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Volunteer Application

  1. Are you under 18 years of age?*
  2. Criminal History
  3. Experience
  4. Please provide any previous fire departments or rescue organizations that you have been a member of
  5. References

    Please list name, address and home & work phone numbers. References should not include family members. 

  6. Acknowledgement
  7. BA criminal background check and DMV report is required for all volunteers. You will be contacted in person to give your social security number. By pressing the submit button below, I certify that I have completed this application to the best of my knowledge and ability.

    I certify that the above information is true, complete, and accurate. Falsification of information is grounds for dismissal. I also understand that I am giving permission to Botetourt County to run a criminal background check and DMV report.

  8. Leave This Blank:

  9. This field is not part of the form submission.