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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)
*
0
1
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19
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?
*
0
1
2
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5
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19
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
Describe your availability per week/month.
*
CREDENTIALS
RESUME
*
Max file size: 20MB
Driver's License
*
Max file size: 20MB
Please upload all applicable certifications:
ACLS Card (front)
*
Max file size: 20MB
PALS Card (front)
*
Max file size: 20MB
CPR Card (front)
*
Max file size: 20MB
MA OEMS Paramedic Card (front)
*
Max file size: 20MB
MA OEMS EMT Card (front)
*
Max file size: 20MB
ACLS Card (back)
*
Max file size: 20MB
Pals Card (back)
*
Max file size: 20MB
CPR Card (back)
*
Max file size: 20MB
MA OEMS Paramedic Card (back)
*
Max file size: 20MB
MA OEMS EMT Card (back)
*
Max file size: 20MB
Submit