Online Application 

Employment Application:

Applicants are considered for employment based on knowledge, experience, license and skills without regard to race, color, religion, sex, national origin, age, marital or veteran status, or non-job related medical condition or disability.

KBEMS Licensure or Certification Number:
NREMT Licensure or Certification Number:
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
Have you ever been convicted of a felony?
Did you graduate?
Did you graduate?
Did you graduate?
(Please list three professional references)
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?
  • I certify that my answers are true and complete to the best of my knowledge.

  • I authorize investigation of all statements contained in this employment application and additional job-related background investigation may be necessary in arriving at an employment decision.

  • If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that neither this document nor any verbal promises made by employer or representative employee may be constituted as an employment contract.

  • I understand and acknowledge that, unless otherwise defined by law, policies and procedures, or rules and regulations, any employment relationship with this organization is of an “at-will” nature, which means that either the employee or employer may terminate the employment relationship at any time, with or without cause or advance notice.

  • I understand that this application is the property of The Nelson County EMS.