đźš‘ Start Your EMS Career With Lincoln County Ambulance District

The future of EMS starts at 18.

At Lincoln County Ambulance District, we believe great EMS starts with great people. Whether you are beginning your career in EMS, looking for a place to grow, or ready to take the next step professionally, LCAD offers an opportunity to become part of a team that is committed to our patients, our community, and each other.

We’ve lowered our minimum hiring age from 21 to 18 — opening the door for the next generation of EMS professionals.

If you’re motivated, compassionate, and ready to make a difference, your career can start here.

Why LCAD?

We’re more than an ambulance service. We’re a team of professionals who work together to provide high-quality care to the people of Lincoln County.

At LCAD, you’ll have opportunities to learn, grow, advance your skills, and build a career in EMS.

đź’™ Full-Time Benefits

We believe our employees deserve to be supported both on and off the ambulance.

Starting Full-Time Pay: $73,000

Competitive starting compensation with opportunities to continue growing your career and earning potential.

Fully Paid Medical Insurance

LCAD provides fully paid medical insurance for employees and their families, helping take care of the people who take care of our community.

Career Advancement Opportunities

Interested in expanding your scope and skill set? Full-time employees have opportunities to pursue additional certifications, including:

  • Critical Care Certification — with additional compensation
  • Mobile Integrated Health (MIH) Certification — with additional compensation

Retirement

Employees participate in LAGERS LT-8, with the employee-paid contribution providing an opportunity to build toward your financial future.

$800 Uniform Allowance

Full-time employees receive an $800 uniform allowance to help cover the cost of required uniforms and work attire.

🚨 Who We’re Looking For

We’re looking for people who want to be part of something bigger than themselves.

Whether you’re an experienced provider or just beginning your EMS journey, we value:

Compassion. • Professionalism. • Teamwork. • Accountability. • A commitment to learning.

You don’t have to know everything on day one. You do have to be willing to learn, work hard, and care about the people you serve.

đź“‹ Before You Apply

The minimum age to complete an employment application with Lincoln County Ambulance District is 18 years old.

Applicants should be prepared to provide the required documentation with their application, including applicable licenses, certifications, resume, and completed forms.

Required Application Documents

Depending on your position, you will be asked to provide:

  • Personal resume
  • Completed employment application
  • Missouri EMT-P or EMT-B license
  • Current ACLS certification — Paramedic applicants
  • Current BLS certification
  • Current PALS certification
  • PHTLS certification
  • NIMS 100, 200, 700 & 800 certificates
  • Signed Applicant Guidelines Form
  • Signed Authorization for Release of Information Form
  • Valid phone number and email address

Applications submitted without the required documentation will not be accepted.

🩺 What Happens After You Apply?

Our hiring process is designed to help us get to know you and ensure you’re a good fit for the LCAD team.

Selected applicants will be contacted regarding an oral interview.

Successful candidates must be able to pass required post-employment testing, including:

  • Drug screening
  • Fitness testing
  • Background check
  • Annual competencies

Applicants must also meet and maintain the required licenses and certifications associated with their position.

đź“… 2026 Hiring Information

Applications Accepted

August 11–24, 2026
Monday–Friday
8:00 AM–4:00 PM

Applications and required documents must be submitted in person at:

Lincoln County Ambulance District
1392 S. 3rd Street
Troy, MO 63379

Applications and required documents will not be accepted by email.

Interviews

Selected applicants will be contacted regarding interview times.

Interviews will be held September 25, 2026
at the Lincoln County Ambulance District.

đźš‘ Ready to Start Your Career?

You could be the next member of the LCAD team.

If you’re ready to build your career in EMS, serve your community, and become part of a team that invests in its people, we want to hear from you.

Your career. Your community. Your future.

Join Lincoln County Ambulance District.

2026 Hiring Process Packet

LCAD application

    Lincoln County Ambulance District 

 P.O. Box 157 – 1392 South Third St. 

Troy, MO 63379 

Phone: 636-528-8488  

 Fax: 636-528-6828 

 

  

 

  

Hiring Process Guidelines 

 

  1. The minimum age required to complete an employment application is twenty-one (21) years of age and 1-year minimum experience. 

 

  1. The applicant must submit the following documents at the time the application is submitted: 

 

  1. Personal Resume 
  1. Completed employment application 
  1. Copy of Missouri Dept of Health, Bureau of EMS Paramedic or EMT-B license 
  1. Copy of current ACLS card (paramedic only) 
  1. Copy of current BLS card 
  1. Copy of PALS card (paramedic only) 
  1. Copy of PHTLS card 
  1. Copy of NIMS 100, 200, 700 & 800 certificates 
  1. Signed applicant guidelines form 
  1. Signed authorization for release of information form 
  1. Provide a valid phone number and email for contact 

 Selected applicants will be scheduled for an oral interview on Wednesday, March 25th.  The applicant will be notified of the interview time. 

