Employment Application

Start with your present or most recent job, include volunteer activities and job-related military assignments. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.

List 3 individuals who are not related to you and can attest to your professional character.

I certify that the information on this application and in its supporting documents is accurate and complete. I understand and agree that failure to complete the form, or misrepresentation or omission of facts, is grounds for elimination from consideration for employment; or termination from employment. I authorize Finger Lakes Ambulance EMS, Inc. to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make a full response to any inquiries in connection to this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for use of illegal substances upon conditional offer of employment. Note: EMS agencies in NYS are required by law (Executive Law, Section 837-s) to check applicants (who may be involved in the care or transportation of patients) personal identifying information against the Sex Offender Registry and make a determination of eligibility to become a member/employee pursuant to Correction Law Article 23-A. I understand that this document is not an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that the staff employees of Finger Lakes Ambulance EMS, Inc. serve at will and the employment relationship may be terminated at any time by either party, for any reason (except for reasons prohibited by law). If employed, I will be required to furnish proof of eligibility to work in the United States, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I will be paid for hours worked only, and will be ineligible for benefits; including paid time off. If employed on a regular, benefits-eligible basis, I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand the first 180 days of employment represent an initial introductory period, during which I would not be eligible to apply for transfer or promotion.

Finger Lakes Ambulance is an equal opportunity /affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, or veteran status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, termination, transfers, leaves of absence, compensation, and training. Notice: Finger Lakes Ambulance, as an equal opportunity/affirmative action employer, complies with government regulations record keeping, reporting, and other legal requirements. We are providing you an opportunity to Self-Identify. Your cooperation is voluntary, and inclusion or exclusion of any data will not affect any employment decisions.