Membership Application
As part of the application process, as required by law, your information will be forwarded to the NYS Division of Homeland Security and Emergency Services Office of Fire Prevention and Control for a check for arson conviction and/or sex offender registration.
I affirm the statements made in this application are completely accurate. I give my permission to the Katonah fire department to contact the individuals or firms identified in order to verify statements. If elected to membership, I agree to abide by the Constitution and By-Laws of The Katonah Fire Department:
Signatures to be completed in pen
Print Name Signature
Print Name (legal guardian if under 18) Signature
Print Name (KFD member reccomending applicant) Signature