Employment Application:

NELSON COUNTY 

EMS 

Online 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.

APPLICANT INFORMATION:
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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?
EDUCATION
Did you graduate? 
Did you graduate? 
Did you graduate? 
REFERENCES (Please list three professional references)
PREVIOUS EMPLOYMENT
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?
MILITARY SERVICE
TERMS & CONDITIONS
  • 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. 

I accept the terms & conditions

 © 2018 Nelson County EMS. All rights reserved.

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