Employment Application

Please fill out the employment application below. (If you’d prefer to download the form and fill it out, download our employment application here.)

After submission, please call us at 706-291-0043 the next business day for confirmation of your application. Thank you!

Employment Application

Step 1 of 6

Applicant Information
Name*
First Last
Today's Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Date Available
MM slash DD slash YYYY
Desired Salary
(Per year)
Position Applied For
Are you a citizen of the United States
- Yes
- No
If no, are you authorized to work in the U.S.?
- Yes
- No
Have you ever worked for this company?
- Yes
- No
If yes, when?
Have you ever been convicted of a felony?
- Yes
- No
If yes, explain:

Education
High School Name
High School Address
Street Address Address Line 2 City State ZIP Code
Dates Attended

Example: 2000-2004
Did you graduate?
- Yes
- No
Diploma
College Name
College Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates Attended

Example: 2000-2004
Did you graduate?
- Yes
- No
Diploma
Additional Education
Address
Street Address Address Line 2 City State ZIP Code
Dates Attended

Example: 2000-2004
Did you graduate?
- Yes
- No
Degree/Certification

References
Please list three professional references.
Reference #1
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Reference #2
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Reference #3
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code

Previous Employment
Company #1
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
First Last
Job Title
Starting Salary
Ending Salary
Employment Dates

Example May 2010 - August 2014
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company #2
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
First Last
Job Title
Starting Salary
Ending Salary
Employment Dates

Example May 2010 - August 2014
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company #3
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
First Last
Job Title
Starting Salary
Ending Salary
Employment Dates

Example May 2010 - August 2014
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No

Equal Opportunity Disclosure

Amtran EMS provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

In addition to federal law requirements, Amtran complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training.

Amtran expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.

Current Job Openings

Amtran is accepting applications for the following Georgia certified positions in Rome, Cartersville, Dalton, and Villa Rica:

EMT B’s
EMT I’s
EMT A’s
EMT P’s