Job Application

Medics on the Ball is looking forward to having you on our team. Please take a few moments to complete the form below and we will contact you if there are any events in your area.

All Fields Are Required. Please Enter N/A if a field does not apply

Your Name:

License Level:

Your Address:


Alternate Contact Number:

Please Tell Us How You Heard About Medics On The Ball:

If other job site or friend please tell us where/who?

Do you have your own BLS gear?
O2 YesNo
BLS Bag YesNo

Job Experience

Please tell us about your current job.

Start Date: End Date:

Company Name:
City: State:

Position Held:

Job Description:

Reason for leaving:

Supervisor: Phone No.

By typing your name in this box you have confirmed that all of your answers are true and that you accept and agree with all of the terms of this application.

In order to process your application, we require your a copy of your current EMT or Paramedic certification and of your current BLS (CPR/AED for Professional Rescuer or equivalent) certification. Ancillary certifications such as PHTLS, ACLS, NIMS ICS, Firefighter, etc. are not required but encouraged. If you have any trouble uploading please contact us.

There is a 2mb limit on file uploads
Please attach your certifications

Please attach your drivers license