Employment Application

Fill out the form below to apply for a position at Gold Cross EMS.

    Applicant Information

    Driver License

    State Info Card

    Employment Information

    Full-time or Part Time?

    Are you a citizen of the United Sates?

    If no, are you authorized to work in the U.S.?

    Have you ever worked for this company?

    Have you ever been convicted of a felony?


    Did you graduate?

    Did you graduate?

    Did you graduate?


    * Required fields

    Customer Satisfaction Survey

    Are you a recent customer of our service? We would greatly appreciate you taking a few minutes to complete and return this questionnaire. Your input will assist us to better serve our customers through continuous quality improvement.