Membership Applications

Application Process:

After submitting this electronic application the membership secretary will review and confirm payment of dues, after it is reviewed the applicant will be presented at the next company meeting. Company meetings are the first Tuesday of every month at 7pm. The application and all of its components including the background checks and membership dues must be turned in to be presented. After being presented, the application will remain in the same status until the next company meeting allowing time for investigation. At the next company meeting the applicant will be voted on. The voting is anonymous majority vote. After the results of the vote the membership secretary will reach out to the applicant. The applicant, if voted in, will then be assigned a mentor to assist the new member to learning the company's rules, facilities, apparatus, equipment, and membership. Active firefighter applicant will also receive a rookie book that their mentor will help them through for completion. The membership application status will be electronically updated throughout the process by the membership secretary. For junior members, the minimum age of membership is 14. Applicants ages 14 and 15 must also have a parent apply. Ages 16 and 17 do not need a parent to apply. All junior applicants do not need to submit a child abuse clearance or membership dues.

Types of membership:

-Active firefighter; this includes those already certified as an interior firefighter or wishing to be and those interested in EMS. These applicants are those interested in getting on fire trucks and running calls.

-Administrative; these applicants are not necessarily wanting to get onto the trucks and running calls. Positions included here are President, Vice President, Secretary, Membership Secretary, Treasurer, and 3 Trustee Positions. These positions are voted on at the end of each year for the upcoming year. New members are encouraged to join, shadow, and help the member currently holding the position they have interest in. There are also various committees that work on multiple different projects that can be big or small.

Auxiliary/Social; these members help out with various events such as open house, fire prevention, community outreach and many others. This is a perfect spot for people who may not have much free time from their personal or professional lives and don't want to run fire calls.

Any questions can be directed to the membership secretary: membership@pomarlinfc.org

Indicates Required Field

Personal Information

Last Name

First Name

Middle Name/Initial

Date of Birth

Address

City

State

Select Below Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Home Phone Number

Cell Phone Number

Email Address

Previous Fire Company Affiliation

Have you ever been affiliated with another fire company?

Yes No

Station Name and Number

Chief of Department and Contact Number

Time With Department - Years

Reason for Leaving

Previous Fire/EMS Certifications

Here you can submit all of your previous Fire and EMS certifications.

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Further Information

Type of Membership

Select Below Junior (14yo-17yo) Active Firefighter Administrative Social

Parent Application Submitted? *Juniors 14yo-15yo

Yes No

If you are seeking active firefighter status, do you have any restrictions that would prevent you from performing duties in line with the firefighter position?

Yes No

Do you take any prescription medication?

Yes No

If yes, please list them.

First Emergency Contact

Name

Emergency Contact Address

Phone Number

Relationship to you

Second Emergency Contact

Second Emergency Contact Name

Second Emergency Contact Address

Second Emergency Contact Nnumber

Second Emergency Contact Relationship to you

Background Checks

State Background Check

Below is the state background check. This is required for all new member applications. Use the volunteer application when obtaining this background check. https://epatch.pa.gov/TandCVolunteer

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Child Abuse Clearance

This is the child abuse clearance that is required for all new member applications except junior members. There should also been a volunteer option for this background check as well. https://www.compass.state.pa.us/CWIS

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Membership Due

Membership Due Submitted?

A membership due of $5 is required with the application. Applicants can pay their due to the Fire Company's Venmo @PoMarLin-FireCompany - In the notes of the transaction include "Membership Application Dues" and Last name. If you do not have venmo and do not want to utilize the app, the membership due can be submitted in person. If you select in person the membership secretary will be in contact in order to obtain the membership dues. The status of your application will be updated once collection of dues is confirmed. **Junior Applicants Do Not Owe Dues**

Select Below Venmo In-person Junior - No Dues

Po-Mar-Lin Further Right to Investigation

Date of Application

Having made application for membership with the Po-Mar-Lin Fire Department and desiring that they be informed of my previous records and character, I hereby authorize any further investigation into all records which may be of interest to them. This authorization includes, but is not limited to medical, hospital, school, credit records, driver’s license check, Megan’s Law and criminal background check whether privileged or not. This authorization to furnish information is executed in consideration of the Po-Mar-Lin Fire Department giving my application consideration and shall serve as a release of all liability to all parties furnishing such information to the Po-Mar-Lin Fire Department. The applicant understands and agrees that acceptance is dependent upon successful completion of a criminal background check and any misrepresentation or omission of facts called for is cause for dismissal and expulsion from the company.

10/28/2026 2038

Acknowledegment

This is acknowledging you have read and understood the above statement on Po-Mar-Lin's rights to further investigation and all of the information you disclosed in the application are truthful and accurate.

Acknowledged

Electronic Signature

Type your name to electronically sign stating you acknowledge the above investigation statement and also stating the information in your application is complete and accurate.

Thank you for your interest with membership at the Po-Mar-Lin Fire Company. The membership secratary will be reaching out to you shortly.

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