Volunteer Expression of Interest Form

The Lakeside QRU is devoted to helping others and we need caring and compassionate team members to further our mission of service. There are many ways your talents and skills may benefit the Lakeside QRU. Thank you for taking the time to fill out this form and tell us how you would like to contribute to the success of the Lakeside QRU.

Part A. Contact Information
Are you interested in serving in an Emergency Medical Response position?  Yes?
If Yes, complete Part B
Part B. Medical or Healthcare Skills or Interest

 None, but willing to take training to become an EMR or EMT (QRU may assist with education costs!)
 EMR
 EMT
 Paramedic
 Other healthcare position or experience (explain below):
Part C. Other Volunteer Functions and Skills

 Serving as a member of the Board of Directors
 Fund raising
 Computer and Information Technology
 Clerical
 Facility maintenance/construction
 Financial
 Website and/or Graphic Design
 Public Relations and/or Marketing
 Vehicle maintenance/repair
 Other – please list: 
Part D. Level of Commitment

 1-5 hours per month
 6-10 hours per month
11 or more hours per month
Part E.

You are welcome to call us at 406-844-2775 for more information. Thank you for your interest in the Lakeside QRU!

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