Join the Department

We're always looking for great new members! Please complete the application below, review the PIVFD Bylaws, and mail signed copies of the Code of Conduct and the Criminal Background Authorization to:

Mailing Address:
PIVFD
PO Box 305
Prudence Island, RI 02872

Station Address:
0292 Narragansett Ave.
Prudence Island, RI 02872

Membership Type

Your Information

First Name

Last Name

Gender

Male

Female

Other

Date of Birth

Weight

Height

Contact Information

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Island Address

Your Resume

Attach resume file

Paste your resume

Upload requirements

Driver's License Class

Basic License (D)

Commerical Driver's License (CDL)

Motorcycle (M)

Other License or Endorsements

State/Province

Driver's License Number

Have you ever been affiliated with a Fire Department? If so, inwhat capacity, dates, name of department

Have you ever had any fire fighting or rescue training? If yes explain.

Do you have any training or certifications? If yes, give date of most recent certification.

What training or experience do you have that you feel would be of value in any capacity to PIVFD?

Please list any conditions, ailments, or disabilities that would effect your performance of your duties on this fire department.

By checking "I Agree", you confirm that you have read and fully understand the PIVFD By-Laws and also understand that you are, if accepted, on a one (1) year probationary period from the acceptance date. I also understand my full acceptance to the PIVFD will be based upon my participationin training sessions, my attendance and performance at fire/rescue calls, monthly meetings and other PIVFD activities.

Digital Signature of Applicant

Sign above

Digital Signature of Guardian (Junior Membership Application only)

Sign above

pivfd_authorization_criminal_records_and_information.pdf174.36 KB

PIVFD Code of Conduct 2020_0.pdf1001.61 KB

PIVFD_Corporate Bylaws 2021 07 10.pdf414.3 KB

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Join the Department

Your Information

Contact Information

Your Resume