How to Become a Fire Service Based EMS Advocate

Join the Fire Service-Based EMS Advocates by completing the following form and indicating your concurrence with the Advocates’ Statement of Principles:

“Fire Service-Based EMS Systems are strategically positioned to deliver pre-hospital emergency medical services that incorporate time critical response and effective patient care. Fire Service-Based EMS emphasizes responder safety, competent and compassionate workers, and cost effective operations.”

By submitting this form, an organization or individual is requesting membership as an Advocate and indicating their agreement with the Advocates’ Statement of Principles.

The Fire Service-Based EMS Advocates believe that:
“Fire Service-Based EMS Systems are strategically positioned to deliver pre-hospital emergency medical services that incorporate time critical response and effective patient care. Fire Service-Based EMS emphasizes responder safety, competent and compassionate workers, and cost effective operations.”
By submitting this form an organization or individual understands that they are requesting membership as an Advocate and that there is concurrence with the Advocates Statement of Principals.

Please note it is very important that all form fields be filled out completely to ensure accuracy and validity of the agency or individual requesting to become an Advocate. Thanks in advance for your cooperation.

How to Become a Fire Service Based EMS Advocate

Name (Title, First Name, Last Name) *

Organization *

Street / PO Box *

City *

State *

ZIP *

Phone *

Email Address *

Website

Check the Approprate Box *

I am applying as an individual

I am applying as an organization

I am applying as both

Statement of Principles *

I affirm that I/We subscribe to the Statement of Principles

Check The Box!