Join Our Team

EMS Employment Application

Republic EMS is always looking for dedicated EMTs, Paramedics, and Drivers/Operators committed to delivering exceptional emergency medical care across Texas.

Fields marked with * are required.

Personal Information

First Name

Last Name

Email Address

Phone Number

Street Address

City

State

ZIP

Position

Position Applied For

Availability

Available Start Date

Certifications & Licenses

Certifications (include license numbers and expiration dates)

Work Experience

Years of EMS Experience

Previous Employer

Previous Role/Title

Education

Highest Level of Education

Professional References

Reference 1 — Full Name

Reference 1 — Phone

Reference 2 — Full Name

Reference 2 — Phone

Additional Information

How Did You Hear About Us?

Additional Information (optional)

Legal & Signature

I am legally authorized to work in the United States. I consent to a background check as part of the hiring process.

Electronic Signature — Type your full legal name

By typing your name above you are electronically signing this application and certifying that all information provided is true and accurate to the best of your knowledge.