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OAKHURST INDEPENDENT HOSE CO. NO. 1
Township of Ocean Fire District No. 1
OAKHURST, NEW JERSEY
Phone: (732) 222-4624 Fax: (732) 222-4624
APPLICATION PROCESS: Phase 1
Thank you for having an interest in becoming a member of Oakhurst Independent Hose Co. No. 1.
The first step in the application process is to be Interviewed by a representative(s) of the Fire Department Membership Committee. During this interview, you will be informed of any prerequisites to joining, as stipulated in the Fire Department By-Laws, informed of the Application Process, and you will be given a little insight into what will be required and expected of you after joining the Department.
Prior to this interview, you are asked to complete the attached "PRE-APPLICATION FOR MEMBERSHIP" form and the front side of the "N.J. STATE FIREMEN'S ASSOCIATION MEMBERSHIP APPLICATION" form, signing and having these forms Notarized where indicated on each form. Please bring these forms with you to the interview.
To arrange for an interview, if you have not already done so, please call the Fire Department Officer's phone and leave your name, phone number, the best time to call you back, and a brief message noting that you are calling to arrange tor a Fire Department Pre Membership Interview. The phone number is 732-222-4624. Someone will be in contact with you as soon as possible.
Oakhurst FD webpage :
https://oakhurstfdnj.com/
Oakhurst FD Instagram:
https://www.instagram.com/oakhurst_fd/
Oakhurst FD Facebook:
https://www.facebook.com/OakhurstIndependentHoseCompanyNo.1
FIRE DISTRICT NO. 1
Township Of Ocean
Monmouth County, New Jersey
PRE-APPLICATION FOR MEMBERSHIP
Dear Applicant:
New Jersey Statute 15:8-1.1a bars persons convicted of any Arson-related offense from service in a volunteer fire company. Furthermore, New Jersey Statute 15:8-1.1b bars persons convicted of transmitting a false public alarm from membership in a volunteer fire company for a period of ten (10) years from the date of the conviction. In light of this, for the safety and well-being of all parties concerned, and to help ensure the continued trust of the community that we serve and protect, it is essential for us to verify this information and to learn other pertinent information about all applicants desiring to become a member of a Fire District No. 1 organization. To accomplish this task, we ask that you provide the information requested herein. This information will form the basis of an official background check on all applicants, as authorized by Township of Ocean Ordinance #1617, adopted March 3, 1993.
Please fill in all information requested to the best of your ability. If a particular question/section is not applicable to you, indicate "NIA" in the space provided. If you are using a paper application and should you need more space to respond, you may use the reverse side of this application or attach additional pages. Be sure to make a note of such action. If the District should require any additional information or clarification pertaining to any part of this application, you will be contacted and asked to provide same prior to any further action being taken to process this application. As part of this application, you will be asked to visit the Township of Ocean Police Department to complete a Fingerprint Record, on Monday, Wednesday, or Thursday, between the hours of 3:30 and 4:30 pm.
Upon completion of a favorable background report, which will take approximately two weeks to complete, you will be asked to undergo a thorough medical examination at a Medical Facility designated by the Fire District at the expense of the Fire District. After receiving a satisfactory medical report, a representative of the Fire department will contact you to complete the application process.
Thank you for your interest in becoming a volunteer firefighter in the Township of Ocean Fire District No. 1. Your anticipated cooperation in the application process is appreciated, and we look forward to a long and mutually beneficial, and rewarding relationship in the years ahead.
Sincerely,
THE BOARD OF FIRE COMMISSIONERS
Township of Ocean Fire District No. 1
Please fill out as much as you can in the application. Everything with a
red
border is a mandatory field. The more information that is provided, the faster the process will go.
Applicant Information
Applicant Email
First Name
Middle Initial
Last Name
Maiden Name
Home Address
Street Address
Apt #
City, State Zip
Mailing Address
Same as Home Address
Street Address
Apt #
City, State Zip
Previous Home Address
Street Address
Apt #
City, State Zip
Personal Information
Cell Phone Number
Date of Birth
Age
Social Security Number (Last 4 Numbers)
Format: ####
Are you a citizen of the United States?
