Garibay's Medical Transport: Work for Us

Garibay's Medical Transport - Phoenix Metro - Valley Wide (480) 948 4655

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Employment

EMPLOYMENT FORM

Personal Information:
First Name:
Last Name:
Street Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Number in case of emergency:
E-Mail:
Social security number:
Date of birth:
What type of position are you applying for (Check all that apply)?	Full Time Driver: Part Time Driver:
Referred by
Newspaper Ad (Specify paper):
Internet:
Other (Specify):
Legal Record
Have you ever been convicted of a felony?	Yes: No:
Have you ever been convicted of a misdemeanor?	Yes: No:
If Yes to either, please provide details.
By clicking "I agree", you authorize Garibay's Medical Transport, Inc. to complete your background check.	I agree
Driver Details
How long have you held a drivers licence?	0 - 2 years: 2 - 4 years: 4 + years:
Driver's License #:
Have you had any traffic or road violations?	Yes: No:
If yes, please provide details:
Education
Degrees/Certificates:
Special Skills/Courses:
Experience
Please list any training or experience you have driving medical transport vehicles:
What would you like most about driving medical transport vehicles?
References
Please list at least 3 business references with names and phone numbers:
When are you available for an interview?

CERTIFICATION AND RELEASE: I certify that I have read and understand the application form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentation of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize Garibay's Medical Transport, Inc. and/or its agents to verify any information including, but not limited to, motor vehicle driving records, education, employment history, and criminal record history. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. As required by Garibay's Medical Transport, Inc. company policy, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

I Agree

Welcome to Garibay’s Medical transport

Garibay’s Medical Transport has been providing quality Non Emergency Medical Transportation to the greater Phoenix area since 2005. We are proud of our reputation for reliability and the quality of service we provide.

We assist clients from time of pick-up to drop-off to make sure that they get there safely and on time.

Services we provide include:


Ambulatory	Wheelchair	Stretcher	Major Insurances	Oxygen	Companion Caregivers

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