EMVO Initial Certification Course Application Form – Bluefield WV Rescue Squad

EMVO Initial Certification Course Application Formbwvrs2025-06-10T15:31:07-04:00

EMVO Initial Certification Course Application

Please fill out the application in its entirety.

Date *

Name *

Address *

Phone Number *

Email *

Are you age 21 or over *

Do you require any disability assistance? (ADA) *

If yes, please explain

Have you ever worked in healthcare? *

If yes, where?

Do you have a valid driver's license *

Have you ever been convicted of a felony? *

If yes, please explain.

Please briefly explain why you are interested in working in EMS. *

Signature *

Bluefield WV Rescue Squad, Inc. serves the citizens of Bluefield and the surrounding area by providing emergency medical services. We utilize the most advanced EMS equipment available and the most highly trained and qualified paramedics and EMTs to serve our community in a professional, timely, and effective manner.

Emergency: Dial 911

Contact Us

1900 Stadium Dr. | PO Box 311
Bluefield, WV 24701
admin@bluefieldrescue.com
304-327-7173

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