Job Application

Please note - Should you meet all the requirements listed on our Job Openings page, you will receive an email asking you to take a 50 Questions BLS Exam. You will receive an invitation to interview only after receiving a passing score of 80% or higher.

All Fields Are Required. Please Enter N/A if a field does not apply

Your Name:

License Level:

Your Address:


,

Phone:

Email:

Emergency Contact Name:

Emergency Contact Number:

Please Tell Us How You Heard About Medics On The Ball:

If other job site or friend please tell us where/who?

Do you have your own BLS gear?

O2  Yes No
BLS Bag  Yes No

Have you ever been convicted of anything more serious than a minor traffic violation?

Explain:

We require at least 4 weekend days per month. Can you accommodate that?  Yes No

Shirt Size:


Job Experience

Please start with your most recent and go back.

Start Date: End Date:

Company Name:

Position Held:

Job Description:

Reason for leaving:



Start Date: End Date:

Company Name:

Position Held:

Job Description:

Reason for leaving:



Start Date: End Date:

Company Name:

Position Held:

Job Description:

Reason for leaving:

Please attached your resume in MS Word or Adobe pdf

Information entered on this form is true and complete