Centereach Fire Department

Volunteer Application Form


Thank you for finishing the required packet.


Please review the following checklist items and confirm your packet is ready to submit.


Please enter your FULL NAME
Please attach a copy of the completed packet here.
This should be used to include a copy of your notarized form. If you are unable to attach it to the original packet.
Please attach a scanned copy of your drivers license. This can be a scanned PDF or image file of the license. Please include FRONT and BACK

By submitting your information through this form, you confirm that all information submitted is accurate and all information has been filled out correctly for processing.