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. You may not receive a response if you do not meet the minimum requirements **
Email *
What is your first and last name? *
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
Are you over 18 years old? *
What is the best number and time to contact you? *
What is your availability? *
Please list any certifications you may have and expiration dates
Why are you interested in HVRS? *
Have you ever been associated with a volunteer agency, and if so, which one?
How did you hear about us? *
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