Applicant Information

Your Name   
Street Address   
City, State, Zip   
Phone Number   
Age   
Gender    Male Female

Email Address   
Include if you wish for us to reach you via email.

Training      
Please include any type of medical training that you may have received, such as CPR, EMT, EVOC.

Which type of Membership do you desire?

    Senior        

Senior Membership is considered the full member with all voting rights and privileges in business meetings.  You must be over 18 years of age to be considered for senior membership.

    Junior

A junior membership are for those between the ages of 15 and 18.  
As a junior member, you will be trained in basic EMT duties during your membership enrollment.

    Auxiliary

An associate member may answer medical calls, providing that the member is EMT certified, and they can drive the ambulance after completing EVOC.  Associates typically assist during non-emergency activities such as fund-raising.

Any questions or comments may be directed here.

Please be advised that we are an All-Volunteer Organization.

All prospective members must live within our service area.

Our Business Meetings, in which we vote on prospective members, are on the first Tuesday of each month, at 7pm.

You are also required to submit a copy of your driving record with your application.
They can be obtained from the Division of Motor Vehicles for a small fee.

All prospective members will also be tested for illegal drugs.