GRVAC New Member Application

Thank you for wanting to give some of your time and talents to help others. Please fill out the application form and the driving record investigation authorization and return it to a member of the recruitment committee. You may also email us at recruitment@grvac.org

Recruitment Committee

Name
Cell Phone #
Sue Hofmann
201-741-3565
Sal Danna
201-759-4537

Jeff Mullis

201-421-7975

To page a member from a touchtone phone: dial the pager number then you will hear a beep enter your callback number then press pound.  You will hear a series of  beeps when it stops beeping you can hang up.

To page a member by computer: Go to www.archwireless.com and click send a page then enter the pager number and press continue. Enter your message and click send.  Be sure to include a callback number where we can reach you.

Why Join The Corps? click to find out

An EMS Prayer

I'll Show You a Volunteer

Application Form
Drivers Record Investigation Authorization

You will then be contacted to fill out the appropriate sections of the medical form and contact our Corps Physician to schedule your physical. GRVAC will reimburse the Corps Physician for your application related physical.

Corps Physician, Dr. Carl Renner 201-288-6781

You will need Adobe Acrobat Reader to open the forms.


 

                                Fill out this form with any questions and  it will go                                 directly to the Recruitment Committee.

  Name:
  Email:

 

Questions and/or Comments:
 
 
 
 
 

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Site Last Updated on Tuesday, January 31, 2006 11:29 PM