Application Instructions for Appointment or Reappointment to Regional EMS Councils

Appointment/Reappointment Be sure to identify the position that you will be representing on the council. If you are unsure of the specific position title, please contact your regional council office. Please provide a mailing address where you would like to receive EMS and Trauma information. (Section 2) You must have your Local EMS/Trauma Care Council Chair recommend you for the position by signing the application. (Section 3) If you are representing an organization, please have the head of your organization sign the application form. (Section 4) Also, include any letters of recommendation from your organization. Please supply any additional information in Section 5 Please be sure that the entire form has been completed, signed and dated. Mail your completed application to: Debra Ann Galvan Regional Council Appointments Coordinator PO Box 47853 Olympia, WA 98504-7853 Download the printable Membership form in MS-Word format here To save this file, right-click the link above, and select "Save Target As" View The Regional Council Roles and Responsibilities View The EMS Council Membership Structure