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RAMSEY FIRE DEPARTMENT <br />APPLICATION FOR .MEMBERSHIP <br /> <br />Phone No. LZ_~- ,C'~9c~ 7_. <br />Are you over age 187 Yes .. <br /> <br />First <br /> <br /> CiD, ( S~ate <br /> <br /> Are you under 6S? Yes <br /> <br />Middi¢ <br /> <br />Zip <br /> <br />EMPLOYIvFENT: <br />Present Employer <br /> Name <br /> <br />Position [,kO ~(7~'°~,1~ <br /> <br />Working Hours <br /> <br />Could you leave work m respond to a fu'e? Yes __ <br />Could you obtain written authorization to leave work? Yes__ <br /> <br />No <br /> <br />EDUCATION: <br /> <br /> Name of School <br />High School ~.,t, Oq . l-P---P, ¢iOS <'OC:x.}lo,°---- 1~1(--> I't <br /> <br />College or <br />Trade School <br /> <br />Other Special <br />Training <br /> <br />"of Years .Attended <br /> <br />No applicant testing positive for nicotine shall be accepted for membership. <br /> <br /> <br />