Job Application 2024

** ALS providers must have a minimum of 3 years of ALS experience

Hourly pay rate is dependent of experience and level of licensing.

Pay is provided bi-weekly when assigned. Direct deposit.

First, Last Name - Cert Level*

	Phone Number	Email
Phone / Email

What position are you applying for?

NurseParamedicEMTOther

	List Other
List Other

How many years / months of ALS experience do you have? If you are BLS, type NA.*

How many years / months of BLS experience do you have? If you are ALS, type NA.*

List Your License Information*

Experience Questionare*

	YES	NO
ICS 100 / 200
NIMS 700 / 800
Other Adv ICS
S 130 - S 190
RW Experience
FW Experience
Fire Experience
Ambulance Experience
ER Experience
ALS Critical Care Experience
ACLS
PALS
CPR
NRP
FP-C
CFN or CERN
ITLS or BTLS
Available for 14 Day Assignments
Current Driver's License
No Arrests in Past 5 Years
Can Pass Drug Screening
Current Passport

Current Employment Information*

Dates of Employment*

	Date Started	Last Date
Dates

Describe Current Job*

Can we contact your current employer?*

	YES	NO	YES - Contact me first
Answer

Past Employment Information*

Dates of Employment*

	Date Started	Last Date
Dates

Describe Past Employment*

Tell us about your education.*

Loyalty vs. Integrity? Pick one. Tell us WHY you picked.*

What leadership characteristics do you possess?*

Tell us about yourself*

Type in any links to Social Media you have*

Do you know anyone working for Frontline Medical, Frontline IMT, or Front-Tex? *

	YES	WHO?	NO
???

Attach Resume or CV Here

Browse Files

Acceptable formats- PDF or WORD / 2 page Max

By typing your name, You agree that the above information is accurate and true. This is considered a digital signature.

2024 Job Application