Cortland Fire Department » Application

Contact Us by Mail
30 West North Avenue, Cortland, IL 60112
For Emergencies Call 911 or Non-emergency call (815) 756-2545

To Apply Online
Please complete the online application or download the application and complete the requested information. Please be specific. Accurate information will allow us to provide a quick response.

Cortland App – PDF Version

Cortland App – Microsoft Word Version

Information may be mailed or dropped off to the above address or emailed to applications@cortlandfire.com

Contact Information

                                                   
     


                                                         
                              



 

                                                          
   

                             

             

       Yes No
 Yes No
  

Certifications

Education Information

High School

 
 
     
 
 Yes No

College

 
 
     
 
 Yes No

Graduate School

 
 
     
 
 Yes No

Trade School

 
 
     
 
 Yes No

Eligibility Status

 


 Yes No


 Yes No


 Yes No


 

Job History

List all jobs you have held for the last ten years. Include periods of unemployment. Put your most recent and/or present job first. Include military service in proper time sequence along with temporary or part time jobs.

Job 1

 
 
 
     
 

Job 2

 
 
 
     
 

Job 3

 
 
 
     
 

Job 4

 
 
 
     
 

Job 5

 
 
 
     
 

Job Performance

 Yes No

 Yes No

 Yes No

 Yes No


References

Please list three adults not related to you and not former employers, who have known you for more than three years. All persons to whom you refer will be
asked to appraise your character, ability, experience, personality and other qualities.

Reference 1

 
 
 
 

Reference 2

 
 
 
 

Reference 3

 
 
 
 

Emergency Contact

Please List up to 3 contacts to be notified in case of an emergency

Contact 1

 
 
 

Contact 2

 
 
 

Contact 3

 
 
 

Employment








Electronic Signature

 
 

CORTLAND FIRE DEPARTMENT IS AN EQUAL OPPORTUNITY EMPLOYER. This organization is committed to the policy of equal employment opportunity in recruitment, hiring, career advancement, and all other personnel practices. Your job related experience and other qualifications will be considered without discrimination on the grounds of race, color, religion, sex, national origin, age, or physical or mental handicap. All information provided in this application will be treated confidentially, and will be used only to help assure the best of your abilities if you are employed with us!