Job Application 2025

2025 Job Application
** 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
Rows Phone Number Email

Phone / Email

Rows	Phone Number	Email
Phone / Email

Rows	List Other
List Other

List Your License Information

Experience Questionare

Rows	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

Current Employers will only be contacted after interview and verbal notification to you.

Current Employment Information

Rows	Date Started	Last Date
Dates

Can we contact your current employer?

Rows	YES	NO	YES - Contact me first
Answer

Past Employment Information

Dates of Employment

Rows 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
List any Social Media you have
Do you know anyone working for Frontline Medical, Frontline IMT, or Front-Tex?

Rows YES WHO? NO

???
Attach Resume or CV Here

Browse Files
Acceptable formats- PDF or WORD / 2 page Max Cancelof
By typing your name, You agree that the above information is accurate and true. This is considered a digital signature.
Should be Empty:

2025 Job Application