Application Form – Lodi Area EMS

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Join Our Team!

We've streamlined the process to apply for our team.

What's your full name? *

Please provide your first and last name.

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What's your email address? *

We will use this to contact you regarding your application.

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What's your phone number? *

Please provide a number we can reach you at.

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Which position are you applying for? *

Select one position.

EMT

AEMT

Paramedic

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Are you applying for Full-Time or Part-Time? *

Please select one option.

Full-Time

Casual

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What type of Full-Time position are you applying for? *

Please select one option.

36 hours a week (All Levels)

48/96 rotation - AEMT/Medic Only

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What type of Casual position are you applying for? *

Please select one option.

36 Hours a month (All Levels)

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What current certifications/licenses do you have?

Select all that apply.

CPR License

CEVO Certificate

State of Wisconsin EMS License

Other State EMS License

NREMT Certificate

PALS

ACLS

Active Driver's License

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Please upload your resume (required for Full-Time applicants) *

Upload your resume in PDF or DOC format. Only for Full-Time applicants.

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Please upload your cover letter (required for Full-Time applicants) *

Upload your cover letter in PDF or DOC format. Only for Full-Time applicants.

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Are you at least 18 years old? *

Yes

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Have you ever been convicted of a felony, or within the past 24 months, of a misdemeanor that resulted in imprisonment? (A conviction will not necessarily disqualify an applicant) *

Yes

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Do you have any physical disabilities or medical conditions which would preclude you from lifting at least fifty (50) pounds, working in confined areas, inclement weather or rough terrain? *

Yes

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