Application for Employment

/Application for Employment
Application for Employment2018-02-28T18:22:41+00:00

Click on the link below to view and/or download a pdf file of our application for employment or for volunteering.
We use the same form for both, you just need to indicate on the form which one it is for.

Employment Application - Community Emergency Corps - Ballston Spa, New York 12020

If you have any trouble submitting our interactive PDF application, please click here to visit our help page.

Alternatively, you can also print the application, fill it out by hand and mail it to:
Community Emergency Corps
78 Thompson St.
Ballston Spa, NY 12020

Apply Online

If you prefer to apply online, just fill in the form below and click “Submit”.


Please check which type of application this is. VolunteerCareer

Personal Information:



Eligibility:


Have you applied here before? YESNO
Do you require working papers? YESNO
Are you legally eligible to work in the United States? YESNO
(Proof must be supplied upon offer of employment per insurance requirements)

Employment Record:


May we contact this employer? YESNO

May we contact this employer? YESNO

May we contact this employer? YESNO

Prehospital Transporting Experience (If different than above):


May we contact this employer? YESNO

May we contact this employer? YESNO

Note To Applicant: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE KNOWLEDGE OF THE REQUIREMENTS OF THE POSITION FOR WHICH YOU ARE APPLYING.


Are you capable of performing in a reasonable manner, with or without reasonable accommodations, the activities involved in the position for which you have applied? A review of the activities in such a position has been made available or I have previous knowledge of those requirements.

Please Check One. YesNo

References:





Education:





Have you ever been convicted of a crime (Misdemeanor or Felony) or driving infraction, or in violation of any New York State public health laws? YESNO

(A conviction will not necessarily result in the denial of employment or membership, but will be dependent upon a review of the nature and date of conviction and position applied for.)


CERTIFICATION:


I certify that the answers given herein are true and complete. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews, can be justification for refusal for employment or membership, or termination from employment or membership. I understand, also, that I am required to abide by all rules and regulations of the employer/agency.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment/memberships and any pertinent information that they may have, personal or otherwise, and release all parties, including Community Emergency Corps and any of its agents, from liability for any damages that may result from furnishing the requested information to you. I further understand that criminal and other background checks, as well as confidentiality agreements, may be required as a condition of employment or membership.

By checking this box, I certify that I have read, understand, and agree with all above statements and I am digitally 'signing' this document.