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Mastic Volunteer Ambulance Company Online Interest Form

Contact Us Today!

Are you ready to serve your community and make a difference? Use the form below to apply for membership with the Mastic Volunteer Ambulance Company.

Once you submit your application, a representative from our Membership Committee will reach out to you. In the meantime, we encourage you to explore our website or stop by our station to learn more about what it means to be part of our dedicated team.

We look forward to welcoming you!

Required   Indicates Required Field
Todays Date/Time: 06/18/2025 0459
Name: Required
Are you 18 or Older: Required No
Yes
Best Contact Number: Required
E-mail Address: Required
Are you a US Citizen or Legally Documented Alien: Required No
Yes
Why would you like to join Mastic Ambulance: Required
Were you a past member of Mastic Ambulance: Required No
Yes
What is your goal: Required Driver only
EMT
Paramedic
Current Certifications: Required None
Driver only
First Aid CPR
EMT
EMT-CC
Paramedic
Other

“If you can’t figure out your purpose, figure out your passion.
For passion will lead you right into your purpose.”—T.D. Jakes





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Firehouse Solutions
www.FirehouseSolutions.com
Mastic Volunteer Ambulance Company
PO Box 5
Mastic, New York 11950
Emergency Dial 911
Non-Emergency: (631) 281-4357
E-mail: jking@masticambulance.org
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