OAKHURST INDEPENDENT HOSE CO. NO. 1

Township of Ocean Fire District No. 1

OAKHURST, NEW JERSEY

Phone: (732) 222-4624 Fax: (732) 222-4624

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 bya representative(s) of the Fire Department Membership Committee. During this interview, you will be informed of any prerequisites to joining, as stipulated inthe Fire DepartmentBy-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 notingthat 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.

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. Should you need more space to respond, youmay 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, onMonday, 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 receipt of a satisfactory medical report, the Fire District 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