Deal Island Chance Volunteer Fire Company Become A Member Application for Membership Type of Member Full MemberAssociate Member – FireAssociate Member – MarineCadet (Must be 16) Name Your email SS# DOB: AGE: Gender: MaleFemale Marital Status: MarriedSingle Address: Phone #: How long at present address: Emergency Contact: Emergency Phone #: Drivers License Info: State: Class: Number: Occupation: Will your occupation allow you to answer fire calls day and night? YesNo Do you have any physical infirmities that will prevent you from doing strenuous or hazardous work? YesNo If Yes, please explain: Our by-laws require a criminal background check. Have you ever been convicted of a felony?YesNo If yes, where and when? If elected, I promise to comply with all rules and regulations of Deal Island/Chance Volunteer Fire Company, Inc. Signature Date Recommended by: (Active Members Name) Facebook Twitter Instagram