Gouverneur Vol. Rescue Squad

St. Lawrence County Emergency Service​

Phone Number

When you submit your completed application,you will be contacted to set up a date and time for an interview. When being asked questions in the interview, in person or on the phone, you will be expected to answer all of them honestly. You must prove to be honest, professional and of good moral character. Once the interview process is completed, your application will be brought to the monthly Board of Directors meeting upon the recommendation of the membership committee/Director of Operations. Following the meeting your application will be voted on and a decision will be made. Once your application is accepted, you will be contacted for further instructions. Before submitting the application, please read the terms and conditions at the bottom of the page and click whether you agree or do not agree. Please complete the following application. Failure to complete will result in the application being denied. FUTURE CONVICTIONS MAY BE CAUSE FOR IMMEDIATE DISMISSAL FROM THE GOUVERNEUR RESCUE SQUAD.


By clicking Submit you are agreeing to the following:

Whereas I am interested in being considered for a membership position with the Gouverneur Vol. Rescue Squad, and I am required by the Gouverneur Vol. Rescue Squad to disclose whether or not I have any convictions or have been charged under any federal or municipal agencies.

And whereas I understand that disclosure of criminal record may not necessarily preclude me from performing the duties I am interested in.

And whereas I understand that, the Gouverneur Vol. Rescue Squad should decide any conviction or charge disclosed might preclude me from being involved, I will be given an opportunity to see and discuss that criminal record to determine whether or not my criminal record indicated that I present a risk to participants.

I therefore authorize the Gouverneur Police Department, the New York State Police, and/or the St. Lawrence County Sheriffs Department to determine whether or not I have a criminal record and to make the Gouverneur Vol. Rescue Squad a full and complete disclosure of any record they may find.

Dear Applicant,

            Thank you for expressing interest in the Gouverneur Volunteer Rescue Squad. In order to become a member there are a few requirements you must meet. They are explained as followed: 

  • All applicants must be 18 years of age.
  • Must have a valid driver’s license.
  • Physically and mentally able to perform duties.

The application process is quite simple. You have three options to obtain an application:

  •  Submitting your information using this online application.
  •  Click the button below to obtain a printable version of the application.
  •  Picking one up in person.


Full Name

Membership Application