Phone: 1-866-998-3999

 

 

 

 

 

 

 

 

 

 

 


Quick On-Line Employment Application

For EMTs, Paramedics and Ambulette Drivers Only


Thank you for your interest in employment with LifeCare Medical Services.  Please complete the information below and click the "Submit" button.  Once your information is received the appropriate LifeCare staff member will contact you if a position exists for which you are applying and qualified.  All employment applications are kept active for a period of six months.  If you are selected for an interview, a full employment application must be completed prior to the interview.  Full applications are also available in each LifeCare office.

First Name
Last Name
Street Address
Address (cont'd)
City
State
Zip Code
Phone #1
Phone #2
E-mail
Select Geographic Area(s) of Interest:

 

 

Requested Status

For what position are you applying?
Ohio EMS Certification #
Last 4 digits of your Social Security Number
Date of Birth (month/day/year)
State In Which Drivers License Is Issued
Drivers License #
Have you ever applied with this company before?
What is the best time to contact you?
Additional Information or paste resume' here 
 
 
NOTIFICATION & AGREEMENT
Please read before submitting your application.

BY SUBMITTING THIS APPLICATION, I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE, AND COMPLETE. I UNDERSTAND THAT ANY FALSIFICATION, MISREPRESENTATION OR OMISSION ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED.

I AUTHORIZE LIFECARE MEDICAL SERVICES TO CONTACT PAST EMPLOYERS FOR EMPLOYMENT VERIFICATION AND REFERENCES.

THIS APPLICATION WILL BE GIVEN EVERY CONSIDERATION, BUT ITS RECEIPT DOES NOT IMPLY THAT THE APPLICANT WILL BE EMPLOYED.

IT IS OUR COMPANY POLICY THAT ALL EMPLOYEES AND APPLICANTS FOR EMPLOYMENT BE GIVEN EQUAL OPPORTUNITY WITHOUT REGARD TO AGE, RACE, RELIGION, COLOR, SEX, NATIONAL ORIGIN, MARITAL STATUS, EXPUNGED JUVENILE RECORDS, OR PREGNANCY. IN ADDITION, OUR COMPANY GRANTS EQUAL OPPORTUNITIES TO ALL DISABLED VETERANS, VETERANS OF THE VIETNAM ERA, INDIVIDUALS WITH A DISABILITY AND/OR ANY OTHER PROTECTED CHARACTERISTICS AS IDENTIFIED BY FEDERAL, STATE, AND LOCAL LAWS.

I FURTHER UNDERSTAND THAT ANY OFFER OF EMPLOYMENT IS CONDITIONED ON THE COMPLETION OF PRE-EMPLOYMENT TESTING AND DOCUMENTATION. ALL INFORMATION IN THIS APPLICATION WILL BE INVESTIGATED. MY SUBMISSION OF THIS APPLICATION INDICATES MY AGREEMENT TO, UPON REQUEST, SIGN ALL NECESSARY CONSENT FORMS AUTHORIZING SUCH TESTS AND INVESTIGATIONS. I RELEASE FROM ALL LIABILITY ANYONE SUPPLYING SUCH INFORMATION, AND I ALSO RELEASE THE EMPLOYER FROM ALL LIABILITY THAT MIGHT RESULT FROM MAKING AN INVESTIGATION.  BY SUBMITTING THIS APPLICATION I AUTHORIZE LIFECARE MEDICAL SERVICES, INC, AND OR IT'S AUTHORIZED AGENTS, TO USE INFORMATION CONTAINED IN THIS APPLICATION FOR EMPLOYMENT PURPOSES ONLY INCLUDING MOTOR VEHICLE RECORD CHECKS, DRUG/ALCOHOL TESTS, AND CRIMINAL BACKGROUND INVESTIGATIONS.

BY SUBMITTING THIS APPLICATION I AGREE TO SUBMIT TO A MOTOR VEHICLE RECORD CHECK, PRE-EMPLOYMENT DRUG/ ALCOHOL SCREEN, AND CRIMINAL RECORD CHECK THROUGH OHIO BCI&I AND OR FBI.

IF HIRED, I AGREE TO ABIDE BY ALL THE COMPANY RULES AND REGULATIONS, AND UNDERSTAND THAT, IF EMPLOYED, I AM EMPLOYED AT WILL AND THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT THE OPTION OF THE COMPANY OR ME. I FURTHER UNDERSTAND THAT NO REPRESENTATION, WHETHER ORAL OR WRITTEN BY ANY AGENT OF THE COMPANY, AT ANY TIME, CAN CONSTITUTE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT THE COMPANY AND ALL PLAN ADMINISTRATORS SHALL HAVE THE MAXIMUM DISCRETION PERMITTED BY LAW TO ADMINISTER, INTERPRET, MODIFY, DISCONTINUE, ENHANCE, OR OTHERWISE CHANGE ALL POLICIES, PROCEDURES BENEFITS, OR OTHER TERMS OR CONDITIONS OF EMPLOYMENT.

BY INSERTING YOUR INITIALS AS AN ELECTRONIC SIGNATURE, AND USING THE SUBMIT BUTTON BELOW, I AM SUBMITTING MY APPLICATION FOR EMPLOYMENT TO LIFECARE MEDICAL SERVICES; AND I AM ACKNOWLEDGING THAT I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS, AND AGREE TO ALL ITEMS OUTLINED ABOVE.

  APPLICANT'S INITIALS (AS ELECTRONIC SIGNATURE)

Only hit "Submit Form" one time

 


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Copyright 2008 - LifeCare Medical Services.  All rights reserved.
Revised: July 11, 2013