Lincoln County Ambulance District is accepting applications for part time hires


Lincoln County Ambulance District will be accepting applications from Tuesday June 23, 2020 until Friday July 17, 2020 at 4:00pm.

Written test will be held on Monday July 20, 2020 at 1392 S Third St Troy, MO 63379 starting at 1800.


If chosen to continue in our process interviews will be held Tuesday July 28, 2020.


$15/hr for Paramedic

$13/hr for EMT

Paramedic requirements include current State of Missouri license, BLS, ACLS, NIMS 100, NIMS 200, NIMS 700, NIMS 800. PALS, ITLS or PHTLS is preferred.

EMT requirements include current State of Missouri license, BLS, NIMS 100, NIMS 200, NIMS 700, and NIMS 800 with one year ALS experience preferred. Must obtain paramedic license within two (2) years of hire date.

Lincoln County Ambulance District also requires all applicants to have copies of high school diploma or equivalent, driver’s license, resume, and all other certifications required by the district or related to EMS to be turned in with application. Any incomplete applications or copies not provided by Friday July 17, 2020 at 1600 will result in automatic disqualification of the applicant.


Applications can be picked up at 1392 S Third St Troy, MO 63379 M-F 0900-1600 or online at

Thank you for your interest in Lincoln County Ambulance District


Lincoln County Ambulance District (LCAD) hopes to get the pulse of the community with a county-wide listening tour.  In October, LCAD will gather feedback for EMS-related services with a growing population through PULSE 2020. Chief Administrator Ray Antonacci believes this process is step one of the future for LCAD.

“The message in August was clear,” Antonacci said. “Now, we need your help. Your opinion and vision for the future matter to us.”

Currently, Troy, Winfield, Elsberry, Auburn, and Hawk Point will host PULSE 2020 groups.  A third party, not employed by LCAD, will moderate the groups. Meetings are approximately one hour. Seats for each PULSE 2020 group are limited to 6-12 participants at each location. More groups and areas may be developed depending on community interest.

To sign up as a PULSE 2020 participant, please contact  Meetings will start the last week of October and run through the end of 2019. For more information, call Chief Antonacci at (636)528-8488 ext. 302.


CODE ZERO is a term we use to indicate that there are no ambulances available in Lincoln County.  When the last ambulance is dispatched on a call a tone is sounded so that the on duty Battalion Chief and Chief Administrator are made aware of the Code Zero status.  At this point the Battalion Chief takes a quick inventory of where all of the ambulances are and how close they may be to retuning in service.  If a call comes in during the CODE ZERO time the Battalion Chief will run a call until a mutual aid ambulance from another county can take over care and transport.

At the same time, the Chief Administrator, who is also a Paramedic, will keep an ear to the radio and should another call come in while the Battalion Chief is busy the Chief will run the call while at the same time dispatch will request a mutual aid ambulance most likely from St. Charles County Ambulance District to transport and take over care from either the Battalion Chief or Chief.

At this point you may be asking why the Battalion Chief and Chief do not grab a reserve ambulance to run a call.  If we have a specific run such as to an accident scene, we may choose to do this. However, if the call volume is such that we ran out of ambulances due to individual calls and not a mass casualty it makes more sense to keep two paramedics available rather than put them together on one response.

CODE ZERO status can last anywhere from a few seconds to over an hour.  If the Battalion Chief or Chief feel that all ambulances will be on calls for an extended period of time a move up from St. Charles can also be requested.  A move up is when an ambulance from another county is requested to position themselves in a Lincoln County Base to be closer to the next potential 911 call.

Compare ambulance responses now to ambulance responses with 8 ambulances.

Toggle between page one with 4 ambulance bases and page two with 8 proposed bases.

