Citizens Fire Academy Application Packet

The intentional omission or falsification of any material fact is cause for disqualification from participation.
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Place of Birth*
Driver's License State*
Driver's License No.*
Home Address*
City*
State*
Zip Code*
Work Address*
City*
State*
Zip Code*
Occupation
Length of Employment (years/months)
YesNo
Your Contact Information:
Home Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Emergency Contact Information
Name*

First NameLast Name
Relationship*
Home Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Reference - one person (non-relative) that we may contact:
Name*

First NameLast Name
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address:*
City*
State*
Zip Code*
NoYes (if yes, please explain below)
Arrest Explanation*
This application must be completed in its entirety. If you fail to complete the application,it will be grounds for disqualification from program.
- All applicans must be 21 years of age or older.
- Attendance is required for 75% of the classes in order to receive a completion certificate. You cannot miss more than two (2) classes.
- All applicants must work or reside within the Village of Tinley Park.
- A background check will be conducted on each applicant.
- Please note: This is a free community class. Attending this class is NOT an offer of employment nor does it complete the required qualifications of employment for the Tinley Park Fire Department.
I certify that all answers to the above questions are true. I understand that any misstatement of material facts in this application will be cause for disqualification from participation. I understand that the CFA Coordinator reserves the right to terminate me from the Citizens Fire Academy at any time. By signing this, I also authorize the Tinley Park Police Department to conduct a criminal history background check on my person. The Tinley Park Fire Department reserves the right to deny admission to the Academy based on the information found as a result of the background check.
Signature of Applicant*

Clear
Date*

MonthDayYear
Date
*Application deadline is Thursday, April 30, 2026

**There will be no class held on Monday, September 7, 2026 (Labor Day)**

Applications can also be delivered or mailed to:

Tinley Park Fire Department

Attn: Citizens Fire Academy

17355 S. 68th Court, 2nd Floor

Tinley Park, IL 60477
Should be Empty:

Your Contact Information:

Emergency Contact Information

Reference - one person (non-relative) that we may contact: