Application
Contact Us

Central Station

121 South Central Avenue

Somerset, KY 42501

Phone 606-679-1163

Fax 606-679-4945

 

Station Two

209 Sallee Street

Somerset, Ky 42501

Phone 606-679-1164

Fax 606-451-1543

Fire Explorer Application

 _____________________             _______________              ____________

NAME     LAST                                            FIRST                                  MI

________________________________________________

STREET ADDRESS

__________________________               ___________           ______________

CITY                              STATE                         ZIP                     PHONE NUMBER

 

___________________________           ___________           ______________

NAME OF SCHOOL ATTENDING              GRADE/YR                      GPA

MALE/FEMALE                    ______________                           _____________

                                                       DATE OF BIRTH                                   AGE

 

mail completed form to:

Lt. Jerry Sutherland

Somerset Fire Department

121 South Central Avenue

Somerset, KY 42501

606-679-1163

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