Thank you for your interest in joining our team here at H.A.L.A.S.!

HALAS Employment App

Download | Fill Out | Scan | Email Us


Please take the appropriate amount of time needed to accurately fill out and provide the information below. Thank you!

The statements made herein are subject to verification to determine your qualifications for employment consideration. Thank you.

Vehicle Operator Information

Emergency Medical Care Information

Emergency Medical Agencies Affiliated With (Present and Past)
Please list all training and certifications including: EMR, EMT, Paramedic, PHRN, CPR, ACLS, PALS, BTLS/ITLS,PHTLS, EVDT, Other

Medical Command Information

(Paramedics Only)
If yes, your Medical Command Physician will be contacted for reference.

Education | Military | Employment History

"Yes" answers will not necessarily disqualify you for employment.

References

References cannot be relatives and must have known you for a minimum for one year.

Health Record

NOTE: This application is void after six (6) months. If you have not been hired/contacted within that period of time and are still interested in being considered for employment status, you must reapply.