Are you interested in supporting the life-saving work of the Westfield Volunteer Rescue Squad?—apply to our internship today.
This opportunity is open to both high school and college students seeking academic credit or internship experience in a fast-paced, service-oriented environment.
Application Requirements:
- Applicants must be at least 16 years of age
- Applicants must clearly indicate their current grade or academic year and school/institution within their application
Please Note:
- This is a structured internship/volunteer experience designed for individuals seeking ongoing involvement. At this time, we are not accepting applicants seeking short-term or summer-only positions.
We encourage all applicants to submit a thoughtful and complete application. Due to the volume of applications, incomplete or vague submissions may not be considered.
Please click “Next” to continue to the application.
Demographics
First Name
Last Name
Sex
Male
Female
Prefer Not To Disclose
Email
Phone Number
Date of Birth
Age
Social Security #
Height
Weight
NJ Driver's License #
If Applicable, Attach a Copy of NJ Driver's License
Street Address
Town
State
Zip Code
Have You Ever Applied to or Been a Member of an EMS Organization, Paid or Volunteer?
If Yes, Please List the Full Name of the Organization and the Reason You Left the Organization
Other Relevant Certifications
Have You Been Convicted of Any Traffic Violations in the Last Five (5) Years?
If Yes, Please Give the Approximate Year and Type(s) of Violation(s) Below
Have You Ever Been Convicted of a Misdemeanor or a Felony?
If Yes, Please Explain
Do You Have Any Outstanding Charges Pending?
If Yes, Please Explain Any Outstanding Charges Currently Pending
CONSUMER DISCLOSURE AND AUTHORIZATION FORM
Disclosure Regarding Background Investigation
The Westfield Volunteer Rescue Squad, Inc. may request, for lawful employment purposes, background information about you from a consumer reporting agency in connection with your employment or application for employment (including independent contractor assignments, as applicable). This background information may be obtained in the form of consumer reports and/or investigative consumer reports (commonly known as “background reports”). These background reports may be obtained at any time after receipt of your authorization and, if you are hired or engaged by the Company, throughout your employment or your contract period.
HireRight, Inc., or another consumer reporting agency, will prepare or assemble the background reports for the Company. HireRight, Inc. is located and can be contacted by mail at 5151 California, Irvine, CA 92617, and HireRight can be contacted by phone at (800) 400-2761.HireRight, Inc., or another consumer reporting agency, will prepare or assemble the background reports for the Company. HireRight, Inc. is located and can be contacted by mail at 5151 California, Irvine, CA 92617, and HireRight can be contacted by phone at (800) 400-2761.
The types of information that may be obtained include, but are not limited to: social security number verifications; address history; credit reports and history; criminal records and history; public court records; driving records; accident history; worker’s compensation claims; bankruptcy filings; educational history verifications (e.g., dates of attendance, degrees obtained); employment history verifications (e.g., dates of employment, salary information, reasons for termination, etc.); personal and professional references checks; professional licensing and certification checks; drug/alcohol testing results, and drug/alcohol history in violation of law and/or company policy; and other information bearing on your character, general reputation, personal characteristics, mode of living and credit standing.
This information may be obtained from private and public record sources, including, as appropriate: government agencies and courthouses; educational institutions; former employers; personal interviews with sources such as neighbors, friends and associates; and other information sources. If the Company should obtain information bearing on your credit worthiness, credit standing or credit capacity for reasons other than as required by law, then the Company will use such credit information to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being evaluated.
You may request more information about the nature and scope of any investigative consumer reports by contacting the Company. A summary of your rights under the Fair Credit Reporting Act is also being provided to you.
Authorization of Background Investigation
I have carefully read and understand this Disclosure and Authorization form and the attached summary of rights under the Fair Credit Reporting Act. By my signature below, I consent to preparation of background reports by a consumer reporting agency such as HireRight, Inc., and to the release of such background reports to the Company and its designated representatives and agents, for the purpose of assisting the Company in making a determination as to my eligibility for employment (including independent contractor assignments, as applicable), promotion, retention or for other lawful employment purposes. I understand that if the Company hires me or contracts for my services, my consent will apply, and the Company may obtain background reports, throughout my employment or contract period.
I understand that information contained in my employment or contractor application, or otherwise disclosed by me before or during my employment or contract assignment, if any, may be used for the purpose of obtaining and evaluating background reports on me. I also understand that nothing herein shall be construed as an offer of employment or contract for services.
I hereby authorize law enforcement agencies, learning institutions (including public and private schools and universities), information service bureaus, credit bureaus, record/data repositories, courts (federal, state and local), motor vehicle records agencies, my past or present employers, the military, and other individuals and sources to furnish any and all information on me that is requested by the consumer reporting agency.
Professional References
Please provide us with the name, email, and phone number for 1 professional reference. This should not be a family member.
Name of Reference
Relation to Applicant
Contact Information (Email and/or Phone Number for Reference)
Current Academic Institution
Current Grade Level/Year
Please upload a copy of your transcript. We require a minimum GPA of 3.0.
Transcript Upload
Please Use This Area to Share Any Other Relevant/Supporting Information
Please Upload Any Relevant/Supporting Documents
How Did You Hear About the Westfield Volunteer Rescue Squad?
By typing your name and date below, you certify that the information provided in this application is true and complete.
Full Legal Name
Today's Date
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