If yes, please list affilations below
List employment starting with your most recent position.
The following certifications are not required for the application
Two references are required. Only one may be a personal reference.
Terms & Conditions
If this application is accepted, I hereby agree to comply with all rules and regulations of the Fort Lee Volunteer Ambulance Corps, Inc. Furthermore, I understand that I will be a probationary member for a minimum of 9 months and a maximum of 12 months from the date of my acceptance. During that time period, I agree to rotate my shifts/schedule at the Corps and ride with a variety of Crew Chiefs who will evaluate my skills and complete my Skills Checklist. I understand that failure to be flexible with the scheduling of my shifts may result in extension of my probationary period, failure to obtain status of Regular Member within the Corps, and/or dismissal. Furthermore, I hereby agree to submit to a physical examination by a licensed healthcare provider (MD, DO, NP or PA). Documentation of this examination on the approved FLVAC Medical Evaluation Form is to be submitted prior to the screening interview. In addition, I hereby grant the Fort Lee Police Department permission to perform a criminal history background check and driving history check on me. Finally, I hereby agree that the information provided on this application has been provided by me and is true to the best of my knowledge. I understand that any false information or statements on this application or on the Medical Evaluation Form is sufficient cause for rejection of this application and/or dismissal from the FLVAC.
Thank you for your application! Your application will be reviewed, and you will be contacted with further information within a few weeks. Please note that the entire application process takes approximately one (1) month. We appreciate your time and interest. If you have any questions, please feel free to contact us.