Wildland Contractor Application - Emergency Medical Services University, LLC

EMSU Wildland Operator Application

If you are interested in contracting with EMSU and to become a Wildland Operator, fill out the following application and someone will contact you to discuss your options.

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Personal Information

If you are interested in contracting with EMSU to deploy for Wildland Operations, fill out the following form below with your information and a member of our team will contact you to discuss your options.

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Full Name

Phone

Date of Birth

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How Did you Hear About This Program?

Employment and Education

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Current Organization

Employment Start Date

Degree/Diploma

Professional Certifications

Job Title

Reason for Leaving (If Applicable)

School Name

Relevant Training or Courses

Job Responsibilities and Achievements

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Attach Resume/CV

Click or drag a file to this area to upload.

Attach Cover Letter

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References

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Reference 1 Name

Reference 2 Name

Relationship

Contact Information

Have you ever been convicted of a felony?

Date of Application

EMS University

EMSU Wildland Operator Application

Personal Information

Employment and Education

References

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