Employment Application

Employee Application

  • You must have current copies of all of your certifications in PDF format and your Missouri Criminal Background Check in order to submit this application. Applicants are considered for all positions without regard race, color, religion, sex, national origin, age, veteran status, disability, or any other factor which is prohibited by Missouri or federal law. The St. Francois County Ambulance District is an equal opportunity employer. This application will remain active for one year from the date it is submitted. If you wish to be considered for employment after that time, you will need to submit a new application.
  • MM slash DD slash YYYY
  • Previous AddressMove In DateMove Out Date 
    Please use the plus icon at the end of the line to enter additional addresses.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
  • Employment Information:
    This includes, but not limited to overnight hours.
    Monday - Friday
    New Year's, Memorial Day, Labor Day, Thanksgiving, Christmas, etc.
    Our normal shifts are 12 hours, however, you may be asked to work 18 consecutive hours.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please visit www.machs.mo.gov to obtain a criminal record check. Print and upload a copy of the document here.
  • Most Recent Employer:
  • Give accurate, complete full time and part time employment history starting with present or most recent employer.
  • Ensure each file type has a unique file name. You cannot upload the same file in multiple fields. The system will reject it.
  • Employer #2
  • Employer #3
  • Employer #4
  • Education Information
  • LocationDates AttendedYears CompletedDegree or DiplomaComments and/or Area of Specialty
  • LocationDates AttendedYears CompletedDegree or DiplomaComments and/or Area of Specialty 
  • LocationDates AttendedYears CompletedDegree or DiplomaComments and/or Area of Specialty
  • LocationDates AttendedYears CompletedDegree or DiplomaComments and/or Area of Specialty 
  • EMS Education Information
  • Date ExpiresLicense/Certification # if Applicable
    Must possess a current Missouri License
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please upload a current copy of your license.
  • Date ExpiresLicense/Certification # if Applicable
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please upload a current copy of your license.
  • Date Expires
    Must possess a current BLS Certification
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please upload a current copy of your certification.
  • Date Expires
    Must possess a current ACLS Certification (Paramedic)
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please upload a current copy of your certification.
  • Date Expires
    Must possess a current PALS Certification (Paramedic)
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please upload a current copy of your certification.
  • Date Expires
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please upload a current copy of your certification.
  • Date Expires
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Please upload a current copy of your certification.
  • Please upload each FEMA NIMS document in its own section accordingly.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    *Required.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    *Required.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    *Required.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    *Required.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
  • References
  • Name (Last. First)AddressPhone NumberE-Mail AddressHow Long Have You Known Them 
    Please use the plus icon at the end of each line to add additional references.
  • Applicant Information Accuracy and Acknowledgment Signature Verification
  • MM slash DD slash YYYY