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    South Dakota South Dakota South Dakota
    • Home
    • Our Community
      • History & Community Profile
      • Cornerstones
        • Schools
        • Parks
        • Churches
        • Airport
        • Organizations
        • Library
        • Shopping
        • Healthcare
        • Utility Suppliers
        • Real Estate
        • Summer Recreation
        • Swimming Pool
    • Visit Canton
      • Places to Eat
      • Places to Shop
      • Recreation
        • Newton Hills State Park
        • Hiawatha Golf Course
        • Chautauqua Park
        • City Parks
      • The Canton Depot
    • Doing Business
      • Chamber Of Commerce
      • Economic Development
        • Canton Industrial Park
      • Permits
      • Planning & Zoning
    • Your Government
      • Report Street Light Outages
      • Snow Information
      • Departments
      • Ordinances
      • Commissions & Boards
      • Agendas
      • Permits
      • Planning & Zoning
      • Upcoming Events
      • Employment Opportunities

    Volunteer Membership Application

    Home » Home » Online Forms » Volunteer Membership Application

    Canton Volunteer Fire Department Membership Application

    • Personal Information

    • Educational Background

    • Name of SchoolLocationNumber of Years CompletedDegree 
    • Name of SchoolLocationNumber of Years CompletedDegree 
    • Name of SchoolLocationNumber of Years CompletedDegree 
    • Name of SchoolLocationNumber of Years CompletedDegree 
    • (a Conviction record will not necessarily disqualify you from membership)
    • Drivers License

      Canton Volunteer Fire Department requires a valid drivers license to operate the trucks. Please complete the following section.
    • References

    • NamePositionCompanyPhone 
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    • Please omit any information that would disclose your race, gender, age, marital status, ethnic origin, religious or political affiliations, or disability.
    • Fire Department Experience

    • From
    • To
    • Enter your last job title:
    • List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this fire department.
    • Membership Description/Policy

    • Canton Volunteer Fire Department personnel are frequently required to lift heavy objects/persons. On-call status requires residing in the City of Canton or available and within the city limits. Association members are required to attend bi-monthly meetings and education. Confidentiality of service calls is mandatory at all times. Membership is contingent on majority vote of current members. A probationary period of three (3) months is in effect, during which time you may be disqualified as a member without recourse if the Canton Volunteer Fire Department feels your membership is not in the best for the fire department and/or the community of Canton.

      Applicants agree to become a South Dakota Certified Firefighter within 2 years of application. This includes successfully taking required training classes, and associated tests.

      The City of Canton, and the Canton Rural Association are the proprietors of the fire trucks and the Canton Volunteer Fire Department provides staff. Members are required to become familiar with all aspects of the fire department including operation, equipment location, and general maintenance.
    • If so, please provide documentation of course of treatment and name, address, and phone number of treating physician.
    • Certifications

      Please complete below and submit copies, if available, of any fire fighting related courses you have completed.
    • Course 
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    • APPLICATION FORM WAIVER

      PLEASE READ CAREFULLY
    • In exchange for the consideration of my membership application by Canton Volunteer Fire Department:
      • Neither the acceptance of this application nor the subsequent entry into any type of membership relationship, either in the membership position applied for or any other position, and regardless of the contents of personnel manuals, policy statements and the like as they may exist from time to time, or other Canton Volunteer Fire Department practices, shall serve to create an actual or implied contract of membership, or to confer any right to remain a member of Canton Volunteer Fire Department, or otherwise to change in any respect the membership-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Fire Chief of the Fire Department. Both the undersigned and Canton Volunteer Fire Department may end the membership relationship at any time, without specified notice or reason. If membership is granted, I understand that the Canton Volunteer Fire Department may unilaterally change or revise their policies and procedures.
      • I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Canton Volunteer Fire Department permission to contact schools, all previous associations (unless otherwise indicated), references and others and hereby release the Canton Volunteer Fire Department from any liability as a result of such contract.
      • I understand that, in connection with the routine processing of your membership application, the Canton Volunteer Fire Department may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics and mode of living. Upon written request from me, the Canton Volunteer Fire Department, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
      • I further understand that my membership with the Canton Volunteer Fire Department shall be probationary for a period of ninety (90) days and further that any time during the probationary period or thereafter, my membership relationship with the Canton Volunteer Fire Department is terminable at will for any reason by either party.
    • Canton Volunteer Fire Department does adhere to a policy of making membership decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, are or disability. We assure you that your opportunity for membership with Canton Volunteer Fire Department depends solely on your qualifications.

    Canton SD

    Canton City Hall

    210 N Dakota St.
    Canton, SD 57013
    Phone: 605.987.2881
    Fax: 605.987.2972

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