Emmet County EMS Job Interest Form

Employment Interest Form

Please fill out the information below if you would like someone to contact you to learn more about full-time or part-time employment opportunities with Emmet County EMS.
Name*

First NameMiddle NameLast Name
Phone Number
E-mail*
example@example.com
Current Level of Licensure:*

EMTAEMTParamedicStudent (not yet licensed)
Other qualifications:

NREMT RegisteredParamedic StudentInstructor/CoordinatorCritical CareACLS, PALS, or ITLS InstructorFire Experience
State of EMS licensure:*
Are you currently working for an EMS agency?*

YesNo
Are you able to commute to a northern Michigan workplace?*

YesNo
Position Interested In (check all that apply):*

Full TimePart Time
Anything else you would like to tell or ask us: (good times to call, other interests or experience, questions, etc.)
If you are ready to apply to join our team, you will find our current job postings, employment application, and application instructions here: Emmet County Employment Opportunities
Should be Empty:

Employment Interest Form