500 South Bridge Street
PO Box 953
Manawa, WI 54949
ph: 9205962593
Looking for EMT's or EMT Intermediates
If you are interested in applying, please cut and paste the form below, fill in, and mail to the Manawa Rural Fire and EMS at PO Box 953 Manawa, WI 54949 or email the completed application to the EMS Director at : manawaems@wolfnet.net
APPLICATION FOR EMPLOYMENT
Name:
Address
Phone: Social Security#
Date of Birth Age:
Position Applying For: EMT-IV______EMT______
Please List all Training_________________________________
____________________________________________________
___________________________________________________
Work Experience:
Employer:______________________________________
Address:_______________________________________
Phone Number: ______________Supervisor________________
Date of Employment______________________________
Reason For Leaving_________________________________
Reason For Leaving_________________________________
Work Experience:
Employer:______________________________________
Address:_______________________________________
Phone Number: ______________Supervisor________________
Date of Employment______________________________
Date of Employment______________________________
Reason For Leaving_________________________________
Work Experience:
Employer:______________________________________
Address:_______________________________________
Phone Number: ______________Supervisor________________
Copyright 2013 Manawa Rural Fire and Ambulance. All rights reserved.
500 South Bridge Street
PO Box 953
Manawa, WI 54949
ph: 9205962593