ONLINE JOB APPLICATION CLICK HERE

Position Desired (required)

Paramedic Full Time

EMT Per Diem

Health Transport Technician

Paramedic Per Diem

Ambulance Driver Per Diem

Other

Date Available (required)

Type of Employment Desired (required)

Full Time

Part Time

First Name (required)

Last Name (required)

Middle Initial

Street Address (required)

City (required)

State (required)

Zip Code (required)

Home Phone (required)

Alternate Phone

Email Address (required)

Do you have a valid Driver's License? (required)

Yes

No

CDL (Commercial License) (required)

Yes

No

Class (required)

A

B

C

Have you ever served in the military? (required)

Yes

No

Do you speak any other languages? (required)

Yes

No

Please Specify (required)

Do you have the legal right to obtain employment in the United States? (required)

Yes

No

Can you perform the essential functions and responsibilities of the position for which you are applying? (required)

Yes

No

Do you require any special accommodation to perform required duties? (required)

Yes

No

Have you ever worked for Southern Cascades Community Services District? (required)

Yes

No

If so, give date (s) of employment and position (s) held

Do any of your relatives work for Southern Cascades Community Services District? (required)

Yes

No

If yes, state their name

List any applicable licenses, certifications or registrations required for the position for which you are applying. Include date received

Please 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

UPLOAD Reference Letters Here

Level of education completed Check all that apply

High School

GED

College 0-3 years

Degree

Degree Type

Certifications - Please List

Software Applications

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Please attach a copy of your resume here (required)

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