Praisetab

First Name

Last Name

Phone Number

Email

Gender

Do you have any medical training or certifications? (Check all that apply)

CPR/AED Certified

First Aid Certified

EMT/Paramedic

Nurse (LPN, RN, etc.)

Physician/PA

Other

Do you have experience responding to medical emergencies?

Are you comfortable providing basic first aid and emergency care?

Yes

No

Unsure, but willing to learn

Are you willing to serve during church services and events?

Yes

No

Maybe

How often would you be available to serve?

Weekly

Biweekly

Monthly

As needed

Is there anything else we should know about your skills, experience, or availability?