Note: The following draft news release announcing that you have accepted a position at NAME OF AGENCY is optional. Your completion of this form is considered consent for its submission to local newspapers.
For review and consideration:
NAME OF AGENCY announces addition to its life-saving team
(CITY, STATE – DATE) _________________________________, a resident of ___________
(NAME AS YOU WANT IT TO APPEAR) (CITY, STATE)
has accepted a position as a ________________________________________
(RN, PARAMEDIC, EMT, OTHER TITLE)
at NAME OF AGENCY. He/she has held the certification of ____________________________
(RN, PARAMEDIC, EMT, OTHER, N/A)
since __________.
(YEAR)
With more than XXX employees and XX ambulances, NAME OF AGENCY serves (CITIES/AREA) with TYPE OF SERVICES.
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Have you ever served, or are you currently serving as a member of the U.S. armed forces? Please list.
Do you participate or volunteer in any professional or civic organizations? Please list.
Do you have any additional hobbies, interests, etc. that you would like to share about yourself?
Other hometown newspapers you would like this release submitted to:
May NAME OF AGENCY submit a digital picture of you to the paper with submission of the release? YES NO