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White Lake Ambulance Authority
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Employment Application

Application for Employment

Step 1 of 4

25%
Name(Required)
Drivers License State
Address
Are you eligible for employment in the USA?
(if yes, verification will be required)
Have you previously been employed by White Lake Ambulance Authority?
MM slash DD slash YYYY
Applicants should not list any information that Federal and/or State law precludes obtaining in the pre-employment stage

Education

School Location

School Location

Past Employment

Business Address
MM slash DD slash YYYY
MM slash DD slash YYYY

Business Address
MM slash DD slash YYYY
MM slash DD slash YYYY
I hereby give my permission to contact employers listed above concerning my prior experience and to check my driving record.(Required)

3 Personal References

Not former employes or relatives
Address

Address

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