Position Applied For *
InstructorHospital Transport Specialist/Wheelchair ServicesDispatcherParamedicAEMTEMTBilling/AdminstrativeRNCritical Care Paramedic

First Name *

Last Name *

Email *

Phone *

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Country *
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Employment Desired
Full-timePart-timeFull- or Part- time

If you are under 18, and it is required, are you able to furnish a work permit? *
---YesNo

Are you legally eligible for employment in the country? *
YesNo

Have you been convicted of a crime in the past 7 years? *
YesNo

Compensation Expectations (Hourly/Yearly) *

How did you hear about this job opening?
Social MediaWebsiteIndeed or other career search enginePersonal RecommendationOther

Attach Resume (LOCAL STORAGE ONLY -- NOT FROM CLOUD)

I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered. I give the employer that right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information. The employer does not unlawfully discriminate in employment and no questions on this application are used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law. This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause, and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. I understand that it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions *

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