JOIN US | MOVAC

Electronic Application For Employment

Mohawk Valley Ambulance Corps is an equal opportunity employer. This application will not be used for limiting or exclusion of any applicant from consideration for employment on a basis that is prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact the Chief of Operations: chief@movac.org

Please fill out the application in its entirety:

Applicant Information:

Applicant Name

Date of Birth

Home Address

Phone Number

Phone Carrier

E-Mail Address

Employment Information:

Preffered Start Date

Personal Information:

Do you have friends or relatives currently working at MOVAC?

Are you a United States citizen or approved to work in the United States?

Have you ever been convicted of a felony or misdemeanor?

Note: No applicant will be denied employment strictly on the grounds of conviction of a criminal offense. The date of offense, the nature of offense, the relevance of the offense to the position applied for and the surrounding circumstances of the event may however be considered.

Job Skills and Qualifications:

Education and Military Experience:

High School

Name of High School

Location of High School

Year Graduated From High School

Degree Earned in High School

College/University

Name of College

Location of College

Year Graduated From College

Degree Earned in College

Military

What branch of the military did you serve?

What was your military rank upon discharge?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Note: MOVAC complies with the ADA and considers reasonable accommodations that may be necessary for eligible applicants to perform essential functions

Previous Employment:

Job #1 Company Name

Job #1 Job Title

Job #1 Supervisor's Name

Job #1 Address of Company

Job #1 Company Phone Number

Job #1 Start Date

Job #1 End Date

Job #1 Reason for Leaving

Job #2 Company Name

Job #2 Job Title

Job #2 Supervisor's Name

Job #2 Address of Company

Job #2 Company Phone Number

Job #2 Start Date

Job #2 End Date

Job #2 Reason for Leaving

Note: MOVAC may contact your previous employers.

References:
Provide three professional references:

Reference #1 Name

Reference #1 Job Title

Reference #1 Contact Information

Reference #2 Name

Reference #2 Job Title

Reference #2 Contact Information

Reference #3 Name

Reference #3 Job Title

Reference #3 Contact Information

Note: The relationship between you and the Mohawk Valley Ambulance Corps. Is referred to as “employment at will”. This means your employment can be terminated at any time and for any reason, with or without cause, with or without notice, by you or the Mohawk Valley Ambulance Corps.

You should understand that your employment is “at will” and you acknowledge that no oral or written statements or representations regarding your employment can alter your “at will” employment status, except for a written statement signed by you, our Chief of Operations and Company President.

Your Electronic Signature

Date of Application

MOHAWK VALLEY AMBULANCE CORPS