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General Employment Application

Hiring Processes

  • Application
  • Background Check
  • Oral Interview

Thank you for your interest in Mission Ambulance, Inc. By applying for a position with Mission Ambulance, you have just taken your first step towards finding the path to a satisfying career in EMS. Mission Ambulance is highly regarded throughout Southern California as being a forerunner in Courtesy, Compassion, and Commitment through professionalism and integrity.

A clear understanding of your background and work history will help us in placing you in the position that best meets your qualifications. It is our policy to provide equal employment opportunities to all qualified persons without regard to race, age, color, sex, religion, national origin, veteran status or physical handicap.

A complete Application must be filled out and screened in order to continue on to the next phase of the hiring process. If you meet the minimum qualification standards and pass the application screening process, you will be notified in writing or by phone.

AFTER SUBMITTING THE APPLICATION BELOW PLEASE RETURN BACK TO THE BEGINNING OF THIS FORM TO CONFIRM APPLICATION SUBMISSION OR CORRECT ANY ERRORS THAT MAY HAVE BEEN MADE DURING THE SUBMISSION PROCESS. IF THIS FORM IS NOT SUBMITTED CORRECTLY MISSION AMBULANCE WILL NOT RECEIVE YOUR APPLICATION.

General Employment Application

Personal Information

Name
Address
Mailing Address
Please enter your number formated as so: (###)###-####
Please enter your number formated as so: (###)###-####
Please enter your number formated as so: (###)###-####

Employment Desired

Status
Start Date
MM slash DD slash YYYY
If yes when?
If yes when?
To

General Information

Licenses and Certifications

Additional Skills and Training

Education History

High School - Location
College - Address
Technical School - Location

Employment History (Last 5 years, Starting with most recent)

From
To
Address of employer
From
To
Address of employer
From
To
MM slash DD slash YYYY
Address of employer

References (names of people not related, whom you've known for at least one year)

Name
Address
Name
Address
Name
Address

Authorization

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."