BALTIMORE COUNTY VOLUNTEER
BALTIMORE COUNTY VOLUNTEER
FIREMEN’S ASSOCIATION
APPLICATION FOR AWARD
TYPE OF AWARD_______________________________________________________
MEMBER COMPANY SUBMITTING MEMBER______________________________
MEMBER’S NAME_______________________________________________________
MEMBER’S HOME ADDRESS_____________________________________________
________________________________________________________________________
DATE JOINED COMPANY________________________________________________
OFFICES HELD AND COMMITTEES CHAIRED IN MEMBER COMPANY________
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OFFICES HELD AND COMMITTEES CHAIRED IN M.S.F.A.___________________
________________________________________________________________________
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TRAINING COURSES COMPLETED________________________________________
________________________________________________________________________
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OTHER MAJOR ACCOMPLISHMENTS_____________________________________
________________________________________________________________________
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GENERAL REMARKS____________________________________________________
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IF MEMBER IS DECEASED COMPLETE THE FOLLOWING
NEXT OF KIN___________________________________________________________
ADDRESS OF NEXT OF KIN______________________________________________
________________________________________________________________________
RELATION______________________________________________________________
SIGNED PRESIDENT OR SENIOR SUPPRESSION OFFICER
________________________________________________________________________
________________________________________________________________________
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