Notification of offer of employment will be on or around March 26th. This allows the final candidates adequate time to give notice to employers and complete the required HR paperwork and documentation. You will receive an email from HR following the offer of employment with specific instructions for how to complete fitness testing and background checks.  It also contains a list of all documents required for HR.  

 

  1. Orientation of new hires will be on April 15th  & April 16th. All new hires are expected to attend both days of orientation.  

 

 

Applicant Guidelines 

 

I fully understand, as an applicant of the Lincoln County Ambulance District, that I must pass the following post-employment tests:  

 

  1. Drug Test 
  1. Fitness Test 
  1. Background Check 
  1. Annual Competencies  

 

I fully understand that, as an employee of the Lincoln County Ambulance District, I must obtain and maintain the following licenses and/or certifications: 

 

  1. EMT-P License (within 2 years of part-time hire) 
  1. ACLS 
  1. BLS 
  1. PALS 
  1. PHTLS 

 

Failure to comply with any of the above automatically terminates my employment with the Lincoln County Ambulance District.  This form shall remain a permanent record in the employee’s personnel file. 

 

 _____________________________________ _________________ 

Signature Date 

 

______________________________________ __________________ 

Witness Date 

 

 

 

 

 

 

 

 

Applicant Checklist 

 

The following will be required to be considered for employment.  No exceptions.  If you cannot provide the following, your application will not be accepted. 

 

 

  1. Personal Resume 
  1. Completed employment application 
  1. Copy of Missouri EMT-P or EMT-B license 
  1. Copy of current ACLS card (paramedic only) 
  1. Copy of current BLS card 
  1. Copy of PALS card 
  1. Copy of PHTLS card 
  1. Copy of NIMS 100, 200, 700 & 800 certificates 
  1. Signed applicant guidelines form 

 

 

*** Please direct all questions regarding this packet or the application process to [email protected].  To ensure a streamlined hiring process, we ask that you not contact current employees with inquiries.  

 

 APPLICATIONS 

 

Applications will be accepted Monday – Friday from February 18 to March 4, from 08:00 am to 4:00 pm 

Submit to: Lincoln County Ambulance District 

      1392 S. 3rd St.  

      Troy, MO  63379 

**Applications and required documents will not be accepted by email; in-person only 

 

INTERVIEWS 

 

March 25th  – You will be contacted with the time 

 

Held at: Lincoln County Ambulance District 

  1392 S. 3rd St.  

  Troy, MO  63379 

 

 

ORIENTATION 

 

April 15 & 16 – attendance is required both days 

Hiring Process Packet.docx

 EMS APPLICATION

The Lincoln County Ambulance District is undergoing an internal and external search for a Chief of Operations (COO).  The COO will be responsible for overseeing the Battalion Chiefs, base and equipment maintenance, ambulance maintenance, as well as other daily tasks as needed to transfer duties from one shift to the next efficiently.  The COO is a 40-hour/week exempt position.  Salary range is $90,000-$100,000 based on experience and education. The COO will report directly to the Chief Administrator.

Lincoln County Ambulance District (LCAD) is a fast-growing Ambulance District in the East Central Region of Missouri. Lincoln County is a rural/suburban community with a population of 60,000 over 640 square miles.  LCAD currently has 5 bases with a sixth base projected for 2024 and operates seven (7) ALS ambulances on a 48/96 shift rotation.

To apply for the Chief of Operations position send your resume and cover letter along with copies of your Paramedic license, NIMS Certifications, and BLS/ACLS cards to [email protected] with “COO Application” in the subject line.  Applications can also be delivered in person to 1392 S. 3rd St. Troy, MO 63379.  The deadline for submission is April 1, 2024.

See the link for the Chief of Operations Job Description.

102-1 Chief of Operation

Owners rep RFQ

LCAD Admin-Base 1 Bid & Permit Project Manual 2-21-2022

LCAD Admin-Base 1 Addendum No. 1 Document 3-7-2021 (1)

LCAD Admin-Base 1 Addendum_1 Drawings 3-7-2022

LCAD Admin-Base 1 Addendum No. 2 Document 3-10-2021

LCAD Base Station #2 PROJECT MANUAL 4-20-2022

LCAD BASE #2 CIVIL BID SET 04-20-22

LCAD Base 2 Addendum #1 Document & Drawings 5-10-2022

LCAD Base Station 2 Addendum No. 2 Document 5-16-2022

LCAD Base Station #2 DRAWING BID SET 4-20-2022 (1)