Apply for Paramedic - Washington Area Ambulance District

Do you Have a Valid Missouri Driver's license?

Yes

No

Please enter your current Missouri State drivers license number.

Do you have a current Missouri State E.M.T. Paramedic license?

Yes

No

Please enter you current Missouri State issued E.M.T. Paramedic license number.

Are you currently a Nationally Registered E.M.T. Paramedic?

Yes

No

Please enter your nationally registered license number.

Have you ever been convicted of a felony?

Yes

No

Are you legally entitled to work in the United States?

Yes

No

Have you ever been on the Office of the Inspector General exclusion list for any reason?

Yes

No

Have you ever been accused of fraud or fraudulent activity?

Yes

No

Please Explain:

Paramedic