Medical Emergency Medical Services, WNC Medical Transport

Medical Emergency Ambulance Transport, Inc. is an equal opportunity employer. If you feel you qualify, and are interested in working for us, please fill out our online application. Or, if you prefer, click here to view and print our application in Adobe Acrobat format.

New applicants are required to provide a background and criminal record check along with their application to be considered for employment. There is a fee for this service, and a report can be obtained from the court house.

Medical Emergency Ambulance
Application for Employment

All fields mandatory unless marked with *

*Position Applied For:**
F Name: *MI: L Name:**
Address: Apt/Suite: City State Zip
Telephone#:	DOB:
		Yes	No
Have you ever applied with us before?
Have you ever been employed with us before?
May we contact your employer?			No N/A
Are you currently on "Lay-Off Status" & subject to recall?
Can you travel if a job requires it?
Have you been convicted of a felony in last 7 yrs?
*If yes, explain:**

Education:	Address	Course of Study	# Yrs	Degree
Elementary:

High School:

*College:**

*Other:**

Describe any specialized training, apprenticeship, skills, extra-curricular activities*:

List professional trade, business or civic activities & offices held*:

State any additional information you feel may be helpful to us in considering your application*:

Employment Experience:

(Start w/most recent)

Employer	Telephone
Address	Supervisor
Work Duties:	Dates Employed: -
*Reason For Leaving:**	Hourly Rate/Salary: (Starting/Final) /

Employer*	Telephone:
Address	Supervisor
Work Duties:	Date Employed: -
Reason For Leaving:	Hourly Rate/Salary: (Starting/Final) /

Employer*	Telephone:
Address	Supervisor
Work Duties:	Date Employed: -
Reason For Leaving:	Hourly Rate/Salary: (Starting/Final) /

Reference:

1 – (Name/Address/Phone#)*:

2 – (Name/Address/Phone#)*:

3 – (Name/Address/Phone#)*:

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

Submitting this form and filling in your e-mail address below indicates my agreement with this statement. More information and verification will be required if employment is to be considered.

e-mail address:

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Medical Emergency Ambulance Application for Employment

Medical Emergency Ambulance
Application for Employment