Honeoye Falls Fire Department
If you're interested in joining the fire department please fill out the application below or stop on down to the fire house any weekday between 8 am and 4 pm or any Monday evening between 7 and 9 pm. You can also call to set up an appointment at 624-1100 or email us at inbox@honeoyefallsfd.com
Name (Last, First, M.I.)
Social Security Number
Date of Birth
Personal Information
Address
City, State, Zip Code
Application for Membership
Time at Present Address
Place of Birth
Phone Number
Email Address
Have you ever been convicted of a Felony?
If Yes Explain:
Drivers License Information
License Number
State
Class
Restrictions
Expiration Date
Traffic Violations
Primary Emergency Contact
Name
Relation
Phone Number:
Employment
Phone Number:
Length of Employment
Employer
Employers Address
Supervisor's Name
Previous Experience
Past Fire Experience
Department Name
Post Name/Number
Department Location
Phone Number:
Military Experience
Branch
Length of Service
Type of Discharge
Testimonial
It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of the application and/or for separation from the Fire Department's service if I have been accepted.
I agree with the above statement
Date Submitted:
References
Please use references that are not family members.
Name 1
Name 2
Name 3
Phone Number:
Phone Number:
Phone Number:
If you have any additional question please post them here:
Yes
No
Fire Department
Junior Firefighter
Explorer
Yes
No
Yes
No