Apply Today Interested in working with us?Fill out the application to get started. Call Vitalogy Now Vitalogy Job Application Name(Required) First Last Phone(Required)Email(Required) How did you hear about Vitalogy EMS? Web Search Google Social Media Word of Mouth Other What days of the week are you available? MON TUES WED THURS FRI SAT SUN Your Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Date of Application(Required) Month Day Year Employment Positions:What position are you interested in?(Required)EMT, AEMT, PARAMEDIC, or OTHER? If "Other" please specifyWhat hours for shifts are you available to work?Are you available to work overtime? (Yes or No) Yes NO Are you a U.S. Citizen and approved to work in the United State of America? (Yes or No) Yes NO Do you consent to a mandatory controlled substance test? (Yes or No) Yes NO Do you have any conditions in which you require special job accommodations? (Yes or No) Yes NO If YES, please describe accommodations you requireHave you ever been convicted of a criminal offense? (Felony or Misdemeanor)(Required) Yes NO If YES, please describe the nature of the crime(s), when and where convicted, and disposition of the case****Note: no applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)Job Skills/Qualifications:Please list below the skills and qualifications you possess for the position for which you are applying****Note: Vitalogy EMS LLC complies with ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)Education & Training:High School:Please name the school, location (city & state), Year Graduated. If you have not recieved a diploma, have you earned your GED?College/University:Please list the college or university name, Location (city & state), year graduated and degree earnedVocational School:Please list the school name, Location (city & state), year graduated and degree or certificate earned.Emergency Medical Service Certifications:Please list any certifications you've earned or applicable classes taken that apply to the job you're interested in.Military Service:Are you currently a member of the United States Armed Forces? Yes No If YES, under what branch?Are you a veteran or former member of the United States Armed Forces? Yes No If YES, under what brand did you serve?How many years did you serve?What was your military rank when discharged?What military skills do you possess that would be an asset for this position?Previous Employment Information: List your last 3Please list your Employer's Name, Supervisor's Name, Employer Address, Employer Telephone and Dates of Employent. What was your reason for leaving each position?Employer #1(Required)Employer #2(Required)Employer #3Professional References: Please provide 3 personal/professional referencesPlease list your Reference's names, relationship to you, and their contact information.Reference #1(Required)Reference #2(Required)Reference #3Additional Information:Please attach copies of your NREMT certification, Montana State EMS license, and CPR provider card.Please attach files below Drop files here or Select files Accepted file types: jpg, png, pdf, heic, Max. file size: 25 MB. What states have you worked in in the past?Has your EMS license ever been suspended or revoked? If so, when and in what state? Please explain.Do you currently work for any other EMS agency or medical center? If yes, which agency or organization?In the past 5 years have you been convicted of a DUI, or a careless/reckless driving offense? If yes, please explain.At-Will Employment:The relationship between you and the Vitalogy EMS LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Vitalogy EMS LLC. No representative of Vitalogy EMS LLC has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that you reemployment is "at will," and that you acknowledge that no oral or written statements regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.Please attach your resume below Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 25 MB, Max. files: 3. Application Submission Consent(Required) Application Signature AgreementBy clicking 'I Agree', I am signing this document electronically. I agree that my electronic signature below is the legal equivalent of my manual/handwritten signature on this document. I consent to receive legally binding terms and conditions, notices, and disclosures electronicallyPlease digitally sign your full name.(Required)
