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

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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.