Membership Types:

Firefighter   

Prospective members must complete and pass a background check during the application process. NCSI provides a secure link to complete the background check application:  https://carrollcountydepartmentoffireandems.quickapp.pro(GoogleChrome is the suggested browser for accessing NCSI site).  

I understand that prior to responding to any emergency incident I must successfully complete the following minimum requirements:

1. Carroll County Volunteer Emergency Services Association approved physical
2. Maryland Fire & Rescue Institute: Firefighter I (FF I) course (or equivalent)
3. Maryland Fire & Rescue Institute: Hazardous Materials Operations
4. FEMA: National Incident Management Association (NIMS) 100 – on line course
5. FEMA: National Incident Management Association (NIMS) 200 – on line course
6. FEMA: National Incident Management Association (NIMS) 700 – on line course
7. Receive permission from the current Chief of the Taneytown Volunteer Fire Co.

Further, I understand that I must be enrolled in the FF I class during my 12-month probationary period and in order to continue riding, must successfully complete the MFRI FF II or equivalent within 5 years of becoming a member.

EMS Provider

Prospective members must complete and pass a background check during the application process. NCSI provides a secure link to complete the background check application:  https://carrollcountydepartmentoffireandems.quickapp.pro(GoogleChrome is the suggested browser for accessing NCSI site).  

I understand that prior to responding to any emergency incident I must successfully complete the following minimum requirements:

1. Carroll County Volunteer Emergency Services Association approved physical
2. Maryland Institute for Emergency Medical Services Systems (MIEMSS): Emergency Medical Technician (EMT)
3. Maryland Fire & Rescue Institute: Hazardous Materials Operations
4. FEMA: National Incident Management Association (NIMS) 100 – on line course
5. FEMA: National Incident Management Association (NIMS) 200 – on line course
6. FEMA: National Incident Management Association (NIMS) 700 – on line course
7. Receive permission from the current EMS Captain of the Taneytown Volunteer Fire Co.

Further, I understand that I must be enrolled in the EMT class during my 12-month probationary period and in order to continue riding as an EMS provider, I must maintain a current EMS certification.

Auxiliary Member

Prospective members must complete and pass a background check during the application process. NCSI provides a secure link to complete the background check application:  https://carrollcountydepartmentoffireandems.quickapp.pro(GoogleChrome is the suggested browser for accessing NCSI site).  

I understand that I am expected to participate in fund raising activities for the Taneytown Volunteer Fire Company.  I may attend regular Company meetings  and join and chair committees that support these efforts.

Indicates Required Field

Date:		07/19/2025 0112
By selecting this Membership Type, I agree to the conditions as outlined above:		Firefighter EMS Provider Auxiliary
Full Name:
Address:
Home Phone Number:
Cell Number:
Email Address:
Applicants younger than 18 please contact JoinUs@tvfc5.org to inquire about our juniors' program
Date of Birth:
Driver License Number:
Current Place of Employment:
Position:
Normal Work Hours:
List two (2) non-family references
First Name - Reference #1:
Last Name - Reference #1:
Reference #1 Phone Number:
Reference #1 - Relationship to Applicant:
First Name - Reference #2:
Last Name - Reference #2:
Reference #2 Phone Number:
Reference #2 - Relationship to Applicant:
If you were a member of another Company, a letter of transfer or recommendation is required. Please attach copies of any Fire Company letters and any related training certificates you have earned.
Have you ever been a member of another Fire Company:		No Yes
If you have been a member of another fire company, what company: Please list all companies and dates of membership
Training certificate upload:		Add files...
Have you ever been convicted of a crime, other than a minor traffic violation:		No Yes
If you have you ever been convicted of a crime, please explain the circumstances below:
It is understood and agreed that the Taneytown Volunteer Fire Company will exercise the right to check any and all statements concerning this application as determined by the membership committee.
Any misrepresentation will be sufficient cause for cancellation of this application or termination from the company.
Acknowledgements
I agree to reimburse the Taneytown Volunteer Fire Company any fees associated with my failure to attend a course for which I had previously agreed to attend:		I Agree
I agree to complete a physical examination, in accordance with Carroll County standards, when required. I understand that I am responsible to report any medical condition that may affect my performance as a Fire Company member, to the current Chief:		I Agree
I also agree to abide by all rules established by Taneytown Volunteer Fire Company:		I Agree
Electronic Signature of Applicant: