To the officers and members of the department of the City of Eagle Grove Department of E.M.S. (EGEMS). I present myself for membership, and if accepted, I will cheerfully subscribe to the bylaws, orders and procedures of your department.

I have read fully and understand the application information package. I understand that volunteering can be a rewarding experience but there are certain obligations I must meet in order to remain in good standing in the department.

1. I agree to attend the monthly business meeting and training sessions;

2. complete EMS training the first year of my membership;

3. to be on call a minimum of 36 hours every month;

4. to assist with the department fundraising efforts;

5. to assist with maintenance and other task assigned.

If I am unable to meet any of the above requirements, I will notify the appropriate officer or committee member immediately to request to be excused. If I fail to contact anyone of my absence, it will be considered unexcused, and grounds for review. If I fail to meet the obligations, I realize that my membership may be suspended or terminated by the Chief.

I promise that while I am performing volunteer duties, I will act responsibly, ethically, and maturely. I understand that at certain times, information I obtain as an EMS provider must be kept confidential, and I promise not to breach confidentiality. I will also proudly wear my uniform in a clean and professional manner. I will do my best to protect and serve my community, and I will support the department to the best of my ability. I will always remember that safety is a priority while performing my duties in this department.

I promise to pay all dues and fees of the department when due. I also promise to return all items issued to me by the EGEMS upon request.

I understand that I am in a probationary, non-voting status during my first six months as a member in the department. The probationary period ends only after an affirmative vote by the general membership of the EGEMS and all requirements have been met, within that 6-month period.

I further promise to notify in writing the Department Officers of the EGEMS if and when I must terminate my membership with the department or if I would like to request a leave period.

By my signature, I understand and agree to carry out the promise made above.

Signature____________________________________ Date____________________