safewaymedtrans.com

Call Now: (818) 764-8000

Specializing in Non-emergency Medical Transportation
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Join Our Team

Thank you for taking an interest in joining Safeway Non-Emergency Transportation! We are constantly seeking people interested in making a difference.

Are you looking for a career with us? We invite you to fill-out an application below to be considered as a potential candidate and for a position in being a helping hand for those in need of one.

Full Name (*)

Address (*)

City (*)

State (*)

Zip Code (*)

Email (*)

Phone (*)

Are you willing to work full-time?
YesNo

Are you willing to be scheduled in different shifts?

Do you have a valid Driver's License?
YesNo

How Many Years of Valid Driver License

Driver License Number (*)

Are you fluent in speaking English?
YesNo

What other languages do you speak/write besides English?
ArmenianFarsiRussianSpanishKorean

Are you trained and certified for First Aid/CPR/AED?
YesNo

Have you had previous experience in Emergency or Non-Emergency Medical Transportation? (Please describe in detail)

Are you currently employed?
YesNo

Current Employer Name (*)

Current Employer's Phone Number (*)

How soon can you start?

Attach Resume (*)

Attach a DMV H-6 (*)

Attach a LAB Result (*)

Attach a Screening Result (*)

Please Check the Box

INSURANCE

Medicare
Medicaid
Workers Compensation
Selected Private
Veterans Benefits
HMO

SERVICE AREA

LOS ANGELES
SAN FERNANDO VALLEY
SAN GABRIEL VALLEY
ANTELOPE VALLEY

SERVICE HOURS

Monday7:15 am - 7:00 pm
Tuesday7:15 am - 7:00 pm
Wednesday7:15 am - 7:00 pm
Thursday7:15 am - 7:00 pm
Friday7:15 am - 7:00 pm
Saturday9:00 am - 5:00 pm
SundayClose

Phone & Email

Tel: (818) 764-8000
Fax: (818) 787-1887

info@safewaymedtrans.com
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