Stafford Township Emergency Medical Services
Preliminary Online Application
  • xx/xx/xxxx
  • - -
  • / /
  • Employment

  • If not employed, please enter "NOT EMPLOYED"
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  • EMS Experience

    (previous experience is not necessary)
  • - -
  • Example: xx/xxxx
  • Example: xx/xxxx
  • I hereby attest that all of the above information is true to the best of my knowledge
    and agree to any personal screening of my background and driving record through
    local, state, and federal authorities. I authorize the Stafford Township Emergency
    Medical Services to complete this background investigation. I agree that if any of the
    above information is found to be false, my application will be terminated immediately
    with no chance to reapply. I understand that Stafford Township Emergency Medical
    Services has the authority to investigate and accept or reject any or all statements
    presented above.