Join UFCRS

Union Fire Company and Rescue Squad provides Fire and EMS and Rescue services to Hopewell Valley and surrounding communities as needed. The residents of Titusville and its surrounding towns depend on us to respond quickly and professionally in times of crises.

Ask yourself the following questions to see if you’d make an ideal Firefighter, Emergency Medical Technician, or Rescue Technician:

Do you like to help people?
Do you want to make a difference in your community?
Do others tell you that you handle crises well?
Do you have some flexibility in your evening schedule to volunteer one day a week?
- Fire Duty Crews
  - One day a week
  - 4 hours (6pm-10pm)
- EMS Duty Crews
  - One day a week, and one rotating Saturday a month
  - 12 hours (6pm-6am)

Still thinking about if you want to be a future member?

Any organization which depends on volunteers to provide service is always looking for new members. As a member of the Union Fire Company, you will make a huge difference in your community. Many patients and families will be comforted by your role as an Emergency Medical Technician or Firefighter.

And if becoming an Emergency Medical Technician or Firefighter isn’t for you, we also need help with administrative support tasks in and around the firehouse .

If you would like to join our department as a volunteer Firefighter, EMT, Fire Police Officer, Administrative member, or any combination please fill out our membership application below which will email us and a member of our staff will get in touch with you within 4 hours.

You can also stop by any Tuesday night to meet our team and check us out along with ask any questions you may have. You may also contact us by email at recruiting@ufcrs.org.

Application For Membership

Personal & Contact Information

First Name *

Middle Name

Last Name *

Type of Membership * Type of Membership

Date of Birth

Address *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Home Phone

Cell Phone *

Email *

Driver Information

Drivers License #

State Issued

Expiration

Have you ever been convicted of any offense other than a minor traffic violation? *

Yes

If yes, please explain

Emergency Contact Information

Name of Emergency Contact *

Relationship *

Phone *

Address of Emergency Contact *

Address of Emergency Contact

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Employment Information

Current Employer

Current Employer Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Supervisor

Supervisor Phone #

Previous Membership & Experience

Do you have any physical impairment that may interfere with your performance with UFCRS? *

Yes

If yes please explain

Have you ever applied for membership with UFCRS? *

Yes

If yes give aprox. Date

Have you ever been a member of any Fire/Rescue company? *

Yes

If yes give aprox. date.

Department name, phone number & chief's name

Attach Certificates

Maximum file size: 268.44MB

List any certifications (Fire & EMS) Attach a copy of each to application

List Three (3) persons not related to you for references

Reference Name (1) *

Phone *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Reference Name (2) *

Phone *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Reference Name (3) *

Phone *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

PLEASE READ AND SIGN

I herby authorize Union Fire Company and Rescue Squad, and its membership committee to investigate the statements made of this application. I will abide by the rules, regulations & by-laws set forth by Union Fire Company and Rescue Squad. I have enclosed Five ($5.00) dollars to cover my membership dues and have filled out the attached LOSAP application.

Print Name *

Applicant Signature

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Parent/Guardian Signature

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Date *

Date

If you are human, leave this field blank.

Join UFCRS

Still thinking about if you want to be a future member?

Personal & Contact Information

Driver Information

Emergency Contact Information

Employment Information

Previous Membership & Experience

List Three (3) persons not related to you for references

PLEASE READ AND SIGN

Union Fire Company and Rescue Squad

Station 53/Squad 153

Get in Touch

Member Links