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2. If you are interested in receiving more information about becoming a part-time, paid-on-call Firefighter and Emergency Medical Technician for the La Grange Park Fire Department, please fill out the form below.

4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address*
10. Address*
12. City*
13. State*
14. Zip Code*
16. Are you 18 or older?*

    1. Yes
    2. No
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

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