AEMT online application

AEMT online application

Personal Information

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Do you currently have a valid driver's license?
Have you ever been convicted of a felony?
Have you ever obtained a state licensure in this state or any other that was revoked for disciplinary reasons?
Do you currently work for a government agency in Sumner County (or any surrounding counties) such as a Fire or Police/Sheriff's Departments?
Have you previously gone to EMT, AEMT, or Paramedic school?

Educational Background

High School or GED?

Work Experience

Interests

Are you thinking about or pursuing employment at Sumner County EMS?
I verify that all information is, to the best of my knowledge, accurate. I also acknowledge that a criminal record check will be required in the future before performing patient care in the hospital setting.