Hackensack Volunteer Ambulance Corps, Inc.




Chief Obed Fountoukis Dep. Chief Matthew Dogali Captain John Knapp Lieutenant Gregory Foley Online Email Form Hackensack Volunteer Ambulance Corps, Inc. PO Box 278 Hackensack, NJ 07602 Emergency Dial 9-1-1 Non Emergency Transport: 201-996-4141 Office: 201-646-3987 admin@hackensackvac-org

Membership Application

Have you read the important information on our Membership page? The Corps relies on volunteers, and we are always looking to welcome new members. Outlined here are the steps to become an EMT with Hackensack Volunteer Ambulance Corps, Inc.

1. Become an EMT! If you are already an EMT, you may apply for membership now. If you are not an EMT but would like to be one, we have included information HERE.

2. Submit an application. We have included this online. Please know that we will still need to meet you in person to obtain signature authorization for a full police background check.

3. Interview with the Chief of the Corps. This will be scheduled upon receipt of your application.

4. Submit required documents. We must have your original EMT Certification, CPR Certification and Driver License to photocopy at your interview. Do not bring photocopies!

5. Sign for a background check. This is required to ride.

6. Choose a shift! Welcome to Hackensack Volunteer Ambulance Corps, Inc! Shifts are overnight (each day of the week) and daytime (Saturday and Sunday).

YOU MUST BE A CERTIFIED EMT TO JOIN AS AN EMT MEMBER

Choose One: *

Please choose one option

EMT

Auxiliary Member

First Name: *

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Last Name: *

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Address: *

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City/State/Zip: *

Date Of Birth: *

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Phone: *

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Phone 2:

Email: *

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Are you a US citizen? *

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Emergency contact information

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Are you currently a certified NJ EMT-B or NJ Paramedic? *

Yes	No	Please Choose Yes or No

Why do you wish to join Hackensack Volunteer Ambulance Corps Inc? If applying as an Auxiliary Member, what can you contribute to the Corps? *
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Volunteers Needed! Apply Today. Donations Needed! Credit cards accepted via Paypal.

We are a not-for-profit organization, and all funds acquired by the Corps are used to cover our day-to-day operational expenses, which include vehicle maintenance, medical supplies, uniforms, etc.