Stowe Rescue - Contact Us

STOWERESCUE

please fill out the application below

Full Name:
E-Mail Address:

Date of Birth:

Your Home Address

Home Phone Number:

Work Phone Number:

Do you have a valid drivers license?
License Number:
License Expiration Date:

Do you have any prior EMS experience?
If yes, please list it here. Include certification numbers and expiration dates where applicable.

Are You Willing to obtain additional training?

Please list any other service affiliations you may have (fire, rotary, scouts ect).

Why are you interested in Stowe Rescue?

What are you interested in doing?

Do you have any medical conditions or limitations that may effect your ability to perform ambulance work ?

If yes, please describe:

Have you ever been convicted of a felony?

Have you been convicted of a DUI in the past 5 years?

What is your availability?

- Sunday -
Day Night

- Monday -
Day Night

- Tuesday -
Day Night

- Wednesday -
Day Night

- Thursday -
Day Night

- Friday -
Day Night

- Saturday -
Day Night

If you have lived in Stowe less than 6 months please provide your previous address (and landlord if applicable).

Please ask 3 references (2 personal, not family, and one professional) to send letters of reference to:
Stowe Rescue
PO Box 291
Stowe, VT 05672

Any other comments or information you would like us to have:

By clicking SUBMIT, I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld no information that, if disclosed, would affect this application unfavorably. I understand that if the Stowe Rescue Squad approves my application, any false statements would be sufficient cause for immediate dismissal.

Stowe Rescue Squad (SRS) is an equal opportunity employer. As a member of SRS you will be expected to act in a professional and courteous manner. You are required to attend one meeting and one training meeting per month. Monthly meetings are held the first Monday of each month, and training is held the third Monday of each month. You are expected to take one 12-hour shift per week of call.

You are responsible for any equipment or uniforms issued to you. Should you resign (or be dismissed) from SRS; all equipment/uniforms must be returned. Any information obtained regarding patient status, condition, history, etc. is confidential. Divulging this information will lead to immediate dismissal.

stowe rescue squad +1 (802) 253-9060