Observer Application

Please complete this application in order to ride along and observe Rehoboth Ambulance in action!

Thank you for your interest in a ride along with Rehoboth Ambulance!

Once you submit your application, you will be contacted by a supervisor to schedule the ride along. In order to be conisdered for this program you must possess a CPR card, and submit a copy of it. You must also consent to a CORI check. In addition, you must also download and sign a waiver and HIPPA agreement.

You may also complete the paper application and return it the Ambulance Committee.

Emergency Contact 1
Emergency Contact 2

By submitting this application, I affirm that all information contained within is true and accurate. I also affirm my understanding of the following staffing requirements:

  • You must work a minimum of 24 hours per month to remain active
  • You are expected to submit availability for at least one night per month. You may or may not be schedueld for that night based on overall availability submissions from the rest of the staff
  • You are expected to work your night shifts more often then trying to trade or give them away
  • If you are unable to meet these requirements, but still wish to apply, please discuss your concerns during the interview