FIRST AID USA (“FAUSA”) is an equal opportunity employer and does not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to complete the application and/or interview process should notify a representative of the organization. We consider qualified applicants with criminal histories for employment in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring.

  • Applicant Information

  • Accepted file types: doc, docx.
  • Employment History/Credits:

    Please provide all employment information for your past 3 employers, starting with your most recent position. If you have either submitted or are attaching a resume, you only need to write “See Resume” under “Employer”. Your resume is considered a part of this application.

  • Dates employed:

  • Dates employed:

  • Dates employed:

  • Other Skills and Qualifications

    Summarize any job-related, skills, licenses, certifications, and/or other qualifications.

  • Educational History

    List school name and location, years completed, course of study, and degrees earned:

  • References:

    List 3 references’ names, telephone numbers, and years of association (Do not include any friends and family):

  • I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

    If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, I understand that if I am employed, either I or FAUSA can terminate the relationship at will, with or without cause, with or without prior notice, so long as there is no violation of applicable federal or state law.

    I understand that it is the policy of FAUSA not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that individual's need for a reasonable accommodation as required by the ADA.

    I also understand that if I am employed by FAUSA, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

    I represent and warrant that I have read and fully understand the foregoing, that I have personally completed this application, and that I seek employment under these conditions.