Yes
No
Date Naturalized (if applicable)
State & Provide Proof of Legal Residency
(email copy of proof to newmembers@tofd1.org)
If no, note Country of Citizenship
NOTE: If you plan on receiving any form of compensation or other benefits, you may be considered an employee and require an I-9, according to the USCIS.
Previous Experience
Were you ever a firefighter?
Yes
No
If so, When and Where?
Click the
orange
button to add as many lines as possible for each of the following sections.
Name, address, title, and telephone number of references at previous organization
Add Reference at Previous Org
Name
Address
City, State Zip
Title
Telephone Number
Name and address of Employer(s) for the past five years. Note dates of employment, position held, an
Add Past Employer
Employer Name
Address
City, State Zip
Dates of Employment
Position Held
Reason for leaving
Please provide the names and addresses of three references: (Not relatives)
Add Reference
Name
Address
City, State Zip
Please note the names & addresses of any High School, College, Trade School you may have attended
Add School
Name of School
Type
Address
City, State Zip
Dates Attended
Courses of Study
Degree Earned
Are you a Veteran of the Armed Forces of the United States? ( ) Yes ( ) No If yes, note branch and d
Add Armed Forces
Service Branch
Dates of Service
Questions
1)
Is there any other information you would like to note and have considered as part of yourapplication?
Other Info
Yes
No
Please enter any other information
Other Informaion
2)
Do you have any objection to taking a medical examination, which includes a urine and blood analysis?
Medical Exam Objection
Yes
No
If yes,please state your objection
Medical Examination Objection
3)
Have you been hospitalized for any reason within the past five years?
Hospilalizations
Yes
No
If yes, please note the Hospital, nature of your condition, illness or injury that required hospitalization, and dates
Hospilalizations
4)
Have you ever been convicted of a crime of moral turpitude?
Convicted Moral Turpitude
Yes
No
If yes, state the crime, date, and place of conviction
Convicted of a Crime
5)
Have you ever been convicted or pleaded guilty to a crime, excluding disorderly persons and summary offenses, in the past ten years, which has not been annulled or expunged or sealed by the Court ?
Convicted of a Crime
Yes
No
If yes, explain
Convicted of a Crime
6)
Have you ever been convicted of any offense involving illegal drugs, substances, or mind-altering substances?
Convicted for drugs
Yes
No
If yes, explain
Convicted Drugs
7)
State all violations of motor vehicle laws of which you have been convicted or pleaded guilty to, stating for each the location, the nature of the offense, date of plea or conviction, and disposition
Motor Vehicle Violations
Yes
No
Motor Vehicle Violations
8)
Are there any charges pending against you Involving motor vehicle laws in this State or any other?
Motor Vehicle Charges Pending
Yes
No
If yes, state the nature of the charges, in what Court are they pending, and any Court date on which the case willbe heard
Motor Vehicle Violations Pending
9)
Do you have any active points against any State Drivers License?
Points on License
Yes
No
If yes, state the number of points and for what violation(s) they were Issued
Points on Drivers License
Signature
The Oakhurst Fire Department or the Board of Fire Commissioners, Township of Ocean Fire District No. 1, County of Monmouth, State of New Jersey, is hereby authorized to contact my past employers, all persons mentioned in this application, and all other persons deemed appropriate, with respect to obtaining and/or verifying information in connection with this application. I agree to sign any information release authorization which may be required. I also agree to be fingerprinted by the Township of Ocean Police Department.
The facts and information provided in this application are true and complete, to the best of my knowledge. I understand that any false statements or information provided in this application may result in the termination of the processing of this application or dismissal from the respective organization if I am accepted for membership prior to such determination.
I further understand that this application Is not intended to be a contract for acceptance for membership in a Fire District No. 1 organization, nor does this application obligate the Township of Ocean Fire District No. 1, Oakhurst Fire Company, in anyway.
By typing your name in this section, you agree that the information you provided is true and accurate. Any false information will result in immediate denial or expulsion from the department.
Signature Date
Signature
You must complete all required sections before submitting your application.