Nokesville Volunteer Fire and Rescue Department
Nokesville Volunteer Fire and Rescue Department

2019 Incidents
Month Fire EMS Mutual Box (Support Neighboring Counties)
Jan 101 192 2
Feb 80 205 1
Mar 98 237 2
Apr 87 188 1
May 98 215 2
Jun 104 220 7
Jul 87 228 1
Aug 102 240 1
Sep 70 205 0
Oct
Nov
Dec
Total 827 1930 17

2018 Incidents
Month Fire Related EMS Related Mutual Box (Support Neighboring Counties)
Jan 105 214 2
Feb 76 176 1
Mar 127 191 2
Apr 83 198 1
May 123 254 2
Jun 82 276 3
Jul 97 245 2
Aug 76 217 1
Sep 75 219 0
Oct 104 202 2
Nov 91 211 0
Dec 95 242 1
Total 1134 2645 17

Past Incidents
Year Fire EMS Mutual Box (Support Neighboring Counties)
2018 1134 2645 17
2017 1043 2382
2016 1147 2364
2015 1187 2242
2014 1012 2429
2013 1026 2335
2012 1182 2568
2011 999 2513
Total 8730 19478 17

Web Counters
Website Visitors
Since
January 1, 2011
1,318,297
Visitors Today
Oct 14, 2019
179

Nokesville Volunteer Fire and Rescue Department, Inc.
Application for Active Membership

Personal Information

Full Name *
Preferred Name *
Address *
How long at this address? *
Previous Address
Home Phone *
Work Phone
Cell Phone
Email Address *
Birth Date *
Social Security #*
Place of Birth *
Age *
Race
Sex
Driver's License Number
State
Marital Status
Number of Children
Do you have any medical or physical condition(s) that would interfere or affect your ability to perform the duties required of a firefighter and/or EMS provider (ie, pulling, lifting, carrying, dragging)?
Are you able to lift seventy (70) pounds?
Are you willing to take a physical/medical examination including a drug screening test?
Area of Interest
Are you a citizen of the United States?
Have you ever been convicted of a traffic violation (not including parking tickets), a misdemeanor, or a felony? (If yes, indicate the date and nature of the charge, police agency, court and disposition)
Are you currently under any pending indictment or charge? If yes, indicate the date and nature of the charge, police agency, court and disposition
Have you ever served in the armed forces?
Date of Discharge
Type of Discharge
 
Employment Information
 
Current Occupation
Employer Name
Address
Phone
Supervisor
How Long Employed There?
Are you Legally Entitled to Work in the United States?
 
Prior Employment Information
 
Please Provide 5 Years of Work History (Name, City, State, Phone & Dates Employed)
 
Education
 
Name of High School?
High School Address?
Did you graduate?
Please list any additional education
Please list any Clubs, Societies, or Organizations that you Currently Belong to (Please Include Group Leader Name and Telephone Number)
 
Prior Fire/Rescue Experience
 
Have You Had Previous Fire/Rescue Experience?
If Yes, Department Name
Address
Phone
Reason for Leaving
Please List All Fire/EMS Certifications Received (Including State of Issuance & Date of Issuance) and please attach copies of certifications
 
References
 
Name
Address
Home Phone
Work Phone
Cell Phone
How are you Acquainted?
 
Name
Address
Home Phone
Work Phone
Cell Phone
How are you Acquainted?
 
Name
Address
Home Phone
Work Phone
Cell Phone
How are you Acquainted?
 
Driving Record
 
Upon receipt of your application, we will order your Driving Record from the Department of Motor Vehicles. This will be done at no charge to you.
 
Criminal Record
 
Upon receipt of your application, we are required by law to order a Virginia State Police “Criminal History and Sex Offender & Crimes Against Minors Report”. This will be done at no charge to you. If you are voted in for membership, you will not be able to respond to any emergency calls until this report is obtained. It will take approximately 15 days from the date we place the order. This report is kept confidential.
 
General Information
 
Junior member applicants MUST submit copy of the most recent report card with application.
 
In one paragraph or more, describe why you desire to become a member of the Nokesville Volunteer Fire & Rescue Department
How did you hear about us?
 
I hereby authorize the Nokesville Volunteer Fire and Rescue Department Inc. to perform a complete background investigation on me, including my driving and criminal record. I, the undersigned, certify that the information contained herein is true and complete to the best of my knowledge. I understand that should any statement I have made prove false, misleading, erroneous, it may result in the rejecting of my application or in my discharge from the Nokesville Volunteer Fire and Rescue Department, Inc. I also agree to abide by and uphold the rules, regulations, and by-laws of the Nokesville Volunteer Fire and Rescue Department, Inc. Upon resignation or termination of my membership, I agree to return all items issued by the Nokesville Volunteer Fire and Rescue Department, Inc., including but not limited to pager/radio, protective gear, uniforms and any other items entrusted to me.
 

Back

Website Designed and Hosted By: Content Proudly Maintained By: Contact Info:
Firehouse Solutions
www.FirehouseSolutions.com
Nokesville Volunteer Fire and Rescue Department
9405 Devlins Grove Place
Bristow, VA 20136
Emergency Dial 911
Non-Emergency: 703-367-9700
Station Fax: 703-367-9078
E-mail: info@nvfdrs.org
Copyright © 2019 Firehouse Solutions (A Service of Technology Reflections, Inc.)