NAEMT Committee Interest Form

I am interested in serving on the following committee(s): *

Advanced Medical Life Support (AMLS)
Advocacy
Candidacy and Elections
Education
Emergency Pediatric Care (EPC)
EMS Disaster Preparedness
EMS Economics
EMS Workforce
Events
Finance
Membership
Military Relations Committee
Prehospital Trauma (PHT)

First Name: *

Last Name: *

Primary EMS Title: *

Primary EMS Organization: *

City: *

State: *

Country: *

Phone #: *

My NAEMT ID number is: *

Briefly describe your interest in volunteering to serve on this committee(s)? *

Describe your knowledge of and experience in the area(s) covered by the committee(s) in which you are interested in serving: *

Approximately how many hours per month are you able to contribute to the work of the committee(s)? *

Will your employer support your participation in this volunteer position? *

Yes
No

NAEMT Committees

NAEMT Committees

NAEMT Committee Interest Form

Tell us about yourself: