Thank you for your interest in working at Lifestar! Please complete the application below.

All fields marked with a “*” are required.

Personal Information

Full Name*


Email Address*

How would you prefer to be contacted?*

TextEmailPhone Call

Street Address*

Street Address 2



Zip Code*

How did you hear about Lifestar?*

Are you legally authorized to work in the U.S.?*


(If hired, you will be required to provide proof of work authorization.)

Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic violations?*

(Convictions are not an automatic bar to employment.)


Have you ever applied at Lifestar before?*


If yes, when:

Have you ever worked at Lifestar before?*


If yes, when:

Position Information

Position Applying For:*

Full Time / Part Time:*

Salary Preference*

Location (check all that apply)*

East (West Bend, Slinger, Grafton)West (Columbus, Waupun)AdamsAny

EMS License Level:*

WI License Number:

License Expiration Date:

Please upload a resume showing all work history, education history, and certifications held.*

Files must be in pdf, doc, or docx format

Mac Pages documents must be converted to Word format before uploading

By submitting this form, I agree to the following conditions:

  1. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.
  2. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information about my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.
  3. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified upon offer of employment.)
  4. Regardless of whether or not I become employed by the company, I recognize this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company’s, unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed, written document.