Promotion Interest Request AmbuServe, Inc. Internal Promotion Interest RequestCandidate InformationPlease complete all fields.First NameLast NameAssigned Division AmbuServe Ambulance Shoreline AmbulanceCandidate EmailHire DateEmployee No.Current Position EMT Ambulance Attendant EMT Ambulance Driver Paramedic Ambulance Attendant Paramedic Ambulance Driver CCT-RN CCT-RT EMD-Call-Taker EMD-Dispatcher EMT Field Training Officer EMT Lead Training Officer PM Field Training Officer EMT Lead Training Officer Paramedic Field Training Officer PM Assistant PM Coordinator Assistant Paramedic Coordinator EMS Supervisor – Field EMS Supervisor – Training EMS Supervisor – Scheduling EMS Supervisor – Administrative Dispatch Training Officer Lead Dispatcher Dispatch Supervisor Transportation Coordinator Billing SupervisorPosition of Interest EMT Ambulance Driver Paramedic Ambulance Attendant Paramedic Ambulance Driver CCT-RN CCT-RT EMD-Call-Taker EMD-Dispatcher EMT Field Training Officer EMT Lead Training Officer Paramedic Field Training Officer Assistant Paramedic Coordinator EMS Supervisor – Field EMS Supervisor – Training EMS Supervisor – Scheduling EMS Supervisor – Administrative Dispatch Training Officer Lead Dispatcher Dispatch Supervisor Transportation Coordinator Billing Supervisor Operations Manager Training Manager CCT Program Manager Fleet ManagerCandidate Experience StatementCandidate Statement of Position Relevant StrengthsShift Availability Monday – Available Anytime Monday – Available Mornings Monday – Available Afternoons Monday – Available Nights Monday – Not Available Anytime Tuesday – Available Anytime Tuesday – Available Mornings Tuesday – Available Afternoons Tuesday – Available Nights Tuesday – Not Available Anytime Wednesday – Available Anytime Wednesday – Available Mornings Wednesday – Available Afternoons Wednesday – Available Nights Wednesday – Not Available Anytime Thursday – Available Anytime Thursday – Available Mornings Thursday – Available Afternoons Thursday – Available Nights Thursday – Not Available Anytime Friday – Available Anytime Friday – Available Mornings Friday – Available Afternoons Friday – Available Nights Friday – Not Available Anytime Saturday – Available Anytime Saturday – Available Mornings Saturday – Available Afternoons Saturday – Available Nights Saturday – Not Available Anytime Sunday – Available Anytime Sunday – Available Mornings Sunday – Available Afternoons Sunday – Available Nights Sunday – Not Available AnytimeAdditional commentsUpload Your Resume or Curriculum VitaePlease upload your resume or curriculum vitae in order to submit this form.File Upload: Candidate’s Resume or Curriculum VitaeChoose File Candidate AcknowledgmentBy submission of this Promotion Interest Request form, I do hereby affirm that I acknowledge this submission represents my expressed interest in a position other than the position I currently hold with the company. I understand and agree that the position I have expressed my interest in may or may not be available at this time, withdrawn from being open, or management has elected to select another candidate. I further understand and agree that until a formal offer of a position is made to me in writing by an authorized company representative, I should not assume that I have been selected for any position that I have submitted a Promotion Interest Request form, such as this submission, or any other such submission.Submit Promotion Interest Request
