a traffic violation, misdemeanor, or a felony

Select Below No Yes

If Yes, indicate the date and nature of the charge, police agency, court, and disposition

MEDICAL HISTORY

Have you ever had an operation?

Select Below No Yes

Have you ever been seriously injured?

Select Below No Yes

Have you ever been refused employment for reasons of health?

Select Below No Yes

Have you ever been forced to resign from a job or volunteer position for health reasons?

Select Below No Yes

Have you ever fractured any bones or dislocated any joints?

Select Below No Yes

Have you ever been refused life insurance?

Select Below No Yes

Have you ever been diagnosed with an illness caused by your job or volunteer position?

Select Below No Yes

Have you ever injured your back?

Select Below No Yes

Have you ever suffered from lung problems?

Select Below No Yes

Have you ever suffered from heart problems?

Select Below No Yes

Have you ever suffered from swelling of the legs or ankles?

Select Below No Yes

Have you ever suffered from fainting spells or dizziness?

Select Below No Yes

Have you ever suffered from frequent headaches?

Select Below No Yes

Have you ever been treated, hospitalized or on medication for mental illness?

Select Below No Yes

Do/are you currently wearing glasses?

Select Below No Yes

Do/are you using a hearing aid?

Select Below No Yes

Do/are you on any medications?

Select Below No Yes

If you answered yes to any of the above, please provide more information.

EXPERIENCE

Have you ever filed an application Bay District Volunteer Fire Department?

Select Below No Yes

If so, when?

Have you ever been a member of any other fire or rescue department(s)?

Select Below No Yes

If you have been a member of any other fire or rescue department please list department name(s) and date(s)

Have you ever been denied membership to a fire and/or rescue squad?

Select Below No Yes

If so, please give details

Have you ever been discharged for misconduct or unsatisfactory service or asked to resign from a fire and/or rescue department?

Select Below No Yes

If you have been discharged, please give details

List any firefighting and/or emergency medical certifications that are current. Please provide copies of certifications

Please provide copies of certifications

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EDUCATION

High School Attended

Include Location (City/State)

Did you graduate or receive a GED

Select Below GED Graduate N/A

Date graduated, or received GED

College or University

College or University, Location (City/State), Dates attended, Major or Degree awarded

REFERENCES (NOT Members of Bay District)

Reference #1

Name, Address, Phone Number

Reference #2

Name, Address, Phone Number

Reference #3

Name, Address, Phone Number

EMERGENCY CONTACT

Emergency Contact Information

Name, Relationship, Address, Phone Number, Additional Phone Number

ACKNOWLEDGEMENT

How did you hear about us?

Select ALL that apply

County Recruitment Program Email Friend Member Recruitment Flier School Guidance Counselor Social Media State Recruitment Program

Please type your signature here

E-Signature Disclaimer

By signing my e-signature signature above, I acknowledge and agree that my e-signature holds the same legal validity and enforceability as a handwritten signature under the Electronic Signatures in Global and National Commerce Act (E-SIGN Act) and the Uniform Electronic Transactions Act (UETA). I consent to the use of electronic records and signatures for all forms, agreements, and transactions related to this application.

By submitting my electronic signature, I signify that I have applied for membership with the Bay District Volunteer Fire Department, Inc.; that I have answered all questions truthfully and to the best of my knowledge; and that I fully understand any intentional false statement may be grounds for dismissal from the department. Furthermore, I hereby grant Bay District Volunteer Fire Department, Inc. permission to contact my employer, references, and any other persons or agencies who may have knowledge of me, my skills, and my experience as may be deemed necessary.

I also understand that I will be required to undergo a mandatory physical, at my expense, to be considered for Operational Membership. If you have any questions, please contact Application@bdvfd.org.

By providing my e-signature, I confirm that I have reviewed the document, understand its contents, and agree to the terms. Once submitted, my e-signature is final and legally binding. If you prefer not to use an electronic signature, please contact us to arrange an alternative signing method.

 

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