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PFFADC Active Member Application

Progressive Fire Fighter’s Association of Washington DC Active Member Application

Name *

First

Middle

Last

Today's Date *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone Number *

Home Phone Number

Email *

Email

Confirm Email

Your Appointment Date *

Your Date of Birth *

The Division you are assigned: *

Operations Division
Special Operations Division
Training Division
Fire Prevention Division
Facilities Maintenance / Logistics Division
Office of the Fire and EMS Chief
Office of the Medical Director
Office of Unified Communications
EMS Bureau
Apparatus Division
Information Technology

Company/Office *

Platoon Number *

1
2
3
4
Day Work
2-2-4

Rank (Your Primary Role) *

Captcha *

=

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The Progressive Fire Fighters Association of Washington DC is a Local Chapter of the International Association of Black Professional Fire Fighter
If You Have any questions please contact us at pffadc.org.

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