Application for appointment or transfer as a volunteer (Not for Junior, Cadet or Active Underage Firefighter Membership) Brigade (if known) Membership status(Required) New Membership Transfer Dual Membership Position Operational Firefighter Operational Support Do you live in the brigade area Yes No Are you employed in the brigade area(Required) Yes No Personal DetailsName(Required) Title Mr.Mrs.MsMissDrOther Given name/s Preferred name Last name Please specify Identify as(Required)MaleFemaleAnother termDate of Birth(Required) DD slash MM slash YYYY Please specify Do you hold Australian citizenship or permanent residency?(Required) Yes No Do you currently hold a current valid work visa(Required) Yes No Not applicable From a non English speaking background(Required) Yes No Type Expiry What is you first language Identify as a Torres Strait Islander(Required) Yes No Identify as an Aboriginal person(Required) Yes No Additional DetailsEmployment status(Required)Full timePart timeCasualOccupation(Required) Employer(Required) Have you discussed this application with your employer?(Required) Yes No Do you hold a current divers licence?(Required) Yes No Driver's licence number State of licence issuedACTNSWVICSAWATASNTQLDDriver's licence category Residential AddressAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone NumberEmail(Required) Medical information(Required)Are there any medical conditions or disabilities that may limit your ability to carry out your role? Yes No Please provide detailsFile attachmentMax. file size: 64 MB.Previous TFS ServiceBrigade From DD slash MM slash YYYY To DD slash MM slash YYYY Other serviceOrganistation From DD slash MM slash YYYY To DD slash MM slash YYYY Attach copies of serviceMax. file size: 64 MB.Specialist skillsInput hereInclude attachments hereAttach copies of competency (eg First Aid certificate, Chainsaw license etc)Max. file size: 64 MB.Emergency contactEmergency contact #1(Required) First Last Relationship Contact numberEmergency contact #2 First Last Relationship Contact number
