Employee Upload Portal -

Employee Details Form

Name *

First

Last

Date of Birth

Phone Number

Email *

Your Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please provide 3 professional references:

Emergency Contact Name

Full name

Emergency Contact Phone

Mobile

Please upload your paramedic transcript

Please upload your police clearance

Drivers licence

Driving history check

Evidence of Paramedic Registration

Immunization history

Upload your Resume

Other qualifications

Other documents

US Boot Size

Pants Size (inches)

Shirt Size (S, M, L, XL,, 2XL)

• I declare that all the information supplied in this application (and any attached or presented documents) are true and correct. *

I Declare

• I agree that should any information be found to be false or misleading, my application may not be considered or possible termination of employment if applicable. *

I agree

• I consent to, and will participate in, any applicable suitability tests or checks and for respective results (including but limited to, medical and drug tests, aptitude tests or police checks) to be disclosed to and used by the Company. I acknowledge that the results and associated documentation are confidential to the Company and the person or entity carrying out the tests/checks, and that I will not be able to gain access to them. *

I consent and acknowedge

• I consent to Australian Medical Recruitment to release personal information provided to organisations that Australian Medical Recruitment deem necessary including but not limited to; Educational institutions, persons or organisations for visa processing, potential employers. Australian Medical Recruitment I authorize Australian Medical Recruitment as well as any of its representatives and employees the right to take photographs of both me and any property in connection with the above-identified subject. *

I Consent
I Authorize