Glen Cove EMS Volunteer Membership Application Form.

Submission does not guarantee acceptance into the organization.

Please complete all sections of this application.

  • You must be 18 years of age to be eligible for membership.

  • You must have a valid New York State driver’s license.

  • All information must be accurate. A DMV license check will be performed and all references will be checked.

  • If you are currently a member of another Fire or EMS department or agency, you MUST obtain a letter of reference from the Chief of the Department stating your status within that department.

Your application will be reviewed by the Chair of the Membership committee before your application is placed on the waiting list. All applicants will be contacted within 1 month with a status update.

If you have any question, please email us at: membership@glencoveems.com

If you do not wish to apply online, you may pickup an application at Glen Cove EMS during business hours.

***Failure to properly complete this application in its entirety will result in delay and / or disqualification of your application.***

On behalf of Glen Cove EMS we thank you for your application and look forward to meeting and working with you in the future.