Evansville Fire DistrictProtecting Our Community

Evansville Fire District

Member Application

✅ Application Submitted!

Thank you for applying to the Evansville Fire District. Your application has been sent to Chief Fahey at evansvillechief@gmail.com. We will follow up within 48 hours.

Personal Information

First Name *

Middle Name

Last Name *

Home Address *

Primary Phone *

Alternate Phone

Email Address *

Are you legally authorized to work in the United States? *

Yes No

Are you at least 18 years of age? *

Yes No

Do you have any physical or health limitations that could interfere with your ability to perform the duties of this position?

Yes No

Please explain:

Do you have any commitments or responsibilities that might prevent you from meeting the requirements of the position?

Yes No

Please explain:

Driving Record

Do you agree to a driver's license record check? *

Yes No

Driver's License Number

State of Issuance

Do you have truck driving experience?

Yes No

Driver's License Class

Endorsements (if any)

Any traffic citations or violations in the past 24 months? If yes, list them below.

Employment & Availability

What hours are you available to respond to emergency calls?

Approx. minutes from home to fire station

Approx. minutes from work to fire station

Can you be available for meetings and training sessions the 1st and 2nd Monday of each month from 6:30–8:30 PM?

Yes No

Current Employer

Employer Name

Employer Address

Supervisor's Name

Supervisor's Phone

Job Title

Date of Hire

Working Hours

May we contact your employer?

Yes No

Previous Employers (list up to 3)

Previous Employer #1

Employer Name

Employer Address

Supervisor

Phone

Job Title

May we contact?

Yes No

From (Month/Year)

To (Month/Year)

Reason for leaving

Previous Fire Department Service

Department Name	City / State	Dates Served

References (2 non-family members)

Reference 1 — Name

Reference 1 — Phone

Reference 1 — Address

Reference 2 — Name

Reference 2 — Phone

Reference 2 — Address

Additional Information

Why do you want to join the Evansville Fire District? *

How did you hear about us?

Notice: Information furnished on this application is subject to verification. This information will be used to determine your qualifications. Misrepresentation of data could result in rejection as a candidate or subsequent dismissal if selected.

Your application will be emailed directly to evansvillechief@gmail.com

What Happens Next?

Chief reviews your application
We contact you within 48 hours
Informal interview & station visit
Background & DL record check
Physical fitness evaluation
Welcome to the team!

Training Schedule

Training: 1st Monday of each month, 6:30–8:30 PM + Saturday AM (Sept–May)

Meetings / Truck Checks: 2nd Monday of each month, 6:30–8:30 PM

Questions?

Contact Chief Fahey directly:

evansvillechief@gmail.com

Non-Emergency:
(608) 882-9934

425 Water Street
Evansville, WI 53536