I Want To Be A Volunteer! Full Name (required) Address 1 (required) Address 2 City (required) State (required) AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code (required) Phone (required) Email Address (required) Level of Training EMT/EMR/Paramedic CPR EVOC Please list other relevant medical training: Criminal Record: Found guilty of drunk driving?Found guilty of reckless driving? Please explain: How would you like to volunteer? Become an EMTBecome an EMRBecome a CPR InstructorBecome an EMS Instructor Comments: