It is the policy of Ride On Time LLC to provide equal employment opportunity to all qualified applicants for employment without regard to race, color, religion, national origin, gender, age, ancestry. sexual orientation, veteran status, marital status. or disability.

Various agencies of the government require employers to invite applicants to identify themselves as indicated below. Completion of this form is voluntary and in no way affects the decision regarding your application for employment.

This form is confidential and will be maintained separately from your application form.

I CERTIFY that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my immediate dismissal if discovered at a later date.

I UNDERSTAND that a consumer report may be obtained for employment purposes (including criminal, education, and employment background checks) as part of the pre-employment investigation and at any time during my employment. I understand that should this application or a criminal record check reveal a conviction, finding or plea of guilt, deferral, no contest or nolo contendre of a crime, further processing of this application or my employment if hired, may be terminated. If I am offered employment. I will, as a condition of employment be required to submit proof of my identity and legal right to work in the U.S.

I UNDERSTAND that I will be required to possess a current and valid driver's license if my job requires me to drive in the course of my work.

I AUTHORIZE the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations from any legal liability in making such statements. I hereby fully waive any rights or claims I have or may have against all current and/or former employers, and their agents, employees, and representatives and damages that may directly or indirectly result from the use, disclosure or release of any information by any person or party, whether such information is favorable or unfavorable to me. I further waive any claim against MedCoast Ambulance and any outside agency utilized by MedCoast Ambulance as a result of any information that is obtained in this investigation.

I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE, AT THE OPTION OT THE COMPANY OR MYSELF.

* By checking this box, you, the applicant for this form, warrant the truthfulness of the information provided in this application. By typing your First and Last Name you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.