Volunteer Application NFVFD Volunteer Application Last name * Date of Birth * Frist name * Social Security # * Age * Address * State * Zip Code * Previous Address (if less than 2 years at current address) Phone Number * Email Address * City * Date * Apply For * Fire Fighter EMT/EMS Administrative Have you ever applied at NFVFD before * Yes No Ever convicted of a felony * Yes NO If Yes ( Date, Charge, Place & Court Personal References Personal References #1 (name & number) * Personal References # 2 (name & number) * Personal References # 3 (name & number) * BG&H Investigators, LLC * BG&H Investigators ,LLc Authorization and Consent for Release of Information Employment/Membership Thank you for your application with NFVFD (hereinafter to be referred as the company) As a condition of employment/membership and/or continued employment/membership, all applicants consent to authorize a per-employment/ per-membership verification of their background, Including, but not limited to information submitted on their application or resume. I,the undersigned applicant, do hereby certify that the information provided by me for the purpose of employment/ membership is true and complete to the best of my knowledge. I understand that if I am employed/ granted membership ,any false statement will be considered as cause for possible dismissal. This release and authorization acknowledges that the company may now, or at any time while I am employed, conduct a verification of my education, previous employment/ work history, credit history, motor vehicle records, contact personal references, obtain any criminal or civil history information pertaining to me which may be in files of any Federal, State or Local criminal justice agency in any state or province or any information as deemed necessary to fulfill the job requirement. I authorize BG&H Investigators, LLC and any of its agents/ designated company personnel or affiliates, to disclose orally and in writing the results of this verification process and/ or interview the designated authorized representatives of company. I have read and understand this release and consent, and I authorize the background verification. I authorize persons, schools, current and former employers and other organization and agencies to provide BG&H Investigators, LLC with all information that may be requested. I agree that any copy of this document is as valid as the original. 01/19/2018 23:48:34 Add Remove Check The Box!