Employment Application w/ Resume’ – White Lake Ambulance Authority

Application for Employment - Attach Resume

Name(Required)

First Last

Email(Required)

Phone

Drivers License #

Drivers License State

State

Address

Street Address City State ZIP Code

Are you eligible for employment in the USA?

(if yes, verification will be required)

Yes

Position you are applying for:

Current State of Michigan/National Registry License Level:

Have you previously been employed by White Lake Ambulance Authority?

Yes

If Yes, when?

If your application is considered favorably, on what date will you be available for work?

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'

Drop files here or

Accepted file types: pdf, Max. file size: 256 MB, Max. files: 3.

File must be in PDF Format.

Name

This field is for validation purposes and should be left unchanged.