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A Community Service Effort by the Cygnus Business Media Public Safety Group
Adopt a Firehouse --> Offering to Adopt
Submit Your Department, Agency or Company
Applying to Adopt a Firehouse in Need

This site will compile a list of fire departments interested in participating in this program for now, and then work with local, state and national fire service groups to facilitate getting fire departments connected to each other.

It is possible that there will be many more departments offering support and services than departments/stations in need. For this reason, please do not hesitate to submit your information no matter the size or limit of your abilities.

This effort is to help the impacted departments AND their members rebuild their lives Whether your department is able to donate any amount of used equipment to adopted departments, offer personnel and/or materials to assist in the rebuilding, coordinate a clothing, goods or food drive for an adopted department's members own personal needs, or simply just be available for moral support ... departments in need NEED you.

Important Note Before Submission: A chief-level or senior operational/administative officer for EACH station/department should complete this form only. Submissions from individual stations within a larger department are acceptable, but any 'owned' materials distributed must have approval of the department if selected. Each station/department submitted must have a primary contact.

To submit your department for this program, please have a chief officer or administrative head of your organization complete the following information.

Please fill in all fields marked with a *

I am Completing this Application as a ...
Please select what type of organization you are completing this form as. (required).

  Fire, Rescue or EMS Department/Agency
  Industry Manufacturer or Distributor
Department, Agency or Company Name
*
Department, Agency or Company Contact Person
*
Contact Person Title
*
Department, Agency or Company Address Line 1
*
Address Line 2

City
*
State (2-Letter Abbrevation)
*
Zip Code (5 Digit)
*
Contact's Home Phone
(format 111-222-3333)
*
Contact's Work/Agency Phone
(format 111-222-3333)
*
Additional Contact #
(format 111-222-3333)
   (optional)
Contact Fax #
(format 111-222-3333)
   (optional)
Agency Web Site
(http://www.yoursite.com)
   (optional)
Contact E-Mail Address
(format you@youremail.com)
*

Additional Information About How Your Department/Agency Can Help *
Please provide a brief response of what resources, ideas and information you may feel is important to summarize how your department/agency can help a department in need and its members in the weeks, months and years ahead.
         

You can also FAX the information requested on the form above on official department letterhead to 301-486-4556.

Offers of more immediate financial assistance should utilize the various responder funds listed here, and operational support inquiries should follow these links.


Supporting Organizations

Additional organzations will be added soon.

The Site

For additional information on AdoptAFirehouse.com, please e-mail adopt@firehouse.com.

Privacy Notice
All information submitted via this site is for the purposes of connecting departments and organizations in need with others in the fire, rescue and EMS industry who can provide timely support. At no time is information collected herein used for any other purpose or used for any commercial, for-profit purpose. Any organization or business who uses this effort in any manner in a for-profit nature will be removed from the program immediately and subject to further action as appropriate.