Welcome to the first step in becoming a career EMT / Paramedic with the Lower Somerset County Ambulance and Rescue Squad. Please complete the below form and someone will contact you shortly.

Indicates Required Field

Contact Information
First Name:
Last Name:
Add Photo:		Add files...
Sex:		Male Female Rather not say
Phone Number:
Address 1:
Address 2:
City, State, Zip:
Email Address:
Current EMT-B/Paramedic Certification:		Yes No
Thank you for visiting us. We look forward to meeting you.