Skip to content

Home
Join Our Network
- Exclusive Service Operator
- Provider Partnerships
Join Our Team
Services
About Us
Contact Us
- Locations

Administrative & Office Positions – Apply Online

Administrative & Office Positions – Apply Onlineadmin2024-12-31T11:30:46-05:00

I am applying for

Full-Time Employment

Part-Time Employment

Seasonal Employment

Personal Information

First Name *

Middle Name

Last Name *

Home Address

City *

State *

Zipcode *

Primary Phone Number *

Other Phone Number *

Contact Email *

Are you at least 18 years of age? *

Yes

No

Date Available to Start *

How did you find out about this position? *

Do you have any relatives or friends working here? *

Yes

No

If yes, please list:

Position Information

Position(s) Applying For: *

Location *

Have you ever worked for this organization? *

Yes

No

If yes, date(s)

If yes, prior position(s):

If yes, reason(s) for leaving:

Certification Information

List only current certifications - photocopies required at interview.

CPR & First Aid

Certification Number:

Expiration Date:

Certifying Agency:

CDL

Certification Number:

Expiration Date:

Certifying Agency:

Defensive Driving Course

Certification Number:

Expiration Date:

Certifying Agency:

Other:

Other Certification

Certification Number:

Expiration Date:

Certifying Agency:

Work Requirements

Can you provide proof, if hired, that you are eligible to work in the U.S.? *

Yes

No

Do you have a valid Driver's License? *

Yes

No

Driver's License Class: *

Driver's License Number: *

Issued by what State?

List all moving violations (convictions) and accidents and any suspensions or revocations of your license in the last five years:

Have you ever been convicted, or pled guilty or no contest to a felony or misdemeanor, including a DUI/DWI or similar offense, had any moving violations, or had your license revoked or suspended? *

Yes

No

If yes, explain:

A conviction will not necessarily disqualify you from employment.

Have you ever been excluded or are you currently excluded from participating in any federal health program such as Medicare or Medicaid? *

Yes

No

If yes, explain:

Employment History

I

Employer

Job Title

Supervisor

Start Date

Salary

End Date

Salary

Job Description (including duties and responsibilities)

Employer's Telephone

May we contact?

Yes

No

Reason for leaving

II

Employer

Job Title

Supervisor

Start Date

Salary

End Date

Salary

Job Description (including duties and responsibilities)

Employer's Telephone

May we contact?

Yes

No

Reason for leaving

III

Employer

Job Title

Supervisor

Start Date

Salary

End Date

Salary

Job Description (including duties and responsibilities)

Employer's Telephone

May we contact?

Yes

No

Reason for leaving

Military

Branch of Service

Date Began

Date Ended

Rank & Duties

Date Discharged

Location

Explain any gaps in employment:

Past Employment

Disciplined or terminated for Fraud or a HIPAA Violation? *

Yes

No

Disciplined or terminated for reckless driving? *

Yes

No

Placed on probation or terminated for excessive absenteeism? *

Yes

No

Disciplined or fired for violation of safety rules? *

Yes

No

Disciplined or fired for assault or fighting? *

Yes

No

Disciplined or fired for harassment? *

Yes

No

Disciplined or fired for patient abuse? *

Yes

No

Disciplined or fired for alcohol or drug related activity at work? *

Yes

No

Charged with DUI and/or wreckless driving? *

Yes

No

If you answered yes to any question above, please explain

Answers of Yes for any of the above questions will not necessarily disqualify you from employment.

Education and Training

High School

Name

address

Years completed

Did you graduate?

Yes

No

If not, highest grade completed

Have you received your GED?

Yes

No

College

Name

Address

Years completed

Did you graduate?

Yes

No

If not, highest year completed

Degree

Major

Other College

Name

Address

Years completed

Did you graduate?

Yes

No

If not, highest year completed

Degree

Major

Technical School

Name

Address

Years completed

Did you graduate?

Yes

No

If not, highest year completed

Certificate

Expires

License

Expires

Other School/Training

Name

Address

Years completed

Did you graduate?

Yes

No

If not, highest year completed

Certificate

Expires

License

Expires

NEMT/EMS/Fire Service related training not listed above

EMS/FIRE/Professional affiliations (other than listed under prior employment)

Describe any additional qualifications or information, personal or professional, that you feel would be beneficial for us to know when considering your application

PLEASE CAREFULLY READ THE FOLLOWING BEFORE SIGNING *

I hereby affirm that the information provided on this application is true and complete to the best of my knowledge and agree that falsified information or significant omissions may disqualify me from further consideration and may be considered for dismissal if discovered later. I authorize my current employer, previous employer and organization named in this application to provide the company with any relevant information that may be required to arrive at an employment decision.

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.

Get In Touch!

1-844-RideR4H
1536 Saw Mill Run Blvd, Pittsburgh, PA 15210
newtrips@rider4h.com

Additional Locations

Philadelphia, PA

Cherry Tree, PA

Allentown, Bethlehem, Easton, PA

Pittsburgh

Pittsburgh

1536 Saw Mill Run Blvd,
Pittsburgh, PA 15210
1-844-RideR4H

Philadelphia

Philadelphia

1 International Plaza Dr
Suite 555
Philadelphia, PA 19113
(215) 914-6884

Serves: Philadelphia County and surrounding areas.

Delaware

Delaware

Delaware County
(484) 466-5900

Philadelphia North
(445) 201-2888

Cherry Tree

Cherry Tree, PA

113 Juniper Rd
Cherry Tree, PA 15724
(814) 377-0407

Serves: Indiana, Blair, Cambria Clearfield, with services offered to other surrounding Counties (Huntingdon, Somerset, Jefferson and Centre)

Erie

Erie

Montgomery

Montgomery

839 Pine Heights Road
Reading, PA 19605
(610) 484-4611

Serves: Berks, Lancaster, Montgomery, and Schuylkill Counties

Lancaster

Lancaster

247 Green Lane
Quarryville , PA 17566
(215) 914-6884

Easton

Easton, PA

102 Wynnwood LN E
Easton, PA 18040
(484) 548-2720

Serves: Lehigh County and Northampton County

Reading

Reading

839 Pine Heights Road
Reading, PA 19605

Schuylkill

Schuylkill, PA

839 Pine Heights Road
Reading, PA 19605
(610) 484-4611

Serves: Berks, Lancaster, Montgomery, and Schuylkill Counties

Scranton

Scranton, PA

526 S Maint Street
Wilkes Barre, PA 18701

Serves: Lackawanna County / Luzerne

Harrisburg

Harrisburg

141 N Cameron St
Harrisburg, PA 17101
(717) 918-9395

Serves: York and Dauphin County

York

York, PA

141 N Cameron St
Harrisburg, PA 17101
(717) 918-9395

Serves: York and Dauphin County

Privacy Policy | © 2022- 2025 R4H Medical Transportation | All Rights Reserved