First Name *
Last Name *
Preferred Name
Phone Number *
Email *
Current City *
Are you willing to complete a background check in accordance with local laws and regulations?
Have you worked for AMT before?
Do you have a valid state-issued government ID?
Are you able to travel without interruption for several months?
Are you willing to share a hotel room with a roommate? 
Do you have a valid drivers license and clean driving record? Yes/No
Appointment