Marengo Fire and Rescue Districts
Application For Employment
We require testing for Firefighter/Paramedic and Part-time positions through the National Testing Network (NTN). Applications will not be considered until this process is complete.
Have you registered and completed the testing process at National Testing Network?
Yes
No
Employment applications will not be reviewed until the National Testing Network process has been completed. Information on this process is available on the website Careers Tab.
Personal Information
Legal Name
First Name
Last Name
List any other names you have used or have been known by, including maiden name
First Name
Last Name
Current Address
Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Do you have a valid Driver's Licence?
Yes
No
Are you a U.S. Citizen?
Yes
No
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Residential History
List former addresses in chronological order
Prior Address
Street Address
Street Address Line 2
City
State
Zip Code
Prior Address
Street Address
Street Address Line 2
City
State
Zip Code
Prior Address
Street Address
Street Address Line 2
City
State
Zip Code
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Employment History
List the jobs you have had in the past in chronological order starting with your current employer
Employers Name
Address
Job Description
Supervisors Name
Employer Phone Number
Format: (000) 000-0000.
Starting Date
-
Month
-
Day
Year
Ending Date
-
Month
-
Day
Year
Employers Name
Address
Job Description
Supervisors Name
Employer Phone Number
Format: (000) 000-0000.
Starting Date
-
Month
-
Day
Year
Ending Date
-
Month
-
Day
Year
Employers Name
Address
Job Description
Supervisors Name
Employer Phone Number
Format: (000) 000-0000.
Starting Date
-
Month
-
Day
Year
Ending Date
-
Month
-
Day
Year
Employers Name
Address
Job Description
Supervisors Name
Employer Phone Number
Format: (000) 000-0000.
Starting Date
-
Month
-
Day
Year
Ending Date
-
Month
-
Day
Year
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Education, Certificates and Licenses
Check all of the following that applies to your education
High School Graduate or G.E.D.
Trade School Graduate or Certificate
Associate Degree
Bachelor's Degree
Check the following regarding Emergency Medical Service
No EMS training
I.D.P.H. or Nationally Registered EMT - Basic
I.D.P.H. or Nationally Registered EMT - Paramedic
Check the following regarding Firefighter training and Certifications
No Firefighter training
Illinois O.S.F.M. Basic Operations Firefighter of Firefighter II
Illinois O.S.F.M. Advanced Technician Firefighter or Firefighter III
Other Certificates
Additional Illinois O.S.F.M. Certificates or State Certificates other than Illinois
List the State and the Certificates you have
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Signature Disclaimer
I certify that the information contained in this application is correct to the best of my knowledge. I understand to falsify information is grounds for refusing to hire me, or for discharge should I be hired.
Signature
Optional. You can upload your resume here if you wish.
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