Bedford Fire Department
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Past Hour Meter
Calls Trainings Meetings
4293.46

2020 Incidents
Fire EMS MVA
Jan 11 28 4
Feb 19 23 4
Mar 18 17 1
Apr 23 17 0
May 19 11 3
Jun 22 14 3
Jul 35 19 7
Aug 139 14 4
Sep 32 17 0
Oct 28 21 1
Nov 23 15 2
Dec
Total 369 196 29

2020 Hour Meter
Month Calls
Jan 310.51
Feb 342.30
Mar 202.33
Apr 202.70
May 145.90
Jun 263.40
Jul 439.97
Aug 857.73
Sep 221.11
Oct 249.24
Nov 183.79
Dec
Total 3418.98

Past Incidents
Fire EMS MVA
2019 337 261 82
2018 461 254 63
2017 366 222 50
2016 389 276
2015 344 263
2014 316 266
2013 346 240
2012 397 234
2011 382 263
2010 429 243

Visitors Today:
309

Visitors Since
December 1, 2005:
1,816,046

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Membership Application

Required   Indicates Required Field
Applicant Information
Last Name: Required
First Name: Required
Middle Initial:
Date of Birth: Required
House Number:
Address: Required
Apt. / Suite Number:
Town:
State: Required
Zip Code:
Home Telephone Number:
Mobile Number: Required
E-Mail Address: Required
Date of Application: Required
Can You Commit to a Minimum of 3 Years' Service with the Bedford Village Fire Deptment? : Required
Membership Status
Category to be applied for:
Emergency Contact Information
(EC) Name:
(EC) Address:
(EC) Primary Number:
(EC) Secondary Number:
Relationship to You:
Personal Information
Are You a Citizen of the United States?:
If not, what is Your Residency Status? :
If not a citizen, provide a copy of relevant documentation:
Add files...
Do you current possess a driver's license? :
License State:
License Class:
License Number:
License Expiration Date:
Copy of Drivers License:
Add files...
Do you have a social networking account (E.g., Facebook, Instagram, Twitter)? If so, please list:
Employment History
Please list your employment history for the last five years. Indicate if you are currently not employed. (Use a separate sheet of paper, if necessary / indicate if you are a full-time student)
(EH) Name:
(EH) Address:
(EH) You're Position:
(EH) Supervisor:
(EH) Phone Number:
(EH) Dates of Employment:
(EH-1) Name:
(EH-1) Address:
(EH-1) You're position:
(EH-1) Supervisor:
(EH-1) Phone Number:
(EH-1) Dates of Emplyoment:
Additional Employments:
Add files...
Education
High School :
Did You Graduate High School:
College:
Did You Graduate College:
Graduate:
Did you Graduate Graduate School:
If you are not presently enrolled in college, do you have plans to enroll in a college or university? :
Please Explain:
Military Service
Have You Served in the U.S. Armed Force:
If so, What Branch:
Years of Military Service:
Discharge Status:
Reserve Status:
Did You Receive Special Training that Might be Applied to the Fire Department:
Fire Department Status
Are you now or have you ever been a member of a paid or volunteer fire department or volunteer ambulance service:
If Yes, Which Department:
Years of Service:
Reason for Leaving:
Personal References
Please list three personal references (other than members of the Bedford Village Fire Department) to whom we may inquire as to your character
(PR) Name:
(PR) Address:
(PR) Relationship to You:
(PR) Phone Number:
(PR) E-Mail Address:
(PR-1) Name:
(PR-1) Address:
(PR-1) Relationship to You:
(PR-1) Phone Number:
(PR-1) E-Mail Address:
(PR-2) Name:
(PR-2) Address:
(PR-2) Relationship to You:
(PR-2) Phone Number:
(PR-2) E-Mail Address:
Also list the names of any acquaintances who are members of the Bedford Village Fire Department:
Background Information
Have you ever been convicted of or pled guilty to a felony, misdemeanor, insurance fraud, arson, sexual misconduct, perjury, excluding offenses where the record has been sealed, purged, or where you have been exonerated? :
Are there any criminal charges pending against you? :
Are there any moving violations noted on your current driver's license? :
If you answered "yes" to any of the above, please explain :
Following acceptance of an application for membership to the BVFD, an applicant is required to undergo a physical examination by a physician designated by the District, to determine the applicant's ability to perform the duties of a Firefighter / EMT
If you are accepted for membership will you agree to undergo this examination:
Attached Forms
Affirmation of the Applicant & Authorization for Release of Information Form:
Add files...
Status
Application Status:
Application Status Date:

Click the following to download the Affirmation of the Applicant & Authorization for Release of Information Form







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