Employment - content

Symons Event Safety accepts applications on an on-going basis for the following positions:

EMT
EMT-P
RN
MD
Fire / Safety personnel

If you are interested in joining the Symons team, please complete the application below.

Application

NAME:
STREET ADDRESS:
CITY:	STATE: ZIP:
E-MAIL:

PHONE:	--
2nd PHONE:	--

Please indicate which position you are applying for:

EMT
EMT-P
Fire Rescue
Nurse
Physician

Other

Certification / Accreditation:

Please indicate ALL applicable certifications / accreditations and
list which county or state issued them.

National Registry EMT-P Cert.#	Expires:--
National Registry EMT Cert.#	Expires:--
State Paramedic Lic.#	Expires:--	State:
County EMT / EMT-P Cert. #	Expires:--	County:


You have::	YES	NO	You are an instructor for:	YES	NO
A.C.L.S			A.C.L.S
B.T.L.S.			B.T.L.S.
P.A.L.S			P.A.L.S
N.A.L.S			N.A.L.S
B.L.S.(CPR)			B.L.S.(CPR)

Please add any certification / credentials not previously listed

Work History

Current / Most recent:

EMPLOYER:
ADDRESS:
CITY, STATE, ZIP:
WAGE / SALARY:	EMPLOYED FROM: TO:
PHONE #:	SUPERVISOR:

LIST DUTIES BELOW:

Employer #2:

EMPLOYER:
ADDRESS:
CITY, STATE, ZIP:
WAGE / SALARY:	EMPLOYED FROM: TO:
PHONE #:	SUPERVISOR:

LIST DUTIES BELOW:

Employer #3:

EMPLOYER:
ADDRESS:
CITY, STATE, ZIP:
WAGE / SALARY:	EMPLOYED FROM: TO:
PHONE #:	SUPERVISOR:

LIST DUTIES BELOW:

Employer #4:

EMPLOYER:
ADDRESS:
CITY, STATE, ZIP:
WAGE / SALARY:	EMPLOYED FROM: TO:
PHONE #:	SUPERVISOR:

LIST DUTIES BELOW:

References


NAME:
PHONE #:	RELATIONSHIP:


NAME:
PHONE #:	RELATIONSHIP:


NAME:
PHONE #:	RELATIONSHIP:


NAME:
PHONE #:	RELATIONSHIP:


NAME:
PHONE #:	RELATIONSHIP:

ADDITIONAL INFORMATION

Please include any additional information you would like us to know pertaining to your
application.

Symons Emergency Specialties is an equal opportunity employer and does not hire or terminate employment on the basis of race, creed, color or gender and maintains a hostile free working environment free from harassment or violence. Submission of this form is not an offer of employment and should not be construed as such. Symons Emergency Specialties accepts applications for employment on a continuing basis to maintain an active list of eligible applicants. Symons Emergency Specialties may or may not be hiring at this time. Your application will be kept on file for a period of one year and will be referred to in the order received during active periods of hiring..