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FIRE / EMS
SAFETY
RESCUE SERVICES
SECURITY
TRAINING
EQUIPMENT
APPLY
CONTACT

Application for Employment

Application for Employment

Elite Industrial Services, LLC considers applications for employment without regard to race, color, national origin, religion, sex, age, disability, or any other protected class. Elite Industrial Services, LLC is a DRUG FREE WORKPLACE.

"*" indicates required fields

Date

MM slash DD slash YYYY

Location*

Position Applying for*

Site

SSAB

Elite EMS

Airbus

Preferred Schedule

Part Time

Full Time

Days

Nights

Weekends

Do you hold a valid EMS license?*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of Birth*

MM slash DD slash YYYY

Available Start Date*

MM slash DD slash YYYY

Are you eligible to work in the United States?*

YES

NO

High School Education*

High School Attended

Dates Attended

Degree Granted

College Education*

College Attended

Major Field

Dates Attended

Degree Granted

Hidden

High School Attended

Hidden

High School Graduation Year

Hidden

Education

GED

High School Diploma

College Education

Hidden

College Attended and Degree Type

How did you find out about Elite Industrial Services?*

Please list the names of any friends or relatives who work for Elite Industrial Services, LLC

Name

Relationship

Hidden

Please list the names of any friends or relatives who work for Elite Industrial Services, LLC

Certifications (Please include EMS License, BLS, ACLS, and PALS)*

Certification

Type

Cert. No.

Exp. Date

Upload Your Certifications

Drop files here or

Max. file size: 4 MB, Max. files: 5.

Employment History (Please include two)*

Employer

Position

City, St

Supervisor

Supervisor Phone#

Start Date

End Date

Professional Reference #1*

Name

Address

Phone

Relationship

Professional Reference #2*

Name

Address

Phone

Relationship

Have you ever had an adverse action taken against a professional license or certification including but not limited to sanction, consent order, suspension, revocation, or disbarment?*

Yes

No

If yes, explain:

Have you ever been convicted of a misdemeanor or felony (other than traffic violation)?*

Yes

No

If yes, explain:

Have you ever been excluded, debarred, suspended, or sanctioned from participating in any Federal or State healthcare related programs?*

Yes

No

If yes, explain:

Are you able to perform the job tasks or the essential functions of the position for which you have applied with or without accommodations?*

Yes

No

If no, explain:

Consent*

I AGREE

I attest that the above information is accurate and true to the best of my ability. Furthermore, I understand that the falsification of information will result in my ineligibility for any future employment with Elite Industrial Services, LLC and may result in termination upon discovery for hired applicants.

Resume Upload

Max. file size: 8 MB.

Not Required

CAPTCHA

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HOME
FIRE / EMS
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