F2T Featured Member Profile Form

Information About Your Department and IAFF Local Affiliate

The name of your fire department & IAFF local number will be used in your profile on the website (if applicable). The information pertaining to your local union president will be used to contact this individual upon completion of the form (if applicable). Union presidents must be aware and provide approval for a member to be profiled on the website.

Name of your Fire Department*

The fire department you are/were affiliated with.

Personal Information

The information collected in this section will be used to create your member profile on the website. Your email and phone number will NOT be published on the website. This information will be stored securely in our database and will only be used to contact you if required. This information will NOT be added to any mailing and/or contact lists.

Name*

First Last

Please provide your name as you would like it displayed on the website.

Personal Email Address*

If possible, please do not provide a work email address. Our team's emails might not get through due to government server restrictions.

Phone*

Please describe the current role(s) you play in your department.*

Include you current rank, as well as any other positions you hold. If you are a civilian please include the name of your position(s). If you are retired, please provide the rank you retired with and the positions you held before retiring. We encourage you to include as much information and detail as you need in addition to the aforementioned information.

Please describe your history and the contributions you have made to fire fighter health and wellness over your career.

We strongly encourage you to provide a full description of the immensely impactful work you have done over your career in your respective domain.

What motivates you to exercise or be physically active?*

Please provide as much detail as you would like in your response.

What do you do to stay physically active?*

Please provide as much detail as you would like. Physical activity includes all activities that involve movement and is not limited only to exercise and/or sports.

What habits do you have that promote your personal wellness and fitness?

Please provide as much detail as you would like.

Reflecting on the successes and obstacles you've seen or experienced, what advice would you give to departments looking to invest in the wellness and fitness of their members?

Please provide as much detail as you would like.

Reflecting on the successes and obstacles you've seen or experienced, what advice would you give to an individual fire fighter looking to invest in their wellness and fitness?

Please provide as much detail as you would like.

Fit To Thrive

More Active. More Often.

Information About Your Department and IAFF Local Affiliate

Personal Information