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


Job Information:

Position(s) Applying For *: Position Location *: Desired Wage *:
Position Type *: Available start date *: Previously applied / employed with Life Flight Network before *:

Personal:

Name *:
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:

Please list the names of your present and previous employers in chronological order. Account for all periods of time including any period of unemployment or self-employment. Failure to respond to each inquiry may disqualify you for consideration of employment.
Employer #1
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
Starting Wage: Final Wage: May we contact this employer?
If No, explain why not:
Employer #2
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
Starting Wage: Final Wage: May we contact this employer?
If No, explain why not:
Employer #3
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
Starting Wage: Final Wage: May we contact this employer?
If No, explain why not:
Employer #4
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
Starting Wage: Final Wage: May we contact this employer?
If No, explain why not:
Employer #5
Employer Name: Employer Contact: Employment Dates:
Job Title: Job Duties: Reason for Leaving:
Starting Wage: Final Wage: May we contact this employer?
If No, explain why not:

Additional Information:

Have you ever been convicted of a crime?:
If yes, please provide dates and circumstances:
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 Life Flight Network employment terms, conditions and disclosures before submitting your application

I have read the Life Flight Network employment terms, conditions and disclosures and filled the employment form out accurately to the best of my knowledge *: