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EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER |
Cetronia Ambulance Corps recognizes that all practices are entitled to equal employment opportunities, and
in its recruitment, training and compensation practices, the best qualified individual, based on organizational
requirements, shall be selected, without regard to race, creed, color, sex, age, or national origin, as well as
mental and physical handicaps that do not interfere with job performance. |
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***Important Note: Cetronia Ambulance Corps is a drug and tobacco free work environment.
As a result, candidates selected for employment may be subject to a drug screen test which includes nicotine.
*** |
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Today's Date: |
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Status request for application: |
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Name (Last, First, Middle): |
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Telephone number: |
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Email Address: |
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Street address: |
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City: |
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State: |
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Zip: |
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Position desired: |
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Who referred you? |
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When can you start? |
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What time is best to be contacted? |
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Have you ever been convicted of a felony? |
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If so explain: |
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a conviction record will not necessarily be a bar to membership or employment. factors such as age and time of
offense, seriousness, and nature of violation and rehabilitation will be taken into account. |
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In case of an emergency notify? |
Name:
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Address:
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Phone:
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Other |
Have you ever worked for any of the above under another name? |
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If so please list employer(s) : |
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Other skills: |
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Other goals: |
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Special Training |
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Course |
Date |
State |
Training Certificate NOS |
1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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