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Russell CountyAmbulance Service

Apply: EMT

Complete the application below. Fields marked * are required.

Full-Time24 hours on 48 hours off

Contact Information

Employment Eligibility

Are you a citizen of the United States?
Have you ever worked for this company?
Have you ever been convicted of a felony?

Employment History

Start with your most recent employer. Leave blank if you have no prior work history.

Employer 1

Education

College and Other are optional — fill in what applies to you.

High School

Did you graduate?

College

Did you graduate?

EMS Certifications

List your EMT or paramedic certifications. Leave blank if you are not yet certified.

Certification 1

Driver's License

Do you have a valid driver's license?
Has your license ever been suspended or revoked?

Resume & Certifications

Optional. PDF files only, 10 MB max each. Your documents are stored securely and are only visible to our hiring staff.

No file selected
No file selected

References

Please provide at least two professional or personal references.

Reference 1

Reference 2

Electronic Signature

Typing your full legal name below constitutes your electronic signature.