* Required Information

First Rescue Ambulance Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, First Rescue Ambulance complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

First Rescue Ambulance expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, military or veteran status. Improper interference with the ability of First Rescue Ambulance's employees to perform their job duties may result in discipline up to and including discharge. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Personal Information

Previous Employment

Provide the following information of your past three (3) employers, assignments or volunteer activities, starting with the most recent.

Employer 1

Employer 2

Employer 3

Skills & Qualifications

Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

Educational background (if job related)

High School




Reference 1

Reference 2

Reference 3

At-Will Employment

The relationship between you and First Rescue Ambulance 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 First Rescue Ambulance. No representative of First Rescue Ambulance 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 Company's President. The Employee may not however be terminated or discharged based solely on any protected class under local, state or federal law.


I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.

I further understand that my employment with the Company shall be probationary for a period of ninety (90) days.

I certify that I have read, fully understand and accept all terms of the foregoing.

Select a country first.