Apply Online

  
 
 
You may now apply for all Physicians Transport Service job openings online by submitting your information in the form provided below.  Please note that this is a preliminary job application, and you may be required to provide more information after submission.  You may be contacted by a representative from our Human Resources department for more information.

Physicians Transport Service is an Equal Opportunity Employer (EOE).  Qualified applicants are considered for employment without regard to age, race, color, religion, sex, or national origin. 

   
   
Enter all of the information in the fields provided.  Fields marked with an asterisk (*) are required to continue.
   

Personal Information
First Name: *
Middle Initial:
Last Name: *
Social Security Number * (xxx-xx-xxxx)
E-Mail Address:
Home Address: *
 
 
City: *
State: *
ZIP: *
Home Phone: * (xxx-xxx-xxxx)
Alternate Phone:   (xxx-xxx-xxxx)
How should we contact you? *
What position are you applying for?  (choose one) *
Full-Time, Part-Time, or PRN?
(check all that apply)		 Full-Time     Part-Time     PRN * 
Preferred schedule: *
Availability date:       * 
How did you hear about us?  (choose one) *
Legally authorized to work in the U.S.? Yes     No  *

Certificates & Licenses (enter all that apply if required for position)
Driver's License Number: Number:  State: Expires:  (mm/dd/yy)
*
(If no Driver's License,
enter "No License")		 * *
       
National Registry Number: Number:    Level: Expires:  (mm/dd/yy)
 
   
State Certification Number: Number: Level: Expires:  (mm/dd/yy)
 
  State/Jurisdiction:    
     

Other Certifications (enter all that apply if required for position)
  Certification: Expires:  (mm/dd/yy) Specify Certification
ACLS
BTLS
CCEMTP
CPR-Health Care Provider
CPR-Instructor
EVOC
GEMS
PALS
PHTLS
Other
Other
Other
Other

Employment History (please list all of your employers starting with the most recent)
   
Company 1:  
Name of Company:
Address:
 
City:
State:
ZIP:
Phone Number:   (xxx-xxx-xxxx)
From Date:   (mm/dd/yy)
To Date:   (mm/dd/yy)
Position Held:
Beginning Salary:
Ending Salary:
Duties:
Name of Supervisor:
May we contact? Yes     No
Reason for leaving?
   
Company 2:  
Name of Company:
Address:
 
City:
State:
ZIP:
Phone Number:   (xxx-xxx-xxxx)
From Date:   (mm/dd/yy)
To Date:   (mm/dd/yy)
Position Held:
Beginning Salary:
Ending Salary:
Duties:
Name of Supervisor:
May we contact? Yes     No
Reason for leaving?
   
Company 3:  
Name of Company:
Address:
 
City:
State:
ZIP:
Phone Number:   (xxx-xxx-xxxx)
From Date:   (mm/dd/yy)
To Date:   (mm/dd/yy)
Position Held:
Beginning Salary:
Ending Salary:
Duties:
Name of Supervisor:
May we contact? Yes     No
Reason for leaving?
   
Company 4:  
Name of Company:
Address:
 
City:
State:
ZIP:
Phone Number:   (xxx-xxx-xxxx)
From Date:   (mm/dd/yy)
To Date:   (mm/dd/yy)
Position Held:
Beginning Salary:
Ending Salary:
Duties:
Name of Supervisor:
May we contact? Yes     No
Reason for Leaving?

Education
   
High School Information:  
Name of School Attended: *
City: *
State: *
Did You Graduate? Yes                No   *
Degree Earned:
   
College or Vocational:  
Name of School Attended:
City:
State:
Major:
Did You Graduate? Yes     No
Degree Earned:
   
Name of School Attended:
City:
State:
Major:
Did You Graduate? Yes     No
Degree Earned:
   
Name of School Attended:
City:
State:
Major:
Did You Graduate? Yes     No
Degree Earned:

Disclaimer:
   
BY SUBMITTING THIS APPLICATION, YOU ATTEST THAT ALL INFORMATION CONTAINED HEREIN IS CORRECT AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE.  ANY FALSIFICATION, MISREPRESENTATION, OR OMISSION OF INFORMATION MAY BE CAUSE FOR DENIAL OF OR IMMEDIATE TERMINATION FROM EMPLOYMENT.

ANY EMPLOYMENT OFFER IS CONTINGENT UPON PRE-EMPLOYMENT SCREENING, INCLUDING BUT NOT LIMITED TO, BACKGROUND INVESTIGATION, PRIOR EMPLOYMENT VERIFICATION, DRUG SCREENING, AND CERTIFICATION VERIFICATION.

BY USING THE SUBMIT BUTTON BELOW, I AM LEGALLY SUBMITTING MY APPLICATION TO PHYSICIANS TRANSPORT SERVICE, AND AGREE TO THE TERMS LISTED ABOVE.