Civilian Paramedic Application

Norwood Park Fire Protection District Civilian Paramedic Application
Single Role Paramedic General Job Description

As a paramedic for The Norwood Park Fire District, you must be able to keep calm during emergency situations. Your ability to quickly and accurately assess each patient’s medical condition and figure out an appropriate course of treatment is expected. We would love to have you on our team of talented and detail-oriented medical professionals, where you will have plenty of opportunities to develop and exercise your valuable skills as you benefit the lives of others. Job Responsibilities: Administer life support, first-aid treatment, and other forms of prehospital emergency care to people who are injured or sick. Operate equipment such as 12 lead cardiac monitors, glucometers, video laryngoscopes, Lucas devices, and other medical equipment. Assess patients’ injury severity and quickly begin appropriate medical procedures. Drive mobile intensive care unit to predetermined location under the instructions of the emergency medical dispatcher. Assess, record, and discuss patient injuries and condition with the physician, including any treatments provided and reactions to treatments or drugs. Clean and decontaminate ambulance after transporting or treating any patient with infectious disease. Report infectious disease with relevant authorities. Administer drugs as appropriate and necessary via injection, intravenous procedures, or oral administration under the direction of a physician. Communicate and coordinate with dispatchers, fire department personnel, police and other emergency medical team members as needed to ensure that all applicable personnel are prepared to receive the patient and ensure proper treatment. Job Skills &Qualifications Required: High school diploma or equivalent, Valid(IDPH) EMT-P Certification/ALGH system approval, CPR Certification, Valid Illinois Drivers License. Preferred: One or more years of paramedic experience
Full Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
example@example.com
Cell Phone Number*
Driver's License Number
Social Security Number
Applying for Position*
Please select certifications:

National Registry Paramedic CertificationState of Illinois Paramedic CertificationAdvocate Lutheran General Paramedic CertificationCurrent American Heart Association BLS CPR CertificationACLSPALSGEMSPHTLS
LIST ALL FORMER ADDRESSES FOR THE PAST TEN YEARS IN CHRONOLOGICAL ORDER

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education
Select highest grade completed

Education

	Name/City/State	Date(s) Attended	Graduated yes/no
High School
Undergraduate Education
Graduate Education
Trade Schools

What college degree(s) have you attained?
Conviction History

Under Illinois law, job applicants are not obligated to disclose sealed or expunged records of conviction or arrest or expunged juvenile records of conviction or arrest.
Have you ever been convicted of a crime other than minor traffic violations?

If "Yes", explain below:

	Date	Police Agency	Offense	Disposition of case

List all traffic convictions and accidents you have had in the last ten years:

	Location (City-State)	Approximate Date	Violation	Disposition

Have you ever been refused a driver's license?
If "Yes", explain:
Has your driver's license ever been suspended or revoked?
If "Yes", explain:
Employment History

List all jobs you have held for the last yen years. Include periods of unemployment. Put your present or most recent job first. Include military service in proper time sequence along with temporary or part-time jobs.
Present (most recent) employer's name
Supervisor's First Name   Supervisor's Last Name
Street Address   Address Line 2   City   State   Zip
Area Code   Phone Number

Reason for leaving blank
Employed   Date      to   Date
Present (most recent) employer's name
Supervisor's First Name   Supervisor's Last Name
Street Address   Address Line 2   City   State   Zip
Area Code   Phone Number

Reason for leaving blank
Employed   Date      to   Date
Present (most recent) employer's name
Supervisor's First Name   Supervisor's Last Name
Street Address   Address Line 2   City   State   Zip
Area Code   Phone Number

Reason for leaving blank
Employed   Date      to   Date
Have you ever been suspended or terminated, other than from an economic layoff, from any prior employment? If yes, please explain:
Have you ever resigned from any employment position because of misconduct or unsatisfactory performance or while under investigation? If yes, please explain:
References

Please list three adults not related to you and not former employers, who have known you for more than three years. All persons to whom you refer will be asked to appraise your character, ability, experience, personality, and other qualities.
First Name   Last Name
Street Address   Address Line 2   City   State   Zip
Area Code   Phone Number
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First Name   Last Name
Street Address   Address Line 2   City   State   Zip
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First Name   Last Name
Street Address   Address Line 2   City   State   Zip
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I HEREBY CERTIFY THAT I HAVE READ THE ABOVE QUESTIONS AND STATEMENTS, AND I CERTIFY THAT THERE ARE NO MISREPRESENTATIONS, OMISSIONS, OR FALSIFICATIONS IN THIS QUESTIONAIRE, AND THAT ALL MY ANSWERS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT MISREPRESENTATIONS, OMMISSIONS, OR FALSIFICATIONS ON THIS QUESTIONAIRE MAY RESULT IN MY APPLICATION NO LONGER BEING CONSIDERED OR IN TERMINATION OF MY EMPLOYEMENT WITH THE NORWOOD PARK FIRE PROTECTION DISTRICT. I FURTHER UNDERSTAND AND AGREE THAT MY PERSONNEL FIRE MAY BE REVIEWED BY THE CHIEF OR CHIEF'S DESIGNESS.

Dated at city/town Illinois, this day of Type a label 20year .
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Norwood Park Fire Protection District Civilian Paramedic Application

Single Role Paramedic General Job Description

Education

Conviction History

Employment History

References