Membership Application - First Hose Company of Boonsboro

2025 APPARATUS RESPONSE
E-61		E-81
E-62		ET-8
TANKER 6		BRUSH 8
TRUCK 6		UTILITY 8
BRUSH 6		SU-80
SU-60		GATOR 8
		UTV 8

2025 INCIDENT RESPONSE
	STA 6	STA 8	FHOB COMB
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Total	0	0	0

Past Incidents
	Sta. 6	Sta. 8	FHOB Comb
2012	513	365	878
2013	515	365	880
2014	494	333	827
2015	452	359	811
2016	384	315	699
2017	418	366	784
2018	455	398	853
2019	420	304	724
2020	409
2021	416
2022	466
2023	469
2024	441

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August 13, 2010

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Visitors Today
Jan 07, 2025

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Membership Application

Please fill out the following information to join the First Hose Company of Boonsboro.

Indicates Required Field


Personal Information

Full Name:
Address:
City, State & Zipcode:
Phone Number:
Cell Phone Number:
Email Address:
Date of Birth:
Age:
Gender:		Male Female

Employment Information

Employer:
Work Phone Number:

Emergency Contact Information

Emergency Contact Name:
Emergency Contact Phone Number:

Additional Information

Interested in Active, Cadet, or Social Membership:		Active F/F Cadet Member (10 years old to 16 years old) Social Member
Do you see any reason for you not to be able to fulfill your obligation to this company?:		Yes No
If so, please explain:
Do you have a current or prior civil or criminal record?:		Yes No
if Yes, Please explain the charges:

Reference Information

Been a member of another Fire or EMS Department?:		Yes No
If Yes, Please give the name of department and level of training.:
Name of Reference 1:
Address of Reference 1:
Phone Number of Reference 1:
Name of Reference 2:
Address of Reference 2:
Phone Number of Reference 2:

Legal Agreements

Please initial Indicating all information is correct and accurate to the best of your knowledge.:
I the undersigned, certify by my initials above that I have read and fully comprehend this form in it's entirety and that the information herein provided is true and complete to the best of my knowledge. I understand that, should any statement I have made prove to be false, misleading or erroneous, it may result in the rejection of my application or my discharge from the First Hose Company of Boonsboro.

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Website Designed and Hosted By:	First Hose Company of Boonsboro	info@boonsborofire.org
www.FirehouseSolutions.com	Boonsboro Co. 6 5 St. Paul Street Boonsboro, MD 21713 Station 6: (301) 432-2348 Emergency Dial 911	Boonsboro & Rohrersville Road Co. 8 3417 Rohrersville Road Rohrersville, Maryland 21779 Station 8: (301) 432-8120 Emergency Dial 911