NAEMT Committee Interest Form

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

Advocacy
Asian Education
Candidacy and Elections
Education
EMS Disaster Preparedness
EMS Economics
EMS Workforce
European Regional Education
Finance
Latin American Regional Education
Membership
Mideast Education
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):

Attach additional supporting documents (optional):

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NAEMT Committees

NAEMT Committees

NAEMT Committee Interest Form

Tell us about yourself: