Sentinel EMS

Personnel application

Submitting this form does not create a portal account. Access is available only after Sentinel EMS sends you an invitation.

Contact information

First nameMiddle nameLast nameEmailPhone

Address

Street addressApartment or unitCityStateZIP code

Qualifications and interest

Position or role requestedMedical levelWildland qualificationAuthorized to work in the United States?Will you require visa sponsorship?

Experience summaryAnything else we should know?

Emergency contact

NamePhoneRelationship

Identity and background check

Your Social Security number is encrypted.

Social Security numberNine digits. Hyphens are optional.Driver's licensePDF, JPG, PNG, or WebP; maximum 10 MB.

I authorize Sentinel EMS and its authorized screening provider to obtain a background check for employment or deployment consideration. I understand that additional legally required disclosures and authorization may be provided before a consumer report is obtained.

I certify that the information submitted is accurate.Return to personnel sign in