Volunteering – Carbondale & Rural Fire Protection District

CARBONDALE & RURAL FIRE PROTECTION DISTRICT VOLUNTEER MEMBER PROGRAM

Thank you for your interest in volunteering with Carbondale & Rural Fire Protection District.

The Carbondale & Rural Fire Protection District values diversity in the workplace. Men and Women of all ages, cultural and ethnic backgrounds, religious and political affiliation, national origin and persons with disabilities are encouraged to apply. To apply, please complete and submit the application form linked on this page. The application should be completed in full including uploading all driver’s license and certification information. We may wish to contact you by mail, telephone, email and/or in person. It is your responsibility to make sure contact information is correct and current. Except to accommodate the needs of individuals with disabilities, committee members or fire district staff cannot complete or change any information on the application. Any changes must be made by the applicant in person or through signed written communication. Incomplete applications will not be accepted.

Important Facts to Consider

Time commitment. Volunteering with CRFPD requires a very significant time commitment on the applicant’s part. All volunteers who are applying to be a part of the Fire or EMS crew at Station 81 will be asked to identify a specific block of time each month for “On Duty” shifts. Typically this is an average of 4 shifts per month between 8 and 12 hours each shift. Training, including the New Member Academy, Firefighter 1 Course, and regular monthly trainings will add to these hours. Members are required to attend a monthly membership meeting and may be frequently asked to help out with community events. Meeting such time requirements needs a significant commitment on the part of the applicant and their family/significant others. We strongly encourage that the applicant think about the time commitment in terms of their families and/or significant other to ensure that they have their support and understanding.

It is not a glamorous job. Participation in the Fire/EMS services is not necessarily for everyone. The work is physically strenuous, emotionally challenging and high stress at times. Service providers have to deal with extremely dirty and noisy work environments and are exposed to unsightly and disturbing sights on a regular basis. The rewarding aspects of the service is the knowledge of a job well done, having the ability to help someone in need and often having made a difference in someone’s life. It is often a thankless job with few tangible rewards, a lot of training and little recognition. You need to ask yourself “is this for me?”

Active Member Volunteer Commitment:

Maintain training for certifications
- 40 hours of training annually
- 24 monthly shift hours
- Attend 6 membership meetings annually
- Annual CPR training
- Annual Infection Control training
- Annual HIPAA training
- Participation in events – 4^th of July parades, blood pressure checks, senior housing lunch, polo medic, Mountain Fair EMS/Fire, rodeo medic, fire department open house events, etc.

Benefits:

Honor of serving your community in emergency situations
Opportunity to meet and work with other highly trained motivated and enthusiastic individuals
Opportunity to interact with numerous local, state and national fire and rescue organizations
Fire and Rescue related training
Emergency medical training
Fire and Rescue related gear, clothing, etc.
Use of exercise equipment
Participation in numerous department and community functions held each year
Worker’s compensation coverage while training and performing firefighting duties
Disability and life insurance coverage if injuries or death occur while training or performing firefighting duties
Retirement benefits(Length of Service Award Program)See LOSAP requirements in Membership Handbook
Annual recognition awards
Annual holiday party
Fire department gear- t-shirts, hats, etc.
Monthly meeting dinner
Meal tickets while on shift duty

Application for Membership

Vounteer Fire/EMS

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address (if different from your home address)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Are you a US Citizen?

YES

Are you 18 years of age or older?

YES

Date of Birth:

SSN:(Required)

Do you have a valid Driver's License?

YES

License # / State / Class(Required)

How long have you been in the area? *If at current address for less than 2 years please list previous address:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Have you received any traffic citations in the last three (3) years and/or any convictions for Driving Under the Influence or Driving While Ability-Impaired during the last seven (7) years?(Required)

YES

If yes, please indicate when, where and reason for the citation, and the eventual disposition of the citation(s):

Have you ever been convicted of a felony?(Required)

YES

If yes, please describe the circumstances:

Any physical or mental conditions which may require an accommodation by the District to permit you to perform volunteer firefighting or emergency medical services?

YES

If yes, please list a description of such condition(s), along with any medications currently prescribed which the District should be aware of in the event your application is selected (Please Note: The contents of this application are confidential and will not be disclosed to third parties other than authorized members of the Carbondale & Rural Fire Protection District):

Training

Have you ever had any prior training or experience in firefighting or emergency medical services?

YES

State of Colorado firefighter level of certification:

FF1

FF2

Other

State of Colorado EMT certification level:

AFA

CPR

EMR

EMT-B

EMT-I

EMT-P

List any Additional training or skills i.e., rock climbing, river rafting:

Education

School / Major / Degree Received

Please list the name and location of the schools you have studied at along with your major and degree received.

Employment

Current Occupation(Required)

Current Employer(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

May we contact your employer for a reference?(Required)

YES

Previous Fire Service Experience

1. Have you ever been a member of another fire department or fire protection district in the state of Colorado or elsewhere?(Required)

YES

(If, no please skip to question #2)

Name of Fire/EMS Organization

Name of Chief

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Position in Organization

2. Briefly explain why you want to join the department:(Required)

References

Please list three (3) local references (references will be contacted):

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Whom to notify in case of emergency

Name(Required)

First Last

Relationship(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

File

Max. file size: 32 MB.

**Please include the following with your completed application: Any current certifications you have, a copy of your Driver’s License and a copy of your DMV record.**