Medford Fire & EMS
1 Firehouse Lane Medford, NJ 08055 609-953-3291
Volunteer Contact Form
Medford Fire & EMS currently accepts applicants from Medford Township and Medford Lakes along with the following contiguous townships: Evesham, Mt. Laurel, Lumberton, Southampton, Tabernacle, and Shamong.
I'm interested in becoming a
EMT / EMS
Jr. EMS
Jr. Firefighter
Firefighter
Fire Police
Name
First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State
Zip Code
Cell Phone Number
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-
Area Code
Phone Number
Email:
*
example@example.com
How did you hear about us
Recruitment Event
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Department Member Contact
Other
If you selected Department Member Contact or Other above please list the member name or method below
Email
example@example.com
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