Thank you for your interest in applying for employment. Pendleton County Ambulance Taxing District is an equal-opportunity, employer and does not discriminate In recruitment, hiring, training, promotion, or other employment practices for reason of race, color, religion, national origin, citizenship, sex, marital status, or age. The District does not discriminate against people with disabilities, or disabled or Vietnam-era veterans.

The District will be unable to offer employment or to continue employment if unacceptable Information is discovered during the employment process or after employment begins.

This application will be given consideration, but its receipt does not imply that the applicant will be employed. This application will be considered active for 30 days only. After this period, the applicant may request that the application remain open for an additional 30 days Acceptance for employment shall beon at at-will basis.

Please complete this form carefully. Please advise us If you need assistance/accommodation In completing the application or in any stage of the employment process.

Application

Present Address

Are You age 18 or older?

Relatives (including domestic partners) currently employed by this district. If none, type none.

State the specific job for which you are applying: *

Salary Requiremens

What type of employment are you seeking? *

State the hours and days of the week you are available. *

Will you work overtime?

When can you be available to start work? *

Have you ever been convicted, finded, placed on probation, pled "Nolo" (no contest) or guilty, received Prayer for Judgement Continued, Nol Pros, had judgement deferred under a First Offenders Statute, performed community service, entered into a Pre-Trial Diversion, or other deferred prosection for any crimes? This includes, but is not limited to, theft, writing bad checks, drug related charges, assault related charges, driving under the influence or while intoxicated (DUI or DWI), or driving with a suspended or revoked license. This is not intended to include minor traffic violations such as speeding, improper equipment, reckless driving, or other minor driving infractions.

If you anwered yes, please provide details or charges, dates, and disposition.

Method of Referral This is how you were reffered to us by checking the appropriate box below.

I am a former employee. (Please state when, where, and in what position.)

I have been referred by a current employee. (Please give us his or her name.)

I have previously applied for employment with the District. (Please state when and where.)

Other (Please tell us how you heard about this position.)

Job Skills Check the appropriate boxes for skills that you presently possess.

Other

No Files ChosenAccepted file types: jpg, jpeg, jpe, png, wax, rar, wri, xla, xls, xlt, xlw. Max. file size: 256 MB

I authorize Pendleton County Ambulance Taxing District, its agents, and the below named education institutions to conduct a verification of my education record information as indicated below. I understand that misrepresentations or material omission of any facts is cause for dismissal, whenever such falsification is discovered. I release all persons involved in this search from liability or damages incurred as a result of this inquiry and furnishing this information.SaveClear

City, State

Degree, Major

Number of Credits Earned

Graduated?

City, State

Degree, Major

Number of Credits Earned

Graduated?

14 + 9 =