Employment Application

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Thank you for your interest in LifeStar Ambulance Services, Inc. Please fill out the application below and we will contact you with any further questions.

Employment Form

Notice

Our insurance carrier requires all employees to be at least 21 years of age.

Are you 21 years of age or older?

Yes

I am applying for:

Dispatcher

EMT-B

Paramedic

First Name *

Middle Name *

Last Name *

Street Address *

Street Address Line 2

City *

State *

Postal / Zip Code *

Email Address *

Phone Number *

Do you have a valid Illinois drivers license? *

XXXX-XXXX-XXXX

I can work these shifts? *

Yes

I can work overtime? *

Yes

Are you legally eligible for employment in the U.S.A? (*If yes, verification will be required.) *

Yes

Are you seeking a permanent position? *

Yes

Are you able to perform the essential functions of the position with or without accomodations? *

Yes

Which location do you want to apply for? Check all that apply. *

Centralia

Alton

Springfield

Jacksonville

If you are human, leave this field blank.

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