HVRS volunteer form
Hello! Thank you for your interest in volunteering with us. Please fill out this preliminary form with some basic contact information and someone from our membership committee will contact you regarding further questions and an interview.


Unfortunately, in order to be a member of a rescue squad in Henrico County, you must at the minimum be enrolled in an EMT class. If you are applying and not certified, and not currently in an EMT class, we ask that you please re-apply once you are enrolled in an EMT class **
Email address *
What is your first and last name? *
Your answer
Are you currently a certified EMT/Paramedic? *
If you are not currently certified and in an EMT program please list your instructor's name and contact information
Your answer
Are you over 18 years old? *
What is the best number and time to contact you? *
Your answer
Please list the name and number of your refrence *
Your answer
What is your availability? *
Your answer
Please list any certifications you may have and expiration dates
Your answer
Why are you interested in HVRS? *
Your answer
Have you ever been associated with a volunteer agency, and if so, which one?
Your answer
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