Employment Interest Form CONFIRE EMPLOYMENT INTEREST FORM Date Current Date Name * Name Name Name Phone * Email * Current San Bernardino County Employee? * Yes No Current San Bernardino County AMR Employee? * Yes No I am interested in the following job opportunities: * Call Taker Dispatcher Emergency Communications Nurse Technology (MIS) Administrative Current Status * Licensed EMT Current EMT Student Current EMR Student Completed an EMT Course (Not Licensed) Paramedic Current Paramedic Student Respiratory Therapist Fire Explorer VST Ambulance Mechanic Dispatcher Critical Care RN Leadership Position Interested in becoming an EMT None Best Time to Contact * Morning Evening Night Other - Please SpecifyOther - Please Specify Captcha SUBMIT FORM If you are human, leave this field blank.
