Career Application - Washington County EMS

Employment Application

We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status, or any other legally protected status.

Position(s) Applied For *

How did you learn about us? *

Last Name *

First Name *

Address *

City *

State *

Zip Code *

Telephone Number(s) *

Best time to contact you at home is *

If you are under 18 years of age, can you provide required proof of your eligibility to work? *

Have you ever filed an application with us before? *

If yes, give date.

Have you ever been employed by us before? *

If yes, give date.

Do any of your friends or relatives, other than spouse, work here? *

Are you currently employed? *

May we contact your present employer? *

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? Proof of citizenship or immigration status will be required upon employment. *

Please select your current certification. *

If you are an EMS student. What school are you attending? *

When are you available to begin working? *

What is your desired salary range? *

When are you available to work?

Are you currently on "lay-off" status and subject to recall? *

Can you travel if a job requires it? *

Please list the Institution Name, Course of Study, Numbers of Years Completed, and Degree Achieved for all education gained since high school. *

Describe any specialized training, apprenticeship, skills and extra-curricular activities.

Describe any job-related training received in the United States military.

List last three previous employers and contact information: *

Email address: *

Please upload a copy of your most recent resume.

No file chosen

Please attach a list of 3 references detailing their names, contact informaiton, and in what context and for how long have they known you.

No file chosen

I understand and agree that, if required for the position, I will submit to a pre-employment driving record check and/or pre-employment physical, and/or criminal history check. And, in accordance with the County's adopted policies, I will submit to a pre-employment drug/alcohol screening as well as any other drug/alcohol screenings as required by the County's policy. I understand and agree that if I refuse to submit to any such physical, drug/alcohol screening, driving record check, or criminal history check, I will not be considered for employment. I also understand that once employed, refusal to submit to such exams or a positive result on a drug/alcohol screening will be grounds for disciplinary action, which may include termination. Typing your full name will serve as your electronic signature. *

Confirm your digital signature by typing today's date. *

I certify that all answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and that the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleadinginformation given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Typing your full name will serve as your electronic signature. *

Confirm your digital signature by typing today's date. *