WANNA JOIN US? - QUEENSBURY EMS

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BUILDING USE APPLICATION

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Members
PHOTOS
Contact
BUILDING USE APPLICATION

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YOUR CART

EMPLOYMENT / VOLUNTEER INTEREST

If you would like to join our family, please fill out the Introduction Form below!

* Indicates required field

Name *

First

Last

Date Of Birth *

Email *

Phone Number *

Cell Phone Carrier *

Are you interested in an employment position or do you want to be a volunteer? *

PAID STAFFING VOLUNTEERING- Active Status (being on the ambulance & involved with operations) VOLUNTEERING- Social Status (nonoperational position; involved with committees) JUNIOR MEMBERSHIP (ages 14yrs to 18yrs)

Level Of Care *

NONE CFR EMT AEMT EMT-CC EMT-P

Other Certifications *

NONE CPR PALS PHTLS ACLS AMLS GEMS OTHER

If you selected OTHER, please document here: *

Are you currently with another agency and/or have been involved with any other fire/ems agency? *

YES NO

If answer is YES, please state other agency(s) names and why you left if not involved any longer. *

Start Your Journey!

QEMS has a three step process. Once this Introduction Form has been reviewed & approved, you will move to the next step and will receive a link to complete an official application. Once this has been reviewed & approved, you will move to the final step which is setting up an official interview! Good luck & hope to see you soon!