Piedmont Rescue is currently taking applications, however, all positions are
filled.  Applications will be kept on file for 90 days.  After 90 days, you will
need to submit another application.

Full-Time Benefits Include:
Blue Cross Blue Shield: Medical, Dental and Prescription
Smith Barney: Simple IRA
Vacation & Sick Time Accrual
24 Hour Shifts


Paramedic Requirements:
Current Alabama Credentialed EMT-P License
BLS (Basic Life Support for Health Care Providers)
ACLS (American Heart Association Advanced Cardiac Life Support)
PALS (American Heart Association Pediatric Life Support)
PHTLS (National Assoc. of EMTs Pre-hospital Trauma Life Support) or
ITLS (International Trauma Life Support)
NRP (National Academy of Pediatrics Neonatal Resuscitation Program)*
Alabama EVOC (Emergency Vehicle Operator Certification)
NREMTP (Nationally Registered Emergency Medical Technician Paramedic)*
CCEMTP (Critical Care Emergency Medical Technician Paramedic)*
Current Alabama Driver's License

*Preferred, however, not required.


EMT-Basic Requirements:
Current Alabama EMT-B License
BLS (Basic Life Support for Health Care Providers)
ITLS (International Trauma Life Support)*
Alabama EVOC (Emergency Vehicle Operator Certification)
NREMTB (Nationally Registered Emergency Medical Technician Basic)*
Current Alabama Driver's License

*Preferred, however, not required.
Piedmont Rescue
...Caring In Action
Piedmont Rescue Employment Opportunities
Piedmont
Rescue...Caring In
Action.
Contact Information
First Name
Middle Initial
 Last Name
Street Address
Mailing Address (if different)
City
 State
 Zip
Daytime Phone
 Evening Phone
How long have you lived at your current address?
 # Years
 # Months
Previous Address (if current address is <2yrs)
How long did you live there?
 # Years
 # Months
E-Mail
Career Information
Applying for:
 Full Time
 Part Time
 Temporary
 Volunteer
 Any
Position of interest
List any special skills, training or areas of interest
Certifications
Note: To select
multiple choices,
you must hold
'Control' key while
clicking your
choices.
Employment Information
No
U.S. Citizen?
 Yes
No
If not, do you have the required documents to legally work in the U.S.?
 Yes
Are you at least 16 years of age?
 Yes
 No
If hired, do you have a reliable means of transportation to perform the job duties and arrive at work on time?
Yes
 No
Have you either tested positive or refused any DOT (Department of Transportation) pre-employment test in the
past 2 years?
Yes
 No
Yes
 No
Have you applied for but been refused safety sensitive work in the past 2 years?
Bonding, money handling and security policies require that we ask if you have ever been convicted of a felony:
Yes
 No
NOTE: Felony convictions or the existence of a criminal record does not constitute an automatic bar to employment
If yes, describe the nature of the offense and disposition of the case:
Do you have a valid Alabama Driver's License?
 Yes
 No
Have you been convicted of any traffic violations in the past three years?
Yes
No
Do you have any pending traffic violations?
 Yes
 No
Education
High School Name
City
 State
 Zip
 GPA
Did you graduate?
 Yes
 No
College Name
City
 State
 Zip
 GPA
Degree Obtained
Professional School Name
City
 State
 Zip
 GPA
Degree Obtained
Work Experience
We need your last five years of work experience.  Please start with most current.
Current Employer
(Or Most Recent)
City
 State
 Start
 End
Job Title
 Salary
 (mm/yyyy)
 (mm/yyyy)
Why did you leave this position?
Previous Employer
City
 State
 Start
 End
Job Title
 Salary
 (mm/yyyy)
 (mm/yyyy)
Why did you leave this position?
Previous Employer
City
 State
 Start
 End
Job Title
 Salary
 (mm/yyyy)
 (mm/yyyy)
Why did you leave this position?
Background References
Name
 Phone
Affiliation
 City/State
Name
 Phone
Affiliation
 City/State
Name
 Phone
Affiliation
 City/State
Name
 Phone
Affiliation
 City/State
Read Below Before Clicking Submit
**PLEASE READ CAREFULLY BEFORE SUBMITTING**

I hereby certify that all of the information provided by me in this application (or any other accompanying or required
documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification,
misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate
termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should
Piedmont Rescue Squad, Inc. (hereinafter referred to as "PRS") extend an offer of employment that such
employment with PRS is "at will," for no specified duration and may be terminated by either PRS or myself at any
time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions,
statements of PRS or its representatives used during the employment process is deemed a contract of employment
real or implied. I understand that no representative of PRS except the President has the authority to enter into any
agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and
that any such agreements must be made in writing and signed by the President of PRS.

In consideration for employment with PRS, if employed, I agree to conform to the rules, regulations, policies and
procedures of PRS at all times and understand that such obedience is a condition of employment. I understand that
due to the nature of PRS business, attendance and punctuality are considered essential requirements of every job
at PRS and that poor attendance or tardiness will result in disciplinary action.

I understand that prior to being offered a position with PRS, I may be required to submit to a pre-employment
medical examination, drug screening and background check as a condition of employment. I authorize the use of my
Social Security number for background screening and verification. I understand that unsatisfactory results from,
refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and checks will result in
withdrawal of any employment offer or termination of employment if already employed.

I hereby authorize any and all schools, former employers, references, courts and any others who have information
about me to provide such information to PRS and/or any of its representatives, agents or vendors and I release all
parties involved from any and all liability for any and all damages that may result from providing such information.

I understand that this application is considered current for twelve months. If I wish to be considered for employment
after this period I must complete and submit a new application.

BY SUBMITTING, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE
STATEMENTS.

PRS IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION
WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN
STATUS OR ANY OTHER STATUS PROTECTED BY LAW.