Now Hiring EMT jobs available on American Professional Ambulance. Apply to Emergency Medical Technician, F.T.O., Medical Biller, Collection Specialist and more!

Personal Information

*Full Name:
Address:
City:
State:
Zip:
*Phone Number:
Driver's License:
*Email:
Referred By:

Employment Desired

*Position Applying for:
Please Upload Your Resume Here:
Type of Employment?:
Are you currently Employed?:

Personal Background

Have you previously applied here?:
Are you at least 18 years of age?
Do you have any friends or relatives working for us?:
Can you provide proof after you are hired that you can legally work in the United States?
Have you previously worked for an ambulance service?:
if Yes, What Ambulance Service? (name and dates):
What days and hours are you available to work ?
Monday Hours
Tuesday Hours
Wednesday Hours
Thursday Hours
Friday Hours
Saturday Hours
Sunday Hours
Are you available to work weekends?
Are you available to work Overtime?
When can you start to work if hired?
Salary Desired:
Have you been cited in any moving violation in the last 3 years?
Have you had any accidents in the last 3 years?
Has your Driver's License ever been suspended, revoked, denied or cancelled?

Emergency Contact

Name:
Relationship:
Phone Number: