If you would prefer to print, complete and mail in an application, a pdf version of this application may be accessed here.
RELEASE OF INFORMATION
I hereby submit this application for membership to the Emmitsburg Volunteer Ambulance Company Inc. I hereby certify and affirm that all information contained herein is true and accurate to the best of my knowledge.
I hereby grant permission to the Emmitsburg Volunteer Ambulance Company Inc. and/or its duly appointed representatives to conduct a thorough check of my background. I hereby grant permission for the release of any information pertaining to the above investigation to the proper representative of the Emmitsburg Volunteer Ambulance Company Inc. and release all parties from any liability for disclosure of person information.
I understand that any false or misleading information submitted on the application or omission of information requested by this application for the purpose of misleading or falsely representing myself to the organization is grounds for rejection of this application. If any of the information on this application is found to be false once I am accepted for membership, this will be cause for immediate termination. I also understand that I will be required to complete a 6 month probationary period and will be required to compete the training required for my level of membership.
I hereby agree to abide by the By-laws and Standard Operating Procedures of the Emmitsburg Volunteer Company Inc. I understand that my membership with the Emmitsburg Volunteer Ambulance Company Inc. is an employment at will relationship and may be terminated by me or the company at any time, without prior notice.
By typing my full name below and submitting this form, I provide my digital signature and agreement to this release.
Copies of certifications and training may be emailed here or mailed by post to the following address:
Emmitsburg Volunteer Ambulance Company
17701 Creamery Road
Emmitsburg, MD 21727
17701 Creamery Rd. Emmitsburg, MD 21727 • P: 301-447-6626 • F:301-447-3887 • EMAIL
EMMITSBURG VOLUNTEER AMBULANCE COMPANY
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