Dial 911
Ask for Life Force Ambulance

Life Force 24 hour
Emergency Dispatch

(724) 589-0661
(724) 588-0661

Greenville and
surrounding areas
(724) 376-2200
Sandy Lake/Stoneboro
and surrounding areas


Employee Login

Online Pre Employment Application

Thank you for your interest in joining the Life Force family. We offer three ways to apply for employment at Life Force of Western PA.

  1. Fill out the online application below.
  2. Stop in and fill out an application at our Greenville, PA station.
  3. Print out an application by clicking here and either mail it to us or drop it off at our Greenville,PA station.

Mail applications to:

Attn: Personnel Department
35 6th Ave.
Greenville, PA 16125


Personal Information
Contact Data
Your application
Primary Certification
Other certifications

Please enter all the certification expiration dates you currently hold below.


Health Care Provider CPR

Basic Trauma Life Support

Advanced Trauma Life Support

Basic Cardiovascular Life Support

Advance Cardiovascular Life Support

Pediatric Emergency Assessment, Recognition and Stabilization

Pediatric Advanced Life Support

Work History
Current or most recent employer
Second most recent employer
Third most recent employer
Grammar School
High School
Trade, business or correspondence school
Reference One
Reference Two
Reference Three

I certify the facts contained in this application are true and complete to the best of my knowledge
and understand that, if employed by Life Force of Western PA, any falsified statements on this application
shall be grounds for dismissal.

I authorize Life Force of Western PA to investigate all statements contained herein and the
references and employers listed above to give Life Force of Western PA any and all information concerning
my previous employment and any pertinent information they may have, personal or otherwise, and release
Life Force of Western PA from any liability for any damage that may result from utilization of such

I also understand and agree that no representative of Life Force of Western PA has any authority to
enter into any agreement for employment for any specified period of time, or to make any agreement
contrary to the foregoing, unless it is in writing and signed by an authorized company representative of
Life Force of Western PA.


I also understand that I may be required to fill out a paper application for my records should I be employed by Life Force of Western PA.

This waiver does not permit the release or use of disability-related or medical information in a
manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.


By entering my full name below I understand that; I am digitally signing this application for employment and acknowledge that I have read and understand the above term.