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  • 1. Applicant must make a photocopy of their driver's license and submit it with the application. 2. Applicants must answer every question HONESTLY and TRUTHFULLY and WITHOUT EVASION. 3. Any section of this application not filled out or any evasiveness to any of the questions in this application may result in AUTOMATIC DISQUALIFICATION for membership into the Commack Fire Department. 4. A thorough background investigation will be completed by the investigation committee of the Commack Fire Department. 5. An arrest record check will be conducted by the Suffolk County Police Department. 6. The arrest record release form MUST BE NOTARIZED. 7. All information contained in this application will be kept confidential.
  • Personal Data

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Consent for Background Check

  • Residence Record

  • Starting with your present address, list each address at which you have resided in the past 10 years
  • Emergency Notification

    In case of emergency, notify:
  • Education Record

  • Military Service Record

  • License Record

  • Arrest and Summons Record

  • Miscellaneous

  • Declaration

  • Max. file size: 20 MB.