Work With the Best Please complete the form below to express your interest in working with Palouse Area Care & Transport. Please note that this form is not an application for employment. Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Professional ExperienceWhat is your current job and responsibility?*NREMT or state license*Select OneRegistered NurseParamedicEMT-AEMT-BNone/Not ApplicableWhat role would you most prefer?* Paramedic EMT Driver Other Upload your resumeAccepted file types: pdf, doc, docx.What else would you like to let us know?