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RAMSEY FIRE DEPARTMENT <br />APPLICATION FOR MEMBERSHIP <br /> <br />Address <br /> <br />Phone No. <br /> <br />Are you over age 18? Yes <br /> <br />A Ile__,n <br /> <br />First <br /> <br />Street <br /> <br />,/' No <br /> <br />State <br /> <br />Middle <br /> <br />Zip <br /> <br />Are you under 65? Yes ,/ No <br /> <br />EMPLOYMENT: <br />Present Employer O_O.-Ye-_.-.Name <br />Position <br /> <br />Address <br /> <br />Working Hours to <br /> <br />Could you leave work to respond to a fire? <br /> <br />Could you obtain written authorization to leave work? <br /> <br />Yes ~/ No <br />Yes ~ No. <br /> <br />EDUCATION: <br /> <br />High School P)!trJ (_'f~, <br />College or <br />Trade School <br /> <br />Name of School <br /> <br /># of Years Attended <br /> <br />Other Special <br />Training <br /> <br />No applicant testing <br /> <br />positive <br /> <br />for nicotine shall <br /> <br />be accepted <br /> <br />for membership. <br /> <br /> <br />