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RAMSEY FIRE DEPARTMENT <br />APPLICATION FOR MEMBERSHIP <br /> <br />RECEI¥ED <br />OCT 1 1992. <br /> ............ <br /> <br />First Middle <br /> <br />No <br /> <br />Phone No. <br />Are you over age 187 Yes )(~ <br /> <br />Are you under 652 Yes ~, <br /> <br />No <br /> <br />EMPLOYMENT: <br />Present Employer AJ.~ O <br /> Name <br />Position d.n r~ flu'"~f- <br />Working Hours ~ 50 <br /> <br />Could you leave work to respond to a lure? <br /> <br />Could you obtain written authorization to leave work.'? <br /> <br />Address <br /> <br />Yes ~/ No <br />Yes ~/ No__ <br /> <br />EDUCATION: <br /> <br />High School <br /> <br />Name of School <br /> <br />College or <br />TradeSchool Pl/~J ~(.]~oOl O? ¢0.5',,'qe55 <br /> <br />Other Special <br />Training <br /> <br />44 of Years Attended <br /> <br />No applicant testing positive for nicotine shall <br /> <br />be <br /> <br />accepted for membership. <br /> <br /> <br />