Life Flight Network - Portland Oregon helicopter and fixed wing medical transport service

Online Job Application


Thank you for applying to Life Flight Network via the online employment application

Position(s) Applying For *:   Position Location *:

Personal:

Name *: SSN # *:
Mailing Address *:
City *: State *:
Zip Code *: Phone *: Email *:

Education:

Institution #1: Institution #2: Institution #3:
High School Diploma:
Additional Education:
NOTE: Please list Accomplishment/Major, Date earned or expected, School Attended

License:

License #1: License #2: License #3:
NOTE: Please list Type of license/certif./other, Number, Expiration/renewal date

Employment History:

Employer #1
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
May we contact this employer?
Employer #2
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
May we contact this employer?
Employer #3
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
May we contact this employer?
Employer #4
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
May we contact this employer?
Employer #5
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
May we contact this employer?

Additional Information:

Can you perform the essential functions related to the job you are applying for with or without reasonable accommodation?:
Have you ever been convicted of a crime?:
NOTE: "Conviction" means you were found guilty by a judge, a jury, by pleading "no contest" or "nolo contendere", or by pleading guilty in court or by paying a fine without appearing in court. A conviction may have taken place even if you did not pay a fine or spend any time in jail or prison.

A "crime" includes felonies and misdemeanors (including but not limited to DUI, MIP, theft, battery, fraud, etc). Traffic citations such as speeding or parking fines are not included as "crimes" for purposes of this request. Please note that driving under the influence of alcohol or other drugs ("DUI") are considered "crimes" for purposes of this request.

Do not include convictions for which you were later pardoned or juvenile records that have been sealed by court order.

A conviction will not automatically disqualify you from employment. Life Flight Network will consider factors such as date, seriousness, nature of the offense and positions for which you have applied. If you do NOT disclose a conviction which is later discovered, any offer of employment that is made may be rescinded or your employment, if hired, may be immediately terminated.

References:

Reference #1
Name: Employer: Title:
Contact Information: Work Relationship : Comments:
May we contact this reference?
Reference #2
Name: Employer: Title:
Contact Information: Work Relationship : Comments:
May we contact this reference?

Please read the following:

1. I understand that, if employed, I may be required to work at locations other than my current assignment as the needs of the organization require, and that my employment is subject to complying with the rules, regulations, and conditions established by management.

2. I understand that a physical assessment or examination, including drug screening and evidence of required immunity may be required after an offer of employment and I give my consent for this requirement. I further understand that if I am employed I will be subject to drug and alcohol testing if there is a reasonable suspicion that I am using drugs or alcohol or that I am under the influence of drugs or alcohol. I hereby consent to such testing.

3. I understand and agree that if I am offered and accept the position, unless otherwise agreed, all employment with Life Flight Network, LLC is "at will" meaning that both the employee and the employer reserve the right to terminate the employment relationship at any time, for any reason, with or without prior notice. I also agree to conform to all existing and future policies, rules and regulations of Life Flight Network and understand that Life Flight Network, LLC and its operating units reserve the right to change wages, hours and working conditions as deemed necessary.

4. As part of the evaluation process, a consumer report, including a criminal history background check, may be obtained from one or more consumer reporting agencies. I give Life Flight Network, LLC permission to obtain information regarding my previous work experience and to investigate all information provided during the application process. I release from liability or responsibility Life Flight Network, LLC and all persons, companies, or corporations providing information to Life Flight Network, LLC about me.

5. By submitting this application, I hereby acknowledge that I have read and understand the above statements. I certify that all answers to questions in this application and all additional information I may have submitted are true and complete to the best of my knowledge. I understand that giving false information, misrepresenting facts, and material omissions may be grounds for denial of employment or discharge if hired.
I have read the above disclosures and filled the employment form out accurately to the best of my knowledge: