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Apply for EMT-Basic / Emergency Vehicle Operator

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:EMT-Basic / Emergency Vehicle Operator
ID:1
Department:Field Operations
Location:Any Location
Contact Information
* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
EMT Certification Level:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
General Questions
Please select from this list any previous experience you have. (Select all that apply)
Volunteer Rescue Squad Member
Paid Rescue Squad Staff
Rescue Squad Administration
Rescue Squad Operational Leadership
Other Medical Transport Service
Emergency Room
Nursing Home
Please list any EMS related certifications you have obtained.
* Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court? (A “yes” response does not automatically disqualify your application.)
Yes
No
* What type of employment are you seeking?
Full-Time
Part-Time
Either
* If hired, will you be willing to travel occasionally between offices to fill shifts as needed? (All employees have a base office but may be asked to fill schedule holes in other offices.)
Yes
No
If you were referred by someone please provide their name.
* Please select the highest level of education you have completed.
Not available
GED / High School Diploma
Some College
Associate's Degree
Bachelor's Degree
Graduate Degree
Reference 1
* Reference #1 Name
* Reference #1 Phone Number
* Reference #1 Relation (ex: supervisor, friend, pastor)
Reference 2
* Reference #2 Name
* Reference #2 Phone Number
* Reference #2 Relation (ex: supervisor, friend, pastor)
Reference 3
* Reference #3 Name
* Reference #3 Phone Number
* Reference #3 Relation (ex: supervisor, friend, pastor)
Driver Info
* When hiring new employees our insurance company screens applicants for policy adherence. The below questions are related to insurance data only. Priority Patient Transport does not discriminate based on age.Please provide your driver's license number.
* By what state was your driver's license issued?
* What is your date of birth? (MM/DD/YYYY)
Current Employment
Who is your current employer?
What is your current job title?
When did you start?
What is your current employer's phone number?
What is the name of your supervisor?
What is your current salary or hourly wage?
May we contact this employer?
Yes
No
Please use this area to describe your job responsibilities and the reason for leaving this job.
Previous Employment
Who was your last employer?
What was your current job title?
What was your hire date?
What was the date you left this employer?
What is this employer's phone number?
What was the name of your supervisor?
What was your ending salary or hourly wage?
May we contact this employer?
Yes
No
Please use this area to describe your job responsibilities and the reason for leaving this job.

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