"*" DENOTED THAT THIS FIELD IS REQUIRED
IF LESS THAN (3) THREE YEARS, LIST PREVIOUS RESIDENCES BEGINNING WITH THE MOST RECENT:
PLEASE LIST THREE (3) REFERENCES (NON RELATIVES, OVER THE AGE OF 18)*
By electronically signing below, I certify that the above information is true to the best of my knowledge. I grant Mohegan Fire Company the right to perform a formal background check, including but not limited to criminal history, and driver’s license check. I understand that giving false information may result in the forfeiting of membership. I understand I am not required by law to give this authorization, however without giving this authorization; the Mohegan Fire Company may decline membership. The Mohegan Fire Company does not limit participation in its activities based on race, color, creed, national origin, sexual preference, religion, or on the basis of any other characteristics against which discrimination is prohibited by state or federal law.
I promise to abide by the rules and regulations of the Mohegan Fire Company as outlined in the Standard Operating Guidelines, and company by-laws. In the event of resignation or expulsion from the Mohegan Fire Company, all rights or claims with or against the Mohegan Fire Company are forfeited.
All applicants must be interviewed prior to the application being presented to the membership of the Mohegan Fire Company for approval. At least one (1) parent must accompany junior applicants at this interview. Acceptance for membership is based on a majority vote of the Mohegan Fire Company members present at a regular monthly meeting.