Welcome To Madison Fire Department - Madison Township Indiana

Notice - If called in for an interview you will need to bring the following:

Current Driver's License Record (30 days or newer - can be obtained at any BMV)
Criminal Background (30 days or newer - obtained online or at Indiana State Police Office Downtown Indianapolis)
Your certifications, driver's license, social security card, and all certifications pertaining to the position applied for. Copies will be made by office staff

	online application


	Name
	Telephone Number
	Street Address
	City
	State
	Zip
	Email Address (Required)
	Best Time To Contact
	Have you ever applied here before?		Yes No If yes, when?
	Have you ever worked here before?		Yes No If yes, when?
	Have you been convicted of or charged with any felonies? *		Yes No If yes, what were the circumstances?
	Do you have a minimum of 1 year of street experience?		Yes No
	Have you been ever charged with a DUI offensive?		Yes No If yes, when?
	What position are you applying for?		Firefighter Firefighter/EMT Firefighter/Medic Civilian Paramedic
	What are you available to work?		Full Time Part Time As Needed
	Did anyone refer you?		Yes No If yes, who?

	Certifications:		Firefighter I Firefighter I/II EMT Paramedic Other. List Other
	Certifications:

			EMS Certification Number

			Fire Certification Number
			Fire Certification Number


			NIMS
			NIMS

			National Registry Number

	Comments


			By submitting your application, you understand that you are not being hired nor being considered to become a employee of the Madison Township Fire Department. You will allow Madison Township Fire Department to conduct a background check on you including criminal records and previous employment as well as a drug screen prior to employment and randomly throughout your employment. After submission of your application, you will be contacted when a position that you are qualified for becomes available. If you agree to these terms, please indicate by entering your initials in this box and clicking submit.
	* Conviction of a felony does not immediately restrict you from being hired.

Emergency?
Call 911

Headquarters and Station 32
7047 E. Landersdale Rd. Camby, IN 46113

Station 31
10023 N. Kitchen Rd. Mooresville, IN 46158

Current National Threat Level

Madison Township Fire Department | 7047 E. Landersdale Road | Camby, IN 46113
317-834-6027 | 317-834-6030 Fax

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To promote the health and safety of everyone,
smoking is prohibited in all Madison Township Governmental Offices.

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