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AEMT/EMT/PARAMEDIC/QMAP- FT, PT, PRN
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Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

iSection 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the US. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website.

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Applicant Certification and Acknowledgment

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status. The information provided in this Application for Employment is true, correct and complete. If employed, any misstatements or omission of fact on this application may result in my dismissal. I understand that acceptance of any other employment does not create a contractual obligation upon the employer to continue to employ me in the future. I understand that if employed, I would be an at-will employee, so that my employment could be terminated, with or without cause, and with or without notice, at any time, at the option of Naphcare Inc or myself. I understand that any oral or written statements to the contrary are hereby expressly disavowed, and I should not rely on such statements.

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