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Employment Application
Applicant Information
* Required
Email address
*
Your email
Name
*
First and Last name
Your answer
Cell Phone
*
Your answer
Current Address
*
Your answer
City/Town
*
Your answer
ZIP Code
*
Your answer
Which position(s) are you interested in?
*
EMT Mass
Paramedic Mass
EMT Rhode Island
Paramedic Rhode Island
Dual Cert EMT
Dual Cert Paramedic
Other:
Required
Employment Status Preference
*
Full Time
Part Time
Per Diem
What is your weekly availabilty
*
24
Day
Night
Other
Not Available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
24
Day
Night
Other
Not Available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
When can you start?
*
MM
/
DD
/
YYYY
Training and Certifications (check all that apply)
*
ACLS
CPR
IFT (Interfacility Transport)
PALS
ALS/BLS Interface
Required
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