The first Town Hall Meeting will be in the Silex Auburn Area at Base 5 on Tuesday July 16 at 6:30 pm.  (101 Hwy E, Elsberry MO 63343)

On Sunday July 21 A Town Hall Meeting will be held at Headquarters Troy Base 1 at 2:00pm (1392 S. Third St. Troy MO 63379)

On Monday July 22 a Town Hall Meeting will be held at Winfield/Foley Fire House 1 at 6:30pm.  (The Winfield Base 4 does not have a community room)

On Friday August 2 a Town Hall Meeting will be held at Elsberry Base 3 at 6:30pm (902 New Hope Rd, Elsberry MO 63343)



5-Year CIP final complete

The link takes you to our Capital Improvement Plan.  This is our 5 year plan to improve response times, increase service to our community and SAVE MORE LIVES.  If you have any questions, Contact Chief Administrator Ray Antonacci 636-528-8488 ext 302

The two winners of a $500 Scholarship are Kelsey Sachs and Jordan Hurt.

Kelsey Sachs is a graduate of Troy Buchanan High School.  Kelsey is the daughter of Mark and Karen Sachs.  Kelsey plans on attending McKendree University in the fall and is going to study Nursing.  Good Luck Kelsey Nursing is a tough but rewarding career.  We wish you the best and we hope this Scholarship will buy you a book or two!

Our other Scholarship winner is Jordan Hurt.  Jordan is the daughter of Jim and Janis Hurt.  Jordan graduated from Silex High School.  Jordan plans on attending either Boone County EMS Education or IHM Academy of EMS.  In either case, Jordan will be pursuing an EMT/Paramedic License and Firefighter certifications.  We will be keeping an eye on Jordan.  We love it when our home town kids come back and work in the community they grew up in.  Good Luck Jordan!

Star of Life Scholarship


Professional EMS Association

(Employees of Lincoln County Ambulance District)

1392 S. Third Street

Troy Mo 63379


Scholarship Criteria:

  • Applicant must be currently enrolled as a full time student in a Lincoln County School.
  • Applicant must currently possess senior status as determined by his or her school report card, which must be included with the application.
  • Applicant must possess a minimum of a 2.50 cumulative on recent report card, which must be included with application.
  • Applicant must obtain a written recommendation from a member of the faculty or staff at the school in which he or she is enrolled.



Application Process:

  • All applicants must complete the personal information form.
  • All applicants must include the faculty/staff letter of recommendation.
  • All applicants must complete a one to two page essay, including the following information:
      • List all of the extracurricular actives during high school, both within the school and outside.
      • List of professional goals after graduation from college.
      • Describe your personal mission statement as you  move forward into adult life.
      • A photo/ which could be used on ambulance district social media


Submission of Application:



  • All material must be received by APRIL 19TH, 2019
  • Recipients and their schools will be notified by APRIL 29TH  2019.
  • Questions call 636-262-2180 Lisa
  • Winner will be chosen by a panel of District employees.



Lincoln County Ambulance District will be accepting applications for a Spring 2019

Part-Time Paramedic hiring.

Applications will be accepted from February 5th- February 22nd

* Must be 21 years of age

* Up to date Resume

* Must possess a High School Diploma or GED equivalent

* Must hold a current and valid Missouri EMT Paramedic License

* Must hold a current ACLS or Instructor Card

* Must hold a current and valid Missouri Drivers License

* Must hold a current and valid Healthcare Provider CPR or Instructor Card

* Must submit valid ICS 100, 200, 700, & 800 Certificates * MSHP Background check

Applications can be found at EMS application

Completed applications must be submitted by hand to Lincoln County Ambulance District Headquarters at: 1392 S. 3rd ST. Troy MO, 63379 no later than 16:00 February 22nd with Copies of all listed items above. Incomplete applications will not be considered.

Testing and interviews will be held at District headquarters March 20th and 21st Candidates will only need to attend 1 day of testing. (Limited time slots per day)

Selected candidates chosen for hire will be subject to: Physical agility testing, Drug and alcohol screening.

Hired candidates will need to attend both days of orientation held at District headquarters. April 1st and 2nd from 0900-1500.

Part-Time Paramedic pay is $15/Hr



EMS application