USAC Employment Application

Employment Application

UPPER SAUCON AMBULANCE CORPS
Instructions:

The online application process will take approximately 20-40 minutes to complete. You may complete the application in more than one session. To use this feature, select "Save" at the bottom of the page and send a link to your email (select "Skip Create an Account" then enter your email and select "Send link").

Résumés are optional and may be uploaded as a PDF file.

Applicants with PA DOH certifications will need to upload a scan or image of their current card.

You will receive correspondence via email after your application is received and processed (this may take several days).

Please do not contact us via phone regarding applications or available positions. Questions may be emailed to hiring@uppersauconems.org.

Equal Opportunity Employer

Upper Saucon Ambulance Corps is an Equal Opportunity Employer (E.O.E.). Applicants are considered for all positions without regard to race, color, religion, sex, national origin, marital status or veteran status, or the presence of a non-work-related medical condition or disability. Upper Saucon Ambulance Corps will hire the best candidates for available positions.

Please verify that you are human*
Application Version:

Employment Preference
Employment Interest(s)*

Associate (no emergency response)VolunteerPaid (part-time)Paid (full-time)
What date could you begin work?

MonthDayYear
How did you hear about Upper Saucon Ambulance Corps?

Demographic Information
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
Primary Phone Number*
Secondary Phone Number

Employment History
Include all employment, including volunteer positions. Also include all relevant emergency service affiliation. Include up to five (5) employers, beginning with current or the most recent.

Employer 1
Employer
Time period
Job title
Supervisor's name
Your responsibilities
Reason for leaving
Address
Phone Number

Employer 2
Employer
Time period
Job title
Supervisor's name
Your responsibilities
Reason for leaving
Address
Phone Number

Employer 3
Employer
Time period
Job title
Supervisor's name
Your responsibilities
Reason for leaving
Address
Phone Number

Employer 4
Employer
Time period
Job title
Supervisor's name
Your responsibilities
Reason for leaving
Address
Phone Number

Employer 5
Employer
Time period
Job title
Supervisor's name
Your responsibilities
Reason for leaving
Address
Phone Number

Education
High School
Graduated?

YesNoGED
College or Business School
Major / Degree Received
College or Business School
Major / Degree Received

Emergency Service Certifications and Training
Practitioner Type*
Only select your current certification level/status.
Certification #
Expiration Date

MonthDayYear
Initial Certification Date

MonthDayYear
Upload DOH Card

Cancelof
Training

EMSVOCPR/AED (American Heart Assoc or Red Cross, current)NIMS ICS-100NIMS IS-700HazMat R&IACLSPALS

Professional References

Reference 1
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number
How do you know this person?
How many years have you known this person?

Reference 2
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number
How do you know this person?
How many years have you known this person?

Reference 3
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number
How do you know this person?
How many years have you known this person?

Additional Statements & Résumé
Please list any other qualifications, skills, or other experience which you feel would relate to your employment with Upper Saucon Ambulance Corps.
Upload résumé (optional)

Cancelof

Acknowledgements and Releases
Upper Saucon Ambulance Corps recognizes that all persons are entitled to equal employment opportunities, and in its recruitment, training, and compensation practices, the best qualified individual, based on organizational requirements, and shall be selected, without regard to race, creed, color, sex, sexual orientation, age, or national origin, as well as mental and physical handicaps that do not interfere with job performance.*

I acknowledge
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.*

I acknowledge and agree
I understand that if employment is obtained under this application, Upper Saucon Ambulance Corps does not guarantee employment for a fixed term. Furthermore, I understand employment, if offered, is "at-will" and may be terminated at any time, with or without notice, and for any or no cause, should it be determined it is in the best interest of Upper Saucon Ambulance Corps to terminate employment.*

I acknowledge and agree
I understand that if employment is obtained under this application, Upper Saucon Ambulance Corps will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee’s Form I-9 to confirm work authorization.*

I acknowledge and agree
I understand that if employment is obtained under this application, I will be required to authorize Upper Saucon Ambulance Corps to conduct initial and ongoing criminal and driving history checks. Furthermore, I understand I may subject to physical agility testing prior to beginning employment. I understand I may be subject to drug and alcohol testing prior to beginning employment and anytime thereafter, in accordance with the Bylaws and policies of Upper Saucon Ambulance Corps.*

I acknowledge and agree

Verification and Submission
Sign your name below using a mouse, touchscreen, or signature pad.*
Should be Empty:

Employment Application

Employment Preference

Demographic Information

Essential Job Functions

Background Information

Employment History

Education

Emergency Service Certifications and Training

Professional References

Additional Statements & Résumé

Acknowledgements and Releases

Verification and Submission