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Aug 08, 2026

337 Application for Membership

Members of our organization are volunteers and come from all different walks of life, age, and gender.



We are looking for those who wish to serve their community in a positive way. No prior experience is needed, and all training will be at the local, state, and federal level. Applicants must be 18 years of age.

Here are the steps required to join the Westerly Fire Department:

- Recruit fills out this application for membership. The applicant can now be read off at the next regular meeting of the Westerly Fire Department The Department meetings are held on the 2nd Tuesday of every month at 1900 hours.
- The applicant goes to Westerly Police Department for a Federal Background Check. Hours are Tuesdays and Wednesdays from 12pm to 8pm.
- The applicant downloads and takes the physical form to get completed by their physican. The applicant sends a completed copy to Cpt Homsi (contact info below).
- The applicant will interview with at least 2 department officers.
- At this point the background check and the physical must be complete. Once completed, the Department Officers will then schedule the meeting with the Board of Engineers. The Board of Engineers typically meet on the 1st and 3rd Tuesday of the month.

If anyone is interested in learning more about volunteering or the process of joining, please contact Captain Homsi at [email protected] or (phone hidden). Indicates Required Field General Info First Name: Last Name: Date: 08/08/2026 1038 Current Address:





Street Address, City, State, Zip Date Of Birth

MM/DD/YY Telephone Number: Email Address: Member Sponsor:

Please indicate if you have a members sponsor. If none, please indicate N/A Place of Employment: Occupation: Do you have any past Firefighting Experience?: Yes

No

If Yes, Please Provide Past Experience Details If yes, please provide details, including any accreditations or certificates earned (FF1, FF2, Haz-Mat, etc). Why do you want to join?:

Briefly describe why you want to join WFD Physical :

Add files...

Background Check Add files...

VFIS - Annual Medical Statement Add files...

VFIS - Beneficiary Designation For Accident & Sickness Add files...

WFD Retirement Plan Enrollment Form Add files...

References Reference #1 - Name: Reference #1 - Address:

Street, City, State Reference #1 - Phone Number: Reference #1 - Email Address: Reference #2 - Name: Reference #2 - Address:

Street, City, State Reference #2 - Phone Number: Reference #2 - Email: Past/Present Member Organizatins Organization #1 Name: Organization #1 Dates:

Indicate date joined and date exited. Please use MM/DD/YY and if still affiliated, "indicate present". Example, 06/15/2019 to Present Organization #2 Name: Organization #2 Dates: Organization #3 Name: Organization #3 Dates:

WFD Physical Form

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www.FirehouseSolutions.com Westerly Fire Department

7 Union Street

Westerly, RI 02891 Emergency Dial 911

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