Hollidaysburg American Legion Ambulance Service Inc. considers all applicantsfor all positions, in accordance with Title VII of the Civil Rights Act of 1964, as amended, and the American With Disabilities Act of 1990, and the AgeDiscrimination in Employment Act of 1967, as amended, which prohibits discrimination in the recruitment, selection, and hiring of employees. HALAS is anequal opportunity employer.

To apply for a position at HALAS please complete the form below.  You may also download an application and mail to 801 Scotch Valley Road,  Hollidaysburg Pa 16648.

Download Application

Basic Info

*Name (first, middle, last): Position applied for:
Date of application (format 00-00-0000): Desired wage:

Contact Info

*Address:
Email:
*City:
*Phone:
*State:
*Zipcode:
Cell Phone:

Applicant Info

Last Four Digits of Social Security Number: Have you ever applied here before?
Are you currently employed? Have you ever worked for us before?
May we contact your present employer? Are you at least 18 years old?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Do you believe you would be able to perform the essential functions for the job you are applying?
Have you ever been convicted of a Felony?

Driving History

Do you have a PA drivers license? License Expiration Date :
Have you ever had your license, permit, or privileges to operate a motor vehicle denied, suspended, or revoked? Have you had any traffic convictions within the last 5 years? (Other than parking)
If yes, Give details and dates: If yes, please explain:
Have you had any vehicle accidents within the last 5 years? (including at-fault and Not at-fault)

Employment Availability

What shift(s) are you available?
Which would you prefer?
On what date would you be available for work?

Education

High School:
High School Level Completed:
College:
College Level Completed:
Other:
Diploma/Degree:
Course of Study:

Work History

Current or Last Employer:
Dates Employed:
Job Title:
Supervisor(s):

Phone:
Address:
Reason for Leaving:
Previous Employers:
Dates Employed:
Job Title:
Supervisor(s):

Phone:
Address:
Reason for Leaving:

Certification/Licenses

Check all that apply:
Certification License(s):
State:
Expiration Date:
Paramedics/Health Professionals: Are you eligible for medical command?
Have you ever had limitations or restrictions applied
To your Medical Command Status:
If yes, please explain:
Do you have?
List any additional certifications that are job related or might aid in our decision to hire you.

*****Note: Copies of certificates must accompany application with expiration datesvisible. Copy of Valid PA drivers license must be provided with certificates. Applications will be considered VOID if only application is submitted to management, UNLESS a priorarrangement was made.

I certify that the answers given are true and complete to the best of my knowledge. I hereby release the management and/or designee of HALAS Inc. from any and all liabilityregarding inquiries made in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview may result in my immediate discharge from employment. Ialso understand that I am required to abide by all rules, regulations, and Standard Operating Procedures of HALAS Inc.

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