Internship Application – Advantage Ambulance

EMS Internship Program: (this process is unique unto itself)

Affiliation Required
Application
Oral Interview
Background Check
EMS Orientation Training

Any person applying for this position must be a student enrolled in a school with an affiliation agreement with Mission Ambulance. Affiliates: Riverside County Office of Education CTE ROP
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 you will be notified in writing (mail/email/text message) or by phone. Please allow a minimum of 3 business days to be contacted.
Once your application has been reviewed you shall be contacted for a Panel Oral Interview with our Management Team. Interviews are graded on a pass/fail basis. Due to the limited number of internships Mission Ambulance has to offer only a select few will be able to start each year
Those few individuals selected each year shall then go through a EMS Orientation Training which shall consist of: AHS BLS Provider CPR certification, AHA First Aid Certification, and HIPAA Privacy & Security certification just to name a few.

Thank you for your interest in Mission Ambulance, Inc. By applying for an EMS Internship with Mission Ambulance, you will be able to immerse yourself in all aspects of Emergency Medical Services (EMS) to help you determine if this is a career path you would like to endeavor.

It is our policy to provide equal internship opportunities to all qualified persons without regard to race, age, color, sex, religion, national origin, veteran status or physical handicap.

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.

Internship Program Application

Personal Information

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Mailing Address

Street Address Address Line 2 City State ZIP Code

Home Phone

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

Cell Phone

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

Pager

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

Referred By

Employment Desired

Position

EMS Internship Program

Status

Full Time

Part Time

Start Date

Currently Employed

If yes, may we call current employer?

Have you ever applied here?

If yes when?

Have you ever been previously employed by Advantage Ambulance, Inc?

If yes when?

General Information

Licenses and Certifications

If other please explain

Additional Skills and Training

Education History

High School - Name

High School - Location

Street Address Address Line 2 City State ZIP Code

Years

Did you graduate?

College - Name

College - Address

Street Address Address Line 2 City State ZIP Code

Years

Did you graduate?

Subjects

Technical School - Name

Technical School - Location

Street Address Address Line 2 City State ZIP Code

Years

Did you graduate?

Subjects

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

From

Name of employer

Address of employer

Street Address Address Line 2 City State ZIP Code

Salary

Position

Reason for leaving

Employers phone

From

Name of employer

Address of employer

Street Address Address Line 2 City State ZIP Code

Salary

Position

Reason for leaving

Employers phone

From

Name of employer

Address of employer

Street Address Address Line 2 City State ZIP Code

Salary

Position

Reason for leaving

Employers phone

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

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years known

Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Years known

Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Years known

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."

I understand the authorization conditions and agree