Barbados Association of Emergency Medical Technicians Inc. Membership Application Portal
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The Barbados Association of Emergency Medical Technicians Inc.
Membership Application Form
Choose one
*
New Member
Reinstatement
Membership Type
*
Ordinary Member
Affiliate Member
Name
*
First Name
Last Name
Phone Number (Mobile)
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Where did you obtain your EMS training? (Educational Institution)
Employer
Occupation
Paramedical Council License # / Are you currently registered?
Proof of Registration.
Browse Files
Drag and drop files here
Choose a file
valid proof would a copy of Practising Certificate or Payment Receipt
Cancel
of
Send me BAEMT communication via:
Home Address
Email
Phone
What area(s) are you interested in?
Health and Wellness
Social Club
Fund Raising
EMS in the Community
Birth Month (optional)
Only provide the Month and Date
Would you like to be added to BAEMT WhatsApp Community Space?
Yes
No
Statement why Applicant should be admitted as an Affiliate Member:
Application Status:
Please Select
Approved
Denied
Pending
Membership Number :
Date of Approval :
-
Day
-
Month
Year
Date
Submit
Should be Empty: