Penndel-Middletown Emergency Squad
215-757-2663
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Employment Application
Thank you for your interest in Penndel-Middletown Emergency Squad
Please attach your resume and complete the following, hit submit when completed
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Indicates required field
attach resume
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Max file size: 20MB
Appling for:
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PT- EMT/A-EMT
PT - Paramedic
Name
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First
Last
Email
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Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Check the following certifications you have
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EMT/A-EMT/Paramedic
Healthcare Provider CPR
Driver's License
FEMA ICS 100,200,700 & 800
ACLS
PALS (or equivelent)
Do you have any relatives or friends working/volunteering here? If so, list their names
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Have you ever been convicted, pled guilty, or no contest to a felony or misdemeanor, including a DUI/DWI or similar offense, had any moving violations, or had your license revoked or suspended? Answering yes does not preclude employment consideration. Choose One
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Yes
No
If yes, explain:
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List three persons, other than relatives, who have knowledge of your work experience and/or education. List name and best contact email or phone number
Reference 1
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Reference 2
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Reference 3
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I certify that the information I have given on this application is true, complete and correct, and I understand that any false information or the omission of important information may be considered as sufficient reason for the rejection of my application. I recognize that completion of this application does not mean that I am accepted as an employee, and does not obligate the organization in any way to accept me. If accepted, employment will be “at will” and either PMES or I is free to terminate the employment agreement at any time without cause and without prior notice. This application is not an agreement or a guarantee of employment. I hereby authorize PMES to investigate my employment history with former employers and to make any further investigation deemed necessary in connection with my application for membership. I agree I will provide a criminal history check and child abuse clearance check. I release PMES and all informants from all liability resulting from such inquiries. I waive all rights to see or review the information so furnished.
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Yes, I agree
No, I do not agree
Submit