Join Montgomery EMS

Serve your community as an EMT, Driver or Associate. Complete the form below and our team will follow up within 48 hours.

We'll review your application

You'll receive an email within 48 hours

We'll schedule an interview

Membership Application

This application is for adults only. High schoolers applying to our cadet program should use the cadet application.

First Name

Last name

Phone

Address

Are you currently pursuing higher education? If so, please explain. Please note that we have limited ability to accept college students, especially those who do not reside locally year round.

College/university student response

Are you applying, or will you soon be applying to medical, PA or nursing school or any other graduate program or are you waitlisted any at school? If so, please explain.

Medical school response

For what position are you applying? Check all that apply. If you are unsure about positions, please check our website and fill out a Contact Us form. We will reach out to you.

EMT (patient care provider)

Driver (of the ambulance)

Associate (administrative or operations helper)

What type of shift would you be able to do consistently? We request members take a 5 to 12 hour shift. We try to match shift availability with your preference. Note that training can take several months, during which availability may change.

Weekday Day (7am - 7pm)

Weekday Night (7pm - 7am)

Weekend (Saturday and Sunday)

Do you have any prior relevant training or certification, such as EMT or CPR certification? If so, please explain. Note that this is required as we provide all the training needed.

Have you ever been arrested, convicted of, placed on probation, or imprisoned for any criminal offense? If so, please explain. Note that we conduct background checks.

Yes

References

Please list 4 references that can speak to your suitability to volunteer for our squad. References can include friends, neighbors, colleagues and supervisors but cannot include family members. Please include their name, relationship and phone number.

Personal statement

What is motivating you to join Montgomery EMS?

For those applying to be an EMT:

Becoming an EMT is an intense process involving 200+ hours of EMT class in addition to studying and practicing skills. The class is typically over a 12 week period. How you would incorporate this training within your schedule?

Are there any obstacles that would hinder your ability to become an EMT?

Becoming an EMT also involves riding with a crew as a trainee. Can you commit to run one or two 4+ shifts weekly?

The State of New Jersey by law requires a commitment of three years with responding to at least one call or being on shift at least fifteen hours per month with a NJ volunteer squad, if an individual is using the state's Training Fund to pursue EMT training. If you do not meet that commitment, you will be responsible for reimbursing the State of New Jersey for the cost of the EMT class and continuing education training. Please acknowledge that you understand this commitment.

I acknowledge this commitment.

For those applying to be a driver:

Do you have the time to incorporate training within your schedule?

Becoming an ambulance driver requires:

Approximately 10 hours of supervised driving to local hospitals
A 4-hour CPR class
A 6-hour emergency vehicle operators class
The ability to pass a cone course
One to two 4+ hour shifts weekly with a crew as you drive under supervision to accumulate a requisite number of calls. This can take one month or several months depending on your availability and availability of training slots.

Montgomery EMS requires a two-year commitment in return for investing in your training to be an ambulance driver. Please acknowledge that you understand this commitment.

I acknowledge this commitment.

Final

Is there anything else that you would like us to know as we consider your application? (Optional)

Thank you for taking the time to submit this application. We will get back to you within 48 hours.