Application for the Global Medic Assist Program

The mission of the Global Medic Assist program is to provide certified ‘medics’ (AEMT or higher certification) to accompany NGO’s and other humanitarian organizations as they provide service to communities world-wide. Some humanitarian efforts are medical in nature, but many are not, and these non-medical expeditions are finding it more important than ever to have medics accompany them on their trips.

If you’re interested in a trip as a ‘medic’…

…Read through the “BEFORE YOU APPLY” section, which you can find in the sidebar menu of this page. When you feel you fully understand the process and the requirements, apply online by completing the form below. Once your application is submitted, you may be invited to an interview for further vetting.

First Name

Middle Initial

Last Name

Address

City

State

Zip

Email Address

Mobile Phone

Emergency Contact Name

Relationship

Emergency Contact Phone

Emergency Contact Address

Certification Level AEMTPARAMEDIC

How long have you been certified?

Can you provide evidence of at least 1,000 hours of patient contact? YesNo

Are you employed in the field? YesNo If yes, where?

Will you be able to take approximately 7-10 days off work to attend? YesNo

Known Allergies:

Name any and all health concerns that may impact your ability to travel to remote locations or to participate in rigorous activity

Why would you be a good fit to go on a humanitarian expedition as the medic?