Join Edwards County EMS

Employment Application

Begin your application for a position serving Edwards County. Complete the initial eligibility form below, and our office will follow up about next steps.

Initial employment application

For your protection, do not enter a Social Security number or full date of birth. Edwards County EMS will request sensitive documents securely if you advance in the hiring process.

1. Personal information

First nameMiddle nameLast name

Mailing address

CityStateZIP code

PhoneEmail

I am at least 18 years old.

2. EMS certification

Certification levelTexas DSHS numberExpiration date

NREMT numberNREMT expiration

Current certifications (CPR, ACLS, PALS, PHTLS, AMLS or other)

3. Eligibility and background

I am legally authorized to work in the United States. I can communicate effectively in English for EMS duties. I can perform the essential physical functions of this position, with or without reasonable accommodation. I understand that EMS work involves strict vehicle, drug and medication safety requirements. I understand that employment is subject to driving-record, criminal-history and reference checks as permitted by law.

Other languages spokenAccommodation or eligibility explanation (optional)

4. Employment history I am currently employed.

Employer 1

Employer namePhone

Address

PositionFromTo

Reason for leaving

Employer 2

Employer namePhone

Address

PositionFromTo

Reason for leaving

5. Education

Highest school levelSchool name

Degree, course of study, trade school, or additional EMS licenses

6. Professional references

Reference 1

Full namePhoneRelationshipCompany or organization

Reference 2

Full namePhoneRelationshipCompany or organization

Reference 3

Full namePhoneRelationshipCompany or organization

7. Authorization and certification

I authorize Edwards County EMS, Inc. to verify the information in this initial application and, as permitted by law, contact employers and references and conduct job-related driving-record and background checks. I certify that the information provided is true and complete. I understand that material omissions or false statements may disqualify me or result in termination, and that employment is at will unless a written agreement states otherwise.

I have read and agree to the authorization and applicant certification above.

Type your full legal name as your signatureDate

Edwards County EMS is an equal opportunity employer. Applicants are considered without regard to any status protected by applicable law.