Andrew County Ambulance District is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, gender, national origin, age, disability, or genetic information.
I (Name Above) certify that the information I have given on this application is true, complete, and correct, and I understand that any false information or the omission of information may be considered as sufficient reason for my discharge if appointed. This application is not an agreement or a contract for employment
I hereby authorize the district to investigate a criminal history check, driving history check, child abuse clearance check, and other such inquiries. I release the district and all informants from all liability resulting from such inquiries. I waive all rights to see or review the information so furnished.
If appointed, I will follow the policies and procedures outlined in the Andrew County Ambulance District First Responder Procedure Manual and Andrew County Ambulance District Treatment Guidelines.
I certify that I am not now, nor have I ever been excluded from any state or federal health care program. I further understand that if it is determined that I was so excluded; my appointment with the District may be terminated.