Who can use the Roxana paid-on-call firefighter application?

People applying for a probationary paid-on-call firefighter position with the Roxana Fire Department can use this application to provide their information and required materials.

What must I return with the application?

The checklist requests the completed application, signed waiver and release of liability, signed release of information authorization, and photocopies of an Illinois driver’s license and current automobile insurance card.

How do I submit the Roxana firefighter application?

Return the completed application and required attachments to the Roxana Fire Department at 310 North Central Ave., Roxana, Illinois 62084.

Roxana, IL · Madison County

No notary required

Paid On Call Firefighter Application

This application is for people seeking a probationary paid-on-call firefighter position with the Roxana Fire Department.

What this form is

The application lets the Roxana Fire Department collect information from people seeking a probationary paid-on-call firefighter position. Applicants complete personal, employment, reference, training, and physical-ability information and return the application with the listed signed releases and identification documents. The department says the materials must be returned before the application is put on file for review.

Who needs it

Anyone applying for a probationary paid-on-call firefighter position with the Roxana Fire Department needs to complete and return this application.

How to submit it

Return the completed application and required attachments to the Roxana Fire Department, 310 North Central Ave., Roxana, Illinois 62084.

About notarization

This application and its listed releases are signed without a notary; the applicant signs and dates the application and signs the waiver and information authorization.

How to submit this form

1
Download The Application
Download the Paid On Call Firefighter Application and its included materials.
2
Complete The Application
Complete the application in your handwriting and provide the requested personal, employment, reference, training, and physical-ability information.
3
Gather Required Attachments
Include the signed waiver and release of liability, signed release of information authorization, and photocopies of your driver’s license and current automobile insurance card.
4
Return It To The Fire Department
Return the completed materials to the Roxana Fire Department, 310 North Central Ave., Roxana, Illinois 62084.

Frequently asked questions

Who can use the Roxana paid-on-call firefighter application?: People applying for a probationary paid-on-call firefighter position with the Roxana Fire Department can use this application to provide their information and required materials.
What must I return with the application?: The checklist requests the completed application, signed waiver and release of liability, signed release of information authorization, and photocopies of an Illinois driver’s license and current automobile insurance card.
Do I need a notary for the Roxana firefighter application?: No. The application and listed releases are signed without a notary; the applicant signs and dates the application and signs the waiver and information authorization.
How do I submit the Roxana firefighter application?: Return the completed application and required attachments to the Roxana Fire Department at 310 North Central Ave., Roxana, Illinois 62084.

Need something notarized?

This Paid On Call Firefighter Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.