Thank you for your interest in the Centereach Fire Department.

Please fill out the form below with all required information.  If you cannot provide an answer please write “N/A”

Contact Information

Please provide as much contact information as possible.  This allows us to easily reach you during your application process.  Please remember to select the preferred method of contact on the form options below.

Employment History

Your employer may be contacted for a character reference.  If you are a student, please input this information clearly in the fields below.  If you are currently unemployed, please enter "NA" in any of the relevant fields below.

Prior FIRE/EMS History

If you've previously volunteered for another fire department or ambulance company, we'd like to know about it.  If you're brand new to EMS, please feel free to enter "NA".

Certifications:  Please enter your highest Fire and EMS certifications.  E.G: FF1, FF2 if you're EMS it could be EMT-B, EMT-CC and so on.  If you have none, please enter "NA"

By hitting submit you confirm that all information entered is accurate.  

Upon submission, your information will be sent to one of our department chiefs for review and processing of your application.  It may take up-to a week for an actual response from a member of our department.

Please forward any inquiries to