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Welcome to Rocky Mountain Ambulance

Thank you so much for applying to Rocky Mountain Ambulance LLC. 
Please complete this application and if selected a memember of our staff will contact you soon. Rocky Mountain Ambulance Service LLC is an equal opportunity employer and selects the best individual for the job based upon job related qualifications regardless of race, color, creed, genetic makeup, religious preference, sex, sexual orientation, age, national origin, ancestry, pregnancy, marital status, criminal record, mental or physical handicap/disability, veteran status, or any other basis protected by law in any aspect of the provision of ambulance service or in employment practices. Rocky Mountain Ambulance  will make a reasonable accommodation to known physical or mental limitations or a qualified applicant or employee with a disability, unless the accommodation will impose an undue hardship on the operation of our business. Rocky Mountain Ambulance does not tolerate sexual harassment or any other form of harassment in any shape or form.

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* 1. Please complete

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* 2. What is your current EMS level?

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* 3. Have you ever worked for Rocky Mountain Ambulance?

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* 4. What type of employment do you desire?

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* 5. If the position you seek requires you to work overtime, weekends or holidays are you willing to work such a schedule? (Reasonable accomidations can be made i appropriate situations)

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* 6. Rocky Mountain Ambulance Service LLC prides itself on non discrimatory hiring practices and thoroughly follows EEOC guidelines on discrimination. 
In accordance with the Americans with disabilities act of 1991 are you able to perform the eseential functions and tasks for this job? (If a resonable accomodation is required please add notes)

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* 7. Do you posess a valid drivers license?

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* 8. Are you age 18 years of age or older?

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* 9. Are you legally authorized to work in the United States?

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* 10. What is your highest level of education?

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* 11. Please enter the name of your school

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* 12. Please enter the dates you attended

Date

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* 13. Please copy and paste your resume to include job history and experience

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* 14. Please enter your WY EMS license number. If you are not currently WY certified please put N/A

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* 15. Please Enter State and License number for each state you are currently certified in.

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* 16. What is your NREMT number?

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* 17. Are you currently certified in the following?

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* 18. My signature below indicates that I swear or affirm that the information contained on this application is true and correct to the best of my knowledge, and that I have read, understood, agreed, authorized, certified, and consented to the above statements. This authorization or photocopy shall serve as consent for Rocky Mountain Ambulance LLC to request any information concerning my application. I acknowledge that I have had the opportunity to ask questions about these terms and have them answered.

PLEASE TYPE YOUR SIGNATURE AND THE DATE IN THE BOX

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* 19. Please read and acknowledge the following statements

Rocky Mountain Ambulance LLC is an equal opportunity employer and selects the best individual for the job based upon job related qualifications regardless of race, color, creed, genetic makeup, religious preference, sex, sexual orientation, age, national origin, ancestry, pregnancy, marital status, criminal record, mental or physical handicap/disability, veteran status, or any other basis protected by law in any aspect of the provision of ambulance service or in employment practices. Rocky Mountain Ambulance will make a reasonable accommodation to known physical or mental limitations or a qualified applicant or employee with a disability, unless the accommodation will impose an undue hardship on the operation of our business. Rocky Mountain Ambulance does not tolerate sexual harassment or any other form of harassment in any shape or form.

POLYGRAPH STATEMENT
Rocky Mountain Ambulance does not make use of polygraph testing. 

CONFIDENTIALITY STATEMENT
Your application for employment will be considered by Rocky Mountain Ambulance. All records containing personal data are kept protected as required by privacy and confidentiality laws. This information will only be viewed by personnel making hiring recommendations and decisions and bookkeeping personnel. During this time period, your employment history and skills will be reviewed and evaluated by our staff.

NOTIFICATION
If your skills and employment history are the most closely matched to the position requirements, we will contact you by phone or email within two (2)weeks to set up an interview. If we do not contact you within two weeks, it means your skills and employment history are not the strongest/closest match to the position or there are more qualified applicants that have been selected to interview for the position. Your application will stay on file for 3 months and we may consider you for other positions. We encourage you to reapply, after3 months or apply for other positions for which you are qualified, by completing a new application. You application is only considered active for 3 moths from the date of application.

GENERAL EMPLOYMENT REQUIREMENTS

All field staff are required to have the following


Applicable to Emergency Medical Technician (EMT) or Paramedic (P) or 
1. An appropriate level or higher, valid EMT certificate issued by Wyoming or another state.
2. Valid BLS/Healthcare Provider CPR/AED Card.
3. Able to lift 150 pounds without additional assistance and 300 pounds with assistance.
4. Class D or higher driver's license
5. Demonstrate the ability to read, speak, write and understand the English Language.
6. Demonstrate the ability to write an appropriate medical report
7. Pass our interview process to include pre-employment screening.
8. Pass New Hire Training.
9. Paramedics are required to have a ACLS card and agree to take PALS within 90 days of employment
10. ALL employees are required to take EVOC within 120 days of employment. 

Do you agree with the above statements?

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* 20. I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility

0 of 20 answered
 

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