NAEMT Board of Directors: Candidate Submission Form 2026

Section 1: Candidate Qualifications & Policy Acknowledgment
Candidate Qualifications

Please confirm below that you meet all qualifications as defined by the association's bylaws 5.2.1 before proceeding with your candidacy submission.
- For information on your NAEMT membership status and history, email membership@naemt.org
- View the full Candidate Qualifications & Checklist for detailed requirements and definitions
Core Qualifications (all must be checked):
Policy Acknowledgement

Prior to submitting your candidacy, please review NAEMT’s governing policies and professional standards. These include:
- NAEMT Bylaws
- NAEMT Policy and Procedure Manual (including the Conflict of Interest Policy)
- EMS Code of Ethics
- NAEMT Privacy Policy
By proceeding, you acknowledge that you have reviewed these materials and understand that, if elected, you will be required to comply with these policies, including completing a Conflict of Interest disclosure.
Policy Acknowledgment:

Section 2: Candidate Information
Full Name:

First NameLast Name
Credentials:
Please enter credentials as you'd like them displayed on the candidate webpage (pending eligibility). Enter "N/A" if no credentials to include.
Email Address:
example@example.com
Alternate Email Address:
example@example.com
Mobile Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company:
Company Title:
Company Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NAEMT Member Number:
Need your NAEMT ID Number? Email membership@naemt.org.

Section 3: Position Sought
NAEMT’s Board of Directors includes both Officers and Regional Directors.

There are ten (10) NAEMT Regions, and each region is represented by a Director who must reside within that region’s territorial boundaries. To determine your region, please refer to the NAEMT Regions.

For detailed descriptions of each Board position and associated responsibilities, please refer to the NAEMT Policy and Procedure Manual.
Which position are you seeking election for? Note: You may submit candidacy materials for only one position.

Section 4: Required Candidate Materials
As a reminder, detailed descriptions for required materials can be found on the NAEMT elections webpage.
Statement of Candidacy (max 500 words):

Include your goals, reasons for running, key challenges/opportunities, and why you are the best candidate.0/500
Candidate Background Information (max 2,000 words):

Include education, employment history, NAEMT/EMS involvement, and awards. You may upload supporting documentation below.0/2000
Upload your Candidate Background Information Supporting Documentation (optional):

Upload any additional materials to support your background information (e.g., resume, CV, certifications, publications).
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Upload your Letter of Support:

Upload a Letter of Support from an Active NAEMT Member.
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Upload your Employment Verification Letter:

Upload verification from your EMS agency or employer. If self-employed, upload a recommendation from a colleague who is an Active NAEMT Member.
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Upload a Current Professional Photo:

Use a clear, high-resolution photo (minimum 300 dpi). Format: JPG or PNG.
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NAEMT Board of Directors: Candidate Submission Form