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Emergency Medical Services Employment Application


  1. 1. Contact Information
  2. 2. Education
  3. 3. References / Employment
  • Contact Information

    1. How long have you been at this address?*
    2. Are you currently enrolled in the Public Employees Retirement System (PERS)?
    3. Do you possess a valid driver’s license?
    4. Are you a U.S. Citizen?
    5. Did you serve in the military?
    6. Can you speak, read or write any language besides English?*
    7. Answering “yes” to any of the following questions will not necessarily preclude the application from consideration.
    8. Have ever been convicted of a crime or a motor vehicle moving violation?