Paladin Transport Inc.

At Paladin Transport Inc. you will be a part of a team that looks for prompt, professional, and curious employees who want to be a part of a company that puts the asset of its people above the profit of the owners. The company was set up by, EMS personnel for EMS personnel with the prime goal of setting a standard in medical transport companies that has the technicians informed and part of the management. All employees are screened by their coworkers and rated for their skills, manors, standards, and actions before their probation with the company has ended.

If you wish to become part of this team you only need print out the application provided in this document and mail it to the office, or present yourself for an interview with your application.

Employment Application

Paladin Transport Inc.

Applicant Information

Full Name:

Date:

Last

First

M.I.

Address:

Street Address

Apartment/Unit #

City

State

ZIP Code

Phone:

( )

E-mail Address:

Date Available:

Social Security No.:

Desired Salary:

$

Position Applied for:

Are you a citizen of the United States?

YES

NO

If no, are you authorized to work in the U.S.?

YES

NO

Have you ever worked for another Transport company?

YES

NO

If so, when?

Have you ever been convicted of a felony?

YES

NO

If yes, explain:

Education

High School:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

College:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

Other:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

( )

Address:

Full Name:

Relationship:

Company:

Phone:

( )

Address:

Full Name:

Relationship:

Company:

Phone:

( )

Address:

Previous Employment

Company:

Phone:

( )

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone:

( )

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone:

( )

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:

Date:

List Any Certifications Which You May Have.

Date Obtained

Paladin Home