Royal Ambulance - Paramedic (Nights)

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Current company

Paramedic Pre-Application Questionnaire

Are you at least 21 years of age?✱
- Yes
- No
Do you have an active Paramedic certification in the State of California?✱
- Yes
- No
If you answered "yes" to the question above, please list your license/certification number:
How many years of Paramedic experience do you have?✱
- 0-1 Years
- 1-3 Years
- 3-5 Years
- 5-7 Years
- 7+ Years
Have you been employed by Royal Ambulance in the past?✱
- Yes
- No
What shifts are you available for? (Select all that apply)✱
- Days
- Swing Shift
- Nights
Do you have a valid CA Driver's License?✱
- Yes
- No
Do you have a CA Ambulance Drivers Certificate?✱
- Yes
- No
Please list the certifications you have below:✱
- AHA CPR Card
- PALS/PEPP Certification
- ACLS
- International Trauma Life Support (ITLS) Certification
- Santa Clara County Badge
- None of the above
Are you able to lift 150-200 lbs with or without a reasonable accomodation?✱
- Yes
- No
What are your salary requirements? (Numbers)✱

COVID Vaccination Requirements

Are you FULLY vaccinated against the COVID-19 Virus?✱
- Yes
- No
If you answered "Yes" to above, please indicate below if you've received the COVID-19 Booster:✱
- I have received the booster (3rd vaccination)
- I have not received the booster
- I am planning to schedule a booster shot
If you are not vaccinated against the Covid-19 Virus, are you willing to receive the vaccination as a condition of your employment at Royal?
- Yes
- No
If the answer to your prior questions was "NO" because you require an accommodation please contact Royal’s Human Resources team via email at HR@royalambulance.com.
- I will contact Royal Ambulance's HR Team for further instruction.

Military Service (If Applicable)

Branch
Currently Active? If not, please fill out dates of service in the following field.
- Yes
- No
Dates of Service: (Month/Year)-(Month/Year)
Rank at Discharge:
Type of Discharge:
If other than honorable, please explain:

Referral Source

How did you hear about us?✱
If you selected "Referred by Royal Team Member" or "Other", please enter information below:

Additional information

U.S. Equal Employment Opportunity information (Completion is voluntary and will not subject you to adverse treatment)

Our company values diversity. To ensure that we comply with reporting requirements and to learn more about how we can increase diversity in our candidate pool, we invite you to voluntarily provide demographic information in a confidential survey at the end of this application. Providing this information is optional. It will not be accessible or used in the hiring process, and has no effect on your opportunity for employment.

Gender

Race

Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (Not Hispanic or Latino)
A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above five races.

Veteran status

Demographic Survey for Royal Ambulance

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

What is your age range?
- 17 or younger
- 18-20
- 21-29
- 30-39
- 40-49
- 50-59
- 60 or older
I identify my ethnicity as
Select all that apply
- White / Caucasian
- Hispanic, Latino, or Spanish origin
- Black or African American
- Asian
- Native Hawaiian or other Pacific Islander
- Indigenous Peoples, First Nations, Native American, or Alaska Native
- Middle Eastern or North African
- Some other race, ethnicity, or origin
Gender Status
Our company does not discriminate on the basis of gender identity or expression. In order to track the effectiveness of our recruiting efforts and ensure we consider the needs of all our employees, please consider the following optional question: What is your gender?
- Female
- Male
- Non-binary/Third Gender
- Prefer to self-describe
- Prefer not to say
Sexual Orientation
Our company does not discriminate on the basis of sexual orientation, gender identity or expression. In order to track the effectiveness of our recruiting efforts and ensure we consider the needs of all our employees, please consider the following optional question: What is your sexual orientation?
- Straight/Heterosexual
- Gay or Lesbian
- Bisexual
- Prefer to self-describe
- Prefer not to say