Bedford County EMS Online Application

required fields*

To apply online you must read, understand and agree to the terms below.

Bedford County EMS is an equal opportunity employer and does not discriminate on the basis of sex, race, color, religion, national origin, age or veteran status in employment opportunities or benefits. No question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state and federal law.

This application is one part of the process. Other parts of the process include an interview, written examination, drug screen and a physical demonstration of the ability to perform the essential functions of the job. If you need accommodation in order to complete any part of the hiring process, please contact the EMS director.

I give Bedford County EMS the right to investigate all references and to secure additional information about me. I consent to the release of information to Bedford County EMS about my ability and fitness by employers, schools, law enforcement agencies and other individuals and organizations. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

It is understood and agreed upon that any misrepresentations by me in this application will be sufficient cause for cancellation of this application and/or separation from the Department's service if I have been accepted as an employee.

I certify that, to the best of my knowledge, all the information and statements provided by me in and with this application are true, correct, complete and provided in good faith.

Yes, I agree

Contact Information
Full Name: *
First Name and Last Name
Street: *
City: *
State: *
Zip Code: *
Phone: *
Email: *

Volunteer Information
Attendance: *
Are you able to meet the attendance requirements of the position?
Past Employment: *
Have you ever been employed by Bedford County EMS at any time before?
Position of Interest: *
To select more than one use the crtl key.
Date Available   
License and State: *
List any current EMS and Drivers license and issuing State. One line per license.
Education: *
List Education and/or Skills
Cover Letter: *
Copy and paste your cover letter or list other qualifications.
Resume: *
Copy and paste your resume or list Employee History with name and Numbers.
Reference: *
List three (3) references and additional comments