NAEMT Committee Interest Form

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

Advocacy
Candidacy and Elections
Education
EMS Disaster Preparedness
EMS Economics
EMS Workforce
European Regional Education
Finance
Latin American Regional Education
Membership
Military Relations Council

Tell us about yourself:

First Name: *

Last Name: *

Primary EMS Title: *

Primary EMS Organization: *

City: *

State: *

Country: *

Phone #: *

Email: *

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

Comments:

Attach your Resume or CV in Word or PDF format (required): <span style="color:red;font-weight:bold">*</span>

Attach additional supporting documents (optional):

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NAEMT Committees

NAEMT Committees

NAEMT Committee Interest Form

Tell us about yourself: