Visiting Committee Membership Request Form

First Name*
Last Name*
Best contact phone number*
Best contact Email address*
County
Please select your county of residence.
Organization you are representing

If you are not representing an organization please leave this blank.
Organization Type
- Call or Volunteer
- Combination
- Career
- Association or Industry
- Public member (no organizational affiliation)
Current Visiting Committees*
- Firefighter I & II NFPA 1010 2024
Years of relevant experience*
Please enter a number from 0 to 100.
Please provide a brief explanation of your experience and how it will benefit the visiting committee?*
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We are committed to training, educating, and certifying emergency and community responders to protect the citizens and visitors of New Hampshire.

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