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Application for Membership

  1. Must have a photocopy of license

  2. If currently enrolled as a student

  3. Type of Training

    Select all that may apply

  4. If yes, explain.

  5. If yes, explain.

  6. Immunizations you are up to date on

  7. IF yes, explain

  8. By typing my name and the date below, I am formally submitting my application to membership of the Montevallo Fire and Rescue Service.

  9. Leave This Blank:

  10. This field is not part of the form submission.