Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Fire/EMS Volunteer Application


  1. 1. Step One
  2. 2. Volunteer Garment Fitting Information
  3. 3. Medical Information
  4. 4. Beneficiary Information
  5. 5. References
  6. 6. Training & Certifications
  7. 7. Experience
  • Step One

    1. Due to COVID-19 and staffing levels, we cannot accept any volunteers at this time that do not have any current certifications.

      This is the Havelock Fire, Rescue and EMS Volunteer application. We are honored that you would like to be a part of this amazing organization. We can't wait to see you in action! Please, fill out as many of the fields as possible and all of the required fields with RED DOTS. 

      If you have questions, look at the descriptions and/or contact our Fire Department staff at 252-444-6443. 

    2. Position Requested*

      What volunteer position(s) are you applying for?

    3. Applicant Address
    4. Marital Status*