Upcoming Events

There are currently no events

Web Counters

Website Visitors
Since
April 1, 2021

1,032,259

Visitors Today
May 26, 2026

404

McConnellsburg Pennsylvania

Become a McConnellsburg Volunteer!

Company 56

McConnellsburg Volunteer Fire Company
112 East Maple Street
PO Box 724
McConnellsburg , PA 17233
Phone: (717) 485-4006
Fax: (717) 485-4112

Membership Committee

Pete Lynch, Gregg Connelly, Linda Hann Lynch, Misty Gress-Ritchey

Indicates Required Field

Todays Date/Time:

05/26/2026 1235

Membership Type:

Personal Information

Name:

Address:

Phone Number:

Date of Birth:

Driver’s License Number:

State Issued:

License Expiration Date:

License Class:

Social Security Number:

Emergency Contact Information

Emergency Contact Person:

Relationship:

Emergency Contact Telephone Number:

Medical Information

Family Physician:

Family Physician Phone Number:

Blood Type:

Health:

List any known medical conditions, allergies, or eye problems:
If none, reply N/A

List any medications taken on a daily basis:
If none, reply N/A

Beneficiary

Beneficiary Name:

Beneficiary Phone Number:

Relationship of beneficiary:

Work History

Current Employer Name:

Current Employer Address:

Employer Phone Number:

Occupation / Title:

Please Fill Out the Following Information on Current / Previous Fire Service Experience

Current / Previous Fire Dept. Memberships:
Please list company name(s) and phone number(s)

Previous Fire Training:

Previous EMS Training:

CPR Certification:

If you have a current CPR certification please give expiration date:

***If Yes to any of the Above, Please Submit Copies with your Application, if Available***:

Add files...

Membership

Please Supply the Committee with your Area(s) of Interest Within our Company:
Select ALL that apply

Active - Firefighting
Active - Fire Police
Active - EMS
Active - Driver
Social - Auxiliary
Social - Fund Raising
Social - Parades

Please List Three (3) Character References

Do Not List Relatives or Current Fire Dept. Members

Reference #1:
Name & Phone Number

Reference #2:
Name & Phone Number

Reference #3:
Name & Phone Number

In the field Below, List Two (2) Members of MVFC whom will be a reference for you (If Available):

Please Answer the Following Question Truthfully and to the Best of Your Knowledge

Answering this question will have no effect on your application

Have you ever been convicted of any crimes:

Briefly explain why you wish to become a member of the McConnellsburg Volunteer Fire Company:

Acknowledgement

Applicant’s Electronic Signature:

Note: A $10.00 processing fee must accompany this application, which will be refunded if the application is turned down

Admin Use Only

It is fully understood that the forgoing information on this application for membership in the McConnellsburg Volunteer Fire Company is true and correct to the best of my ability and knowledge. I grant the proper authorities of the McConnellsburg Volunteer Fire Company to confirm all information contained in this application for the sole purpose of approving or rejecting my request for membership. I understand that any information found not to be correct may cause the application and /or membership to be rejected and that it will be necessary to wait for a period of one (1) year from date of rejection before I can submit another application. I agree to abide by the constitution by-laws and all rules and regulations set forth by the McConnellsburg Volunteer Fire Company and all its officers. I also understand that I am required to serve a six (6) month probationary period starting date of acceptance in the McConnellsburg Volunteer Fire Company

â€¹ â€º Ã—

Website Designed and Hosted By:	Content Proudly Maintained By:	Contact Info:
www.FirehouseSolutions.com	McConnellsburg Volunteer Fire Company 112 East Maple Street PO Box 724 McConnellsburg, PA 17233	Emergency Dial 911 Non-Emergency: 717-485-4006 E-mail: chieflynch56@gmail.com