Roane County Emergency Medical Services

3070 Roane State highway

Harriman, TN

37748

Phone: 865-882-6039

Fax: 865-882-3004

www.roanecountytn.gov/ambulance-service

Employment Application

Education

Type of School Name of School and Complete Mailing Address No. Years Completed Major or Degree
High School
College Bus.
or Trade School
Professional School
Other
Licenses Type of License Year Licensed License Experation
License
License
License
License

Previous Employment (list up to 3)

1.

2.

3.

Please list 2 references other than relatives and previous employers

Name
Position
Company
Telephone