"Serving Firefighters Since 1905"
Menu
Home
SCSFA App
About Us
Privacy Policy
Contact Us
Staff
Foundation
Foundation Scholarships
Org Chart
Photo Gallery
Resources and Links
Training/Events
Calendar
2021 Fire Service Improvement Conference
Fire Rescue Conference
SCFireTraining
Leadership Institute
Apply Now
LI Reflections
LI Projects
Live Streaming
Quarterly Training and Business Meetings
Higher Education
Insurance/Retirement
Insurance Staff and Board Members
Retirement
Retirement Investment Firm
Retirement 3rd Party Administrator
Retirement Trustees
Deposits to the Retirement System
Benefits
Benefits Presentation
Forms
Firefighter Cancer
Firefighter Memorial Service
Membership
Membership
Department Directory
Fire Department Membership Application
Associate Membership Application
Life & Past President Membership Application
Benefits
FAST - First Responders' Assistance and Support Team
Foundation
Classified
Shop
Officers
Committee Members
Executive Committee Minutes
Executive Committee Chair Report
Candidates for 4th Vice-President
Awards
Hall of Fame
Fallen Firefighter Memorial
Legislation
Firefighter Cancer Health Care Benefit Plan
Quarterly Training and Business Meetings
Data/Records
Constitution and By laws
2020 Bylaw Change
SCSFA Members Login
SCFA Fire Portal
One Percent
1% REGIONAL TRAINING CLASS
Links and Downloads
SOG Samples
Statewide Mutual Aid Agreement
Firefighter Cancer Database
V.I.P. Program
Association Budgets and Audits
Recruitment/FAST
FAST - First Responders' Assistance and Support Team
Classifieds
Recruitment and Retention
SCRecruiter Portal
Safety and Health
LAST Local Assistance State Team
LAST Team Training
Sections
Life Safety
Life Safety Education
Fire Safe South Carolina
Fire Sprinklers
Side By Side Burn Request
Side-by-Side Burn Pods
Officer Section
Officer Section Members Only Resources
History
History Videos
Stones of Remembrance Project
Fire Service Events Timeline
Past Presidents
Hall of Fame
Fallen Firefighter Memorial
Society of the Maltese Cross
CLOSE
Menu
Home
SCSFA App
About Us
Privacy Policy
Contact Us
Staff
Foundation
Foundation Scholarships
Org Chart
Photo Gallery
Resources and Links
Training/Events
Calendar
2021 Fire Service Improvement Conference
Fire Rescue Conference
SCFireTraining
Leadership Institute
Apply Now
LI Reflections
LI Projects
Live Streaming
Quarterly Training and Business Meetings
Higher Education
Insurance/Retirement
Insurance Staff and Board Members
Retirement
Retirement Investment Firm
Retirement 3rd Party Administrator
Retirement Trustees
Deposits to the Retirement System
Benefits
Benefits Presentation
Forms
Firefighter Cancer
Firefighter Memorial Service
Membership
Membership
Department Directory
Fire Department Membership Application
Associate Membership Application
Life & Past President Membership Application
Benefits
FAST - First Responders' Assistance and Support Team
Foundation
Classified
Shop
Officers
Committee Members
Executive Committee Minutes
Executive Committee Chair Report
Candidates for 4th Vice-President
Awards
Hall of Fame
Fallen Firefighter Memorial
Legislation
Firefighter Cancer Health Care Benefit Plan
Quarterly Training and Business Meetings
Data/Records
Constitution and By laws
2020 Bylaw Change
SCSFA Members Login
SCFA Fire Portal
One Percent
1% REGIONAL TRAINING CLASS
Links and Downloads
SOG Samples
Statewide Mutual Aid Agreement
Firefighter Cancer Database
V.I.P. Program
Association Budgets and Audits
Recruitment/FAST
FAST - First Responders' Assistance and Support Team
Classifieds
Recruitment and Retention
SCRecruiter Portal
Safety and Health
LAST Local Assistance State Team
LAST Team Training
Sections
Life Safety
Life Safety Education
Fire Safe South Carolina
Fire Sprinklers
Side By Side Burn Request
Side-by-Side Burn Pods
Officer Section
Officer Section Members Only Resources
History
History Videos
Stones of Remembrance Project
Fire Service Events Timeline
Past Presidents
Hall of Fame
Fallen Firefighter Memorial
Society of the Maltese Cross
CLOSE
Firefighter Cancer Database
Firefighter Cancer Database
The Association is building a database of South Carolina firefighter cancer occurrences to include specific demographics and rates of cancer among our members. This data is key in providing better benefits and enacting laws to protect members. We are asking South Carolina firefighters to voluntarily help build information on this tragic disease. If you have any type of cancer, or are a survivor, and are a volunteer or paid firefighter in South Carolina, we need your help. Please take five minutes to complete the following questionnaire. The database does not contain identifying information of the contributors.
Information requested in this survey is to assist with advancement and improvement of South Carolina First Responder health and safety programs, services, resources and legislation. Information received is confidential and any public reporting of statistics gathered will represent general trending.
Are you now or have you ever been:
*
Paid firefighter
Volunteer firefighter
Both
If you are or were a volunteer, what was your primary occupation?
How many years of service?
*
Your current age?
*
18-25
26-30
31-35
36-40
41-45
46-50
51-60
over 60
Please provide an estimate of the average number of fire calls, per year you responded to during your time as a firefighter:
*
Does (did) your fire department provide annual physicals?
*
Yes
No
I don't know
Did you receive a pre-employment physical?
Yes
No
I don't remember
Was your cancer found as a result of one of these physicals?
*
Yes
No
Does ( did ) your fire department provide fitness programs or equipment for your use?
*
Yes
No
Please classify the type(s) of cancer which you have
*
Testicular
Lung
Skin / Melanoma
Prostate
Kidney
Leukemia
Bladder
Ovarian
Non-Hodgkin Lymphoma
Breast
Colon
Your current status:
*
In treatment
In remission
Not in treatment
Before submitting (THIS SECTION IS NOT REQUIRED)
To recognize you for your courage and sacrifices, the Association would like to honor you with a survivor’s ribbon for your uniform. We would like to present this to you at one of our group functions or if you choose, mail it to you. To do this, we will need your identifying information. This is not part of the survey and none of the below information will be shared. If you are not interested in participating, please click the SUBMIT button at the bottom of this page and accept our appreciation for your participation. If you are interested, please submit your contact information below.
Your Name
First
Last
Your Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Your Email
Survivor's Ribbon
Please include me in a presentation of the ribbon
Please mail the ribbon to the above address
Section Break