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Name  
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Street Address  
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  Email Address * Required  
Best Time To Contact  
What position are you applying for?   Firefighter Firefighter/EMT Firefighter/Medic Paramedic
What are you available to work?   Full Time Part Time
Did anyone refer you?   Yes   No   If yes, who?
Certifications:   Firefighter I Firefighter I/II EMT Paramedic

Other.  List Other

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By submitting your pre-application, you understand that you are not being hired or are being considered to become a member of the Madison Township Fire Department.  You will allow Madison Township Fire Department to conduct a background check on you including criminal records check and previous employment.  After submission of your pre-application, you will be contacted when a position that are are qualified for becomes available.  If you agree to these terms, please indicate by entering your initials in this box and clicking submit. 

 
   

 

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

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

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

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