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METRO AMBULANCE
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METRO AMBULANCE EMPLOYMENT APPLICATION
PERSONAL INFORMATION
*
Indicates required field
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Date of Birth
*
WORK-RELATED INFORMATION
How many years have you worked as a Paramedic? (if applicable)
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20+
For which company(s) have you worked as a Paramedic? (if applicable) Include number of years employed.
*
How many years have you worked as an EMT?
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20+
For which company(s) have you worked as an EMT? Include number of years employed.
*
Has your OEMS certification ever been suspended or under review?
*
Yes
No
Have you ever been terminated from a position or resigned from an employer that is not included on your resume or application?
*
Yes
No
Option 3
If you answered "Yes" to either of the above 2 questions, please explain.
*
Describe your availability per week/month.
*
CREDENTIALS
RESUME
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Driver's License
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Max file size: 20MB
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