Employment Application

Priority Care Ambulance™ is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below

Employment Information

Personal Information

Are you 18 years of age or older?
Will you consent to a mandatory controlled substance test?
Are you a U.S. citizen or approved to work in the United States?
Do you have any conditions that would require job accommodations?
Have you ever been convicted of a criminal offense (felony or misdemeanor)?

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualification

(Note: Priority Care Ambulance Inc. complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

EMT Certification Information

Driver's License Information

Education/Training

High School

College/University

Vocational School/Specialized Training

Military

Are/were you a member of the Armed Services

Previous Employment

References

Please provide 3 personal and professional reference(s) below

At-Will Employment

The relationship between you and Priority Care Ambulance Inc. is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Priority Care Ambulance Inc. No representative of Priority Care Ambulance Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and the President/CEO of Priority Care Ambulance Inc.