Katonah Fire Department - Westchester County, NY


Yearly Run Totals
2022 350 2023 409
2021 338 2024 151
2020 302
2019 323
2018 368
2017 345
2016 337
2015 311
2014 338
2013 336
2012 360
2011 376
2010 343
2009 313
2008 328

2024 Incidents
January 45
February 26
March 30
April 33
May 17
June
July
August
September
October
November
December
Total 151

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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.

Required   Indicates Required Field
Application Date: Required 05/26/2024 0249
Personal Information
First Name: Required
Last Name: Required
Date of Birth: Required
Place of Birth:
(City, State)
Required
Valid NYS Drivers License Number: Required
Social Security Number: Required
Naturalized Citizen?:
(where, when)
Current Address: Required
Living at current address since: Required
Phone: Required
Email: Required
Name of parent or guardian:
If under 18
Email of parent or guardian:
If under 18
Phone number of parent or guardian:
If under 18
Employment Information
Current Employer : Required
Current Employer Address: Required
Current Employer Phone Number: Required
Current Employer Start Date : Required
Previous Employer : Required
Previous Employer Address: Required
Department Requirements
Are you in good physical condition?: Required Yes
No
If "no" to the previous question, please explain:
Are you or have you been a member of another Fire Department?: Required Yes
No
If "yes" to the previous question, please list the name and address of the department:
KFD member recommending your membership:
(1 of 2)
Required
KFD member recommending your membership:
(2 of 2)
Required
General Availability (select 1 or many):
Availability to participate in normally required fire department activities (meetings, drills, emergency calls).
Required
Do you have any currently pending arrests or criminal accusations?: Required Yes
No
If "yes" to the previous question, please explain.:
Why do you wish to become a member of the Katonah Fire Department?: Required
Character reference #1 (name and address): Required
Character reference #2 (name and address): Required
Character reference #3 (name and address): Required

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

 

 

 


Print Name (KFD member reccomending applicant)                      Signature

 

 





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Katonah Volunteer Fire Department
65 Bedford Road
Katonah, New York, 10536
Emergency Dial 911
Non-Emergency: 914-232-4570
Station Fax: 914-232-4634
E-mail: info@katonahfd.org
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