NAEMT Committee Interest Form 2

NAEMT Committee Interest Form

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

Advocacy
Advanced Medical Life Support (AMLS)
Asian Education
Candidacy and Elections
Education
Emergency Pediatric Care (EPC)
EMS Disaster Preparedness
EMS Economics
EMS Workforce
European Regional Education
Finance
Latin American Regional Education
Membership
Mideast Education
Military Relations Council
Prehospital Trauma Life Support (PHTLS)

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):

Attach a second supporting document (optional).

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NAEMT 2024 Committee Interest Form Submission

NAEMT 2024 Committee Interest Form Submission

NAEMT Committee Interest Form

Tell us about yourself: