Becoming a member

We always need certified EMT's, but we also need the assisstance of others such as board members, fundraisers, and general moral support.

If you are interested in being a member of the ambulance corps. please fill out the form below. A command member will contact you shortly.

Name (First and Last):
Cell Phone Number:
Address:
City:
State:
Zip Code:
Birth Day:
Working E-Mail address:
What is your drivers license number? What state if not RI?
Do you have a CPR Card?	Yes
Do you have a CPR Card?	No
Seeking Position As:
Do you have an EMT License?	Yes
	No
	Currently Attending
If you have an EMT license, what is the license number?
When does your EMT Card expire? (If you have one)
Please list an additional certifications you may have (ACLS, PALS, PEPP, ITLS, EMT-I/C, ect)
Have you ever been charged (or convicted) of a felony? (If yes explain in comment box at the end)	Yes
	No
Do you have any experience on an Ambulance/Rescue?
We usually run overnight shifts They can be split up as needed Will this be okay?	Yes
	No
Are you aware that if you are accepted to join our team that this is a volunteer position?	Yes
	No
Anything else you would like to tell us? If you have a felony explain here as well

Background Checks (BCI's)

The town of Scituate requires volunteers to provide the station with a recent BCI form. You can obtain this form from the AG's office in Providence RI. The Cost is $5 - CHECK ONLY (CASH is NOT accepted!). The good news is - all of you that want to be EMT's or are going to test will need this anyway!

Until this is received you will not be able to volunteer