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RAMSEY FIRE DEPARTMENT <br />APPLICATION FOR MEMBERSHIP' <br /> <br /> ~...::.::':::! .-.,:,!-! ;,:.:...~ .'., <br /> <br /> .... 7.". :..:. ~ 5' JUN 2 0 FJ%' <br />:..: . . ..: ~ns?L <br /> <br /> Str-~t Ciw State Zip <br /> ............. ...................... <br />.... PfiSh-6 : ............~ .................... ' ..... ~' <br /> <br /> ..........................Are you over ~ge :87' .................. Yes ~ No'"' ............................................. i~ you under 65-~ :';es ................................ K '-~o <br /> _ . ~:fi~;~: .... :~..~..~.~ ,- - .. <br /> ~'~',~ 3; 5~~' ' ' r-~..~ ...... "5~: ~24'~::',' '=%i ~P,J Ol .......... '} ....... ~': ','g~r. :'~%i: t"l:;r~ ::O',. ..... 4¢ ............ '~... Z!liX~. ,~,~ ~...,,. 'I;': :: <br /> <br />~. ~ . ' rc . vt .... ~-~ . ~- 'o r~ ', ~U,'~ M--~" o ~ :,7.7 .... -'- <',"ct, ,,~ ~ k".':' ;: ~ /":' ~: <br /> <br /> EMpL05~: :z. ,. <br /> <br /> ' Nme Ad~ <br /> <br />Could you leav6'WOflr'r6 respond to'~'f~e? ' Yes, ~ . No <br />Could you, 0bt~n ~:ren au~ofimfion to leave work7 Yes ~:"rf'"'~'6~'~ ~:: :" '~ :':~ <br /> <br /> ' '" ........... : '" ,Name of $chi~ol .......... :,., ~ of Year~ Anend~ <br /> <br />High School. fi~kl~ '~ /../~ti .... ~..::;.::: .... ..... "('x 'x <br /> <br />~.oJege or -- ~ . <br /> <br />Other Sp~ial <br />Training ~'~ " kP-~ <br /> <br />No applicant testing positive for nicotine shall b~ accepted for membership. <br /> <br /> <br />