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Namg <br /> <br /> Last <br /> <br /> S~eet <br /> <br />Phone No. <br />Are you over age 18~ Yes~ No <br /> <br /> RAMSEY FIRE DEPARTMENT <br />APPLICATION FOR MEMBERSHIP <br /> <br /> First <br /> <br /> City. <br /> <br /> Middle <br /> <br />Stato Zip <br /> <br />Are you under 65? Yes? <br /> <br />No <br /> <br />EMPLOYMENT; ~)_' _ r~ _..... <br />Present Employer. Yr~\.~ k.~,~ \ <br /> Name Address ... <br />Position~~L~~~ <br />Working Hours <br />Could you leave work to respond to a fire? Yes~ <br />Could you obtain w~tten authorization to leave work? Yes~ <br /> <br /> ._~_,,o,,-'o..t_:__ , ...- '. -'....- .. -:. <br /> <br />EDUCATION; <br /> . '. ...: <br />High School ~.,'[~-\'~i'~ ~i~)~_\..~,~'~f-~ .. ~.~:~.~., <br />College or/.// <br />Trade Sch4>ol <br /> <br /># of Years Attenddd ' <br /> ~'' <br /> <br />Other Special <br /> 'r <br />Training r <br /> <br />No applicant <br /> <br />testing positive for nicotine shall be accepted for membership. <br /> <br /> <br />