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Employment Application w/ Resume’
Application for Employment - Attach Resume
Name
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Last
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Phone
Drivers License #
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Are you eligible for employment in the USA?
(if yes, verification will be required)
Yes
No
Position you are applying for:
Current State of Michigan/National Registry License Level:
Have you previously been employed by White Lake Ambulance Authority?
Yes
No
If Yes, when?
If your application is considered favorably, on what date will you be available for work?
MM slash DD slash YYYY
Are there any other experiences, skills, or qualifications, which will be of special benefit in the job for which you are applying?
Applicants should not list any information that Federal and/or State law precludes obtaining in the pre-employment stage
Please Attach Resume'
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Select files
Accepted file types: pdf, Max. file size: 256 MB, Max. files: 3.
File must be in PDF Format.
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