VEMS Membership Application
Volunteer Application

Join Vernon Emergency Medical Services

Thank you for your interest in serving the community. Please complete the application below as accurately as possible. Upon completion of the application, please check your email for further information.

Membership Wanted Question, Contact membership@vernonems.com

Before you begin

1
Complete all required fields Required items are marked with an asterisk.
2
Have your details ready Contact information, employment history, and availability will help speed review.
3
Check your email after submission Upon completion of the application, please check your email for further information.
VEMS Membership Application Please review each section before submitting.
Fields marked * are required

Membership Demographics

Applicant category, personal details, and primary contact information.

1
Please choose a membership category.
Full name is required.
Date of birth is required.
Please enter a valid phone number.
Valid email is required.
Street address is required.
City is required.
State (2-letter) is required.
Postal code is required.

Employment Information

Current employment details, if applicable.

2

Military Service

Share prior military service details if applicable.

3

General Questionnaire

Select every statement that applies to you.

4

Availability

Select all days you are typically available to volunteer.

5
Please select at least one available weekday.

Volunteer Commitment Acknowledgment

Please review the commitment expectations before proceeding.

6
By applying, you agree to the commitment of volunteering. Volunteers are required to complete 12 hours of service per week, including a 24-hour rotating weekend shift, as outlined in the agency's Standard Operating Procedures.

Cadets are not required to ride a 12-hour shift on school nights, as VEMS adheres to NJ Child Labor Laws. On non-school nights, cadets may ride a 12-hour shift with a signed parent/guardian permission form, as outlined in the Cadet SOPs.
You must acknowledge the commitment to proceed.

Committee Interest

Select any committees you would be interested in joining.

7

Applicant Verification

Final confirmation, signature, and submission verification.

8
Both a typed signature and a drawn signature are required.
ABC123
Enter the letters and numbers exactly as displayed above.
Verification code incorrect. Please try again.
Ready to submit?

Upon completion of the application, please check your email for further information.