EMS Clinical Educator at South Adams County Fire Department

First Name *

Last Name

Email *

Phone *

Cover Letter *

Resume *

***Please note when uploading certifications , only one file upload will be allowed. Certifications need to be combined to one file prior to upload. ***

Certifications *

Can you perform the essential functions of the job with or without accommodation? *

Yes
No

If "No", please describe

Are you legally eligible for employment in the U.S.? Proof of eligibility to work in the U.S. will be required upon employment for all applicants. *

Are you over the age of twenty-one? *

Have you ever been employed by, or provided volunteer services to the District before? *

If "Yes", give dates

Do you know anyone who works or volunteers at the District? *

If Yes, please provide name and relationship:

Have you ever been fired or asked to resign from a job? *

If "Yes", please explain:

Have you ever been convicted of a felony?

Are you currently employed? *

Name and Address of Employer:

Job Title

Dates of Employment

Reason for Leaving

Employment gap explanation:

Give three (3) references

See all the jobs at South Adams County Fire Department here: http://sacfd.recruiterbox.com/jobs

Application Form