ONLINE JOB APPLICATIONPlease feel free to fill out this online form. We will need a hard copy filled by you as well.Position Desired (required)On Call EMTHealth Transport TechnicianDate Available (required)Type of Employment Desired (required)Full TimePart TimeFirst Name (required)Last Name (required)Middle InitialStreet Address (required)City (required)State (required)Zip Code (required)Home Phone (required)Alternate PhoneEmail Address (required)Do you have a valid Driver's License? (required)YesNoCDL (required)YesNoClass (required)ABCHave you ever served in the military? (required)YesNoDo you speak any other languages? (required)YesNoPlease Specify (required)Do you have the legal right to obtain employment in the United States? (required)YesNoCan you perform the essential functions and responsibilities of the position for which you are applying? (required)YesNoDo you require any special accommodation to perform required duties? (required)YesNoHave you ever worked for Southern Cascades Community Services District? (required)YesNoIf so, give date (s) of employment and position (s) heldDo any of your relatives work for Southern Cascades Community Services District? (required)YesNoIf yes, state their nameList any applicable licenses, certifications or registrations required for the position for which you are applying. Include date receivedPlease include at least three reference letters and/or the name of individuals with whom a reference interview can be conducted. Please list the full name, mailing address and phone number of three references who have knowledge of your background and/or qualifications (required)UPLOAD Reference Letters HereLevel of education completed Check all that applyHigh SchoolGEDCollege 0-3 yearsDegreeDegree TypeAssociatesBABSMastersDoctorateOtherCertifications - Please ListSoftware ApplicationsTyping WPMYou may attach a copy of your resume hereThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.