Join/Volunteer with Wayne Township Memorial First Aid Squad

Join the Wayne First Aid Squad and become a volunteer EMT! Wayne First Aid Squad is currently seeking individuals to be part of our team and family. You may be sponsored to attend the EMT class which a 240-hour program required for volunteers to ride on an ambulance.

Please fill out the application form below and a membership committee member will contact you shortly. We will provide you all the information and schedules for obtaining CPR and EMT training in the area.

Before filling out the below application, Visit our Frequently Asked Questions Page which has answers some of the basic questions and steps on how to join and what to expect.

Online Membership Application

First Name

Last Name

Phone

Address

City

State

ZipCode

Date of Birth (MM/DD/YYYY)

Occupation

Employer/School

Schedule Preference

Day

Evening

Unknown

Gender

Male

Female

Have you previously served on a Volunteer First Aid Squad?

Yes

If you DO NOT LIVE, work or go to school in Wayne, please tell us why you would like to be a volunteer for our community.

Experience, skills, Training and Certifications (EMT, CPR, First Aid, NIMS, ICS, etc) Please list type and expiration date:

What is the best time to reach you for an initial phone interview?

Americans with Disabilities Act

Wayne First Aid adheres to the Americans with Disabilities Act of 1990. Individuals who qualify and require reasonable accommodations for a disability, please select the correct response for us to make special arrangements. A description of your disability and diagnostic or evaluative materials provided by an appropriate certified or licensed professional which is dated within 3 years of the date of your request for accommodations will be required. Wayne First Aid reserves the right to determine the reasonability of the request and alternative accommodations.

ALL STATEMENTS OF FACT MADE HEREIN ARE CORRECT TO THE BEST OF MY KNOWLEDGE. IF I AM ACCEPTED AS A MEMBER OF THE WAYNE MEMORIAL FIRST AID SQUAD, I PROMISE TO CONDUCT MYSELF IN ACCORDANCE WITH THE RULES AND PURPOSES OF THE SQUAD AND TO CONDUCT MYSELF IN A PROFESSIONAL MANOR WHEN ENGAGED IN TREATING THE PUBLIC.