VEMS Training Fund Application

VEMS Training Fund Application

Personal Information
Education Agency Information
Eligibility Criteria

The EMT student/candidate is a member of VEMS and meets P.L.2024, c. 68 (N.J.S.A. 26:2K-57):

Yes, If you have confirmed this with VEMS Leadership No, You are not eligible for the Training Fund Form

Is in good standing per VEMS policy:

Yes, If you have confirmed this with VEMS Leadership No, You are not eligible for the Training Fund

Does NOT receive any monetary compensation for BLS services:

No, I am not paid in any way for BLS Services. Yes, I am paid for BLS Services, You are not eligible for the Training Fund

Is not employed full-time as an EMT by a licensed hospital:

No, I am not employed as an EMT Yes, I am employed as an EMT, You are not eligible for the Training Fund

Fund usage limits (Initial & Refresher caps):

No Yes, If you answer yes to any of these you are not eligible for the Training Fund

Has worked at least one service call per month for the past twelve (12) months (*New members exempt*):

Yes, I have worked at least one 12-hour shift per month for the past 12 months. No, You are not eligible for the Training Fund

VEMS shall seek reimbursement if the candidate ceases to be a volunteer in good standing within 3 years:

Yes, I understand that I must maintain my shift commitment for three years. No, I can't keep my commitment for this period of time. If you answered no you are not eligible for the Training Fund

It is a crime to provide false information on this application (N.J.S.A. 2C:21-4(s)):

Yes, I understand No

I am not the Head or Chief Officer of VEMS:

Correct Incorrect

My agency provides BLS and transports patients to acute care hospitals:

Attestation