Emergency Medical Services Program

EMS Advisory Board

Application

The OHA Emergency Medical Services Program is recruiting members for the new EMS Advisory Board (EMSAB) as described in the EMS Modernization Bill (HB 4081) passed during the 2024 legislative session.


Position Description and FAQ

 

Demographic Information

 
 
 

By what name do you prefer to be called? (e.g. Thomas --> Tom, Cynthia --> Cindy)

 
 
 

Please provide a mailing address if you do not receive mail at your street address.

 
 
 
 
 
 
Phone
 
 

Position Interest

 

List the full name (no acronyms) of the agency, hospital, or organization you represent.    

 

ATAB Map

 
 

Position descriptions for the EMSAB seats.


For those interested in and eligible for multiple seats, please select all board seats for which you would like to be considered.

 

I acknowledge that many members of the EMS Advisory Board will be asked to serve as liaisons on OHA Emergency Medical Services Program advisory committees. I acknowledge that appointments to the EMS Advisory Board may be contingent on the applicant’s ability and willingness to participate in an advisory committee in addition to the EMS Advisory Board.

 

Supporting Documents

Both a Letter of Interest (LOI) and a Resume or Curriculum Vitae (CV) are required for the consideration of appointment or reappointment to the board. For the LOI, please provide an explanation of your interest and relevant experience to support serving on this board for the OHA EMS & Trauma Systems Program.

 

Attach your Resume or CV and your Letter of Interest. PDF file formatting is preferred.

Drop your files here
 

Equal Opportunity Questions (Optional)

To better assist us in meeting our affirmative action objectives, we would appreciate information about your background and gender identity. This information is optional and is used for data collection only. Under state and federal law, this information may not be used to discriminate against anyone.