Application Form

Please fill out the form below if you wish to apply to the Johnsonburg Fire Department. After reviewing your application we will contact you with follow-up information.

Contact Information

First Name:
Last Name:
E-Mail Address:
Home Phone:
Cell Phone:

Background & Experience

Date of Birth:	(ex. 05/29/1980)
Do you have previous EMT experience?
If yes, please briefly describe the experience.
Do you have previous Fire Rescue experience?
If yes, please briefly describe the experience.
Other Questions or Comments: