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!

Indicates Required Field

Todays Date/Time:		04/19/2026 1746
Name:
Are you 18 or Older:		No Yes
Best Contact Number:
E-mail Address:
Are you a US Citizen or Legally Documented Alien:		No Yes
Why would you like to join Mastic Ambulance:
Were you a past member of Mastic Ambulance:		No Yes
What is your goal:		Driver only EMT Paramedic
Current Certifications:		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