Wayne Township Memorial First Aid Squad

Main Menu Home About Us Services Call Statistics Video Photo Album Calendar of Events Links

Join The Squad Join the Squad Membership FAQ

Our Fleet Rescue 976 Rig 56 Rig 57 Rig 58 Rig 61 Rig 62 Boats Chief's Car

Members Only Log On

Join the Wayne Township Memorial
First Aid Squad

Please fill out the form below and a
membership committee member will contact you shortly.

Visit our FAQ Page which has answers some of the basic questions.

First Name:
Last Name:
Address:
City: State: Zip Code:
Country :
Home or Cell Phone Telephone: Age:
E-Mail:
Occupation: Employer/School:
Scheduling Preference: Day Evening Unknown
Gender: Male Female
Have you previously served on a Volunteer First Aid Squad? Yes No
If you do not live, work or go to school in Wayne, please tell us why you would like to be a volunteer for our community.
Experience, skills, Training and Certifications (EMT, CPR, First Aid, NIMS, ICS, etc) Please list type and expiration date:
What is the best time to reach you to arrange an interview?:
If you have a disability and require reasonable accommodations for a disability, please check this box in order for us to make special arrangements.
ALL STATEMENTS OF FACT MADE HEREIN ARE CORRECT TO THE BEST OF MY KNOWLEDGE. IF I AM ACCEPTED AS A MEMBER OF THE WAYNE MEMORIAL FIRST AID SQUAD, I PROMISE TO CONDUCT MYSELF IN ACCORDANCE WITH THE RULES AND PURPOSES OF THE SQUAD AND TO CONDUCT MYSELF IN A PROFESSIONAL MANOR WHEN ENGAGED IN TREATING THE PUBLIC.