Highland Hose Vol. Fire Company Membership Application
This is our Contact Form Only. This is not the Actual Application Form. By filling this out you are requesting that you wish to be contacted by our Membership Board for the Purpose of joining our Fire Department. Once this is submitted we will request that you come up to our Firehall for the Application Process and Explanation of the Membership Process. You will also be asked to show proper identification and fill out an Arson Check Form.
What is your name?
What is your current Address?
What is your home Phone Number? Any Other Phone Numbers?  
What Is your Date of Birth?        
  What is your Email Address?
Do You Have any prior Fire / Rescue Experiance?      
If so Company Name:
Click here to send you Request to Us.
What was Your Rank: