Dear Applicant, We thank you for your interest in

‫בס"ד‬
ADMINISTRATION
Dear Applicant,
President / CEO
Shmuel B. Manne, EMT
Secretary
Mendy Bukiet, EMT
Treasurer
Yisroel Adelman, EMT
Personell
Charles Hoffman, EMT
Public Relations
Ari Sabbagh, EMT
Fundraising
Ari Rosner, EMT
Executive Director
Michoel Bloom, EMT
OPERATIONS
Chief of Operations
David Bacall, EMT
Dep Chief -Education
Scott Topiol, RN, EMT
Dep Chief -Comm
Haim Hirsh, EMT
Dep Chief - Assets
Shlomo Todd, EMT
We thank you for your interest in joining Hatzolah. Hatzolah is a group
of dedicated community members, whose goal is to provide emergency
medical care in the crucial time immediately after an emergency occurs.
Each Hatzolah responder is a trained Emergency Medical Technician,
who is available to respond to requests for aid 24 hours a day, 7 days a
week, 365 days a year. Your interest in joining Hatzolah should indicate
your commitment to being available to help anyone in our community
in a way that positively reflects Judaism and Halacha.
Enclosed you will find an application for Hatzolah of Los Angeles,
Please complete the application and email it to Join@hatzolahofla.org
or fax it to 818-325-2056. We will be in touch with you after we have
reviewed it. At that time, you will be invited to an interview to further
your understanding regarding the process of obtaining your
certifications and completing our internship program.
Dispatch Supervisor
Chaim Adelmanr, EMT
Sincerely
The Hatzolah Leadership
RABBINICAL
COMMITTEE
Chairman
R. Avraham Teichman
R. Kalman Lebhar
R. Dovid Revah
R. Nachum Sauer
R. Elchonon Tauber
MEDICAL
COMMITTEE
Medical Director
Robert Ungar MD
Proudly Serving the Communities of Hancock Park/ La Brea, Pico/Robertson and Valley Village
P.O. Box 360559, Los Angeles, CA 90036
Administrative Office line: 310-247-0584 • 24 hour Emergency line: 800-613-1911 • FAX 818-325-2056
✔
‫בס"ד‬
AGREEMENT (Appendix A)
Hatzolah is a Volunteer Organization that provides medical assistance in emergency situations. All members must
adhere to the rules, regulations, and policies of Hatzolah. An individual will be considered a member of
Hatzolah at the discretion of the Administrative Board of Hatzolah, and may be removed at their request.
Among the requirements for continued membership in Hatzolah of Los Angeles are the following:
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Professional conduct on, and off, emergency calls
Maintaining current licensing by the County of Los Angeles as an EMT
Maintaining and upgrading of skills through any continuing education programs or skills training
established through the Deputy Chief of Education.
Responding to calls, this includes the member accompanying the patient to the hospital if necessary
Maintaining and submitting all Patient Care Reports in the required time period
A personal lifestyle in keeping with the predominantly orthodox community that Hatzolah serves
Any newly admitted member is considered to be in a an Internship status for his first six months of service, at
which time his membership will be re-evaluated, based on his progress through the internship program.
I agree to abide by all rules and regulations of Hatzolah of Los Angeles both written and oral. I understand
that the Leadership may from time to time promulgate new regulations, as they feel are necessary for the
effective operation of the organization.
I further understand that all decisions of the Leadership are final other than, certain situations where a
member may appeal by following the proper protocol. Under no circumstance, will any matter be subject to
outside intervention or arbitration.
It is also understood that in all matters pertaining to Halachah and Din, the decisions and P'sak of the
Hatozlah Rabbonim shall be final.
If a member leaves Hatzolah , whether it is voluntarily, or involuntarily, all equipment is to be returned
promptly. This includes but is not limited to a two-way radio, oxygen and trauma kits, AED, personal or
vehicle I.D. cards, and any other equipment, which is the property of Hatzolah.
I have read this agreement and fully agree with the terms of membership in Hatzolah of Los Angeles.
_________________________
Signature
______________________________
Print Name
____/____/______
Date
Proudly Serving the Communities of Hancock Park/ La Brea, Pico/Robertson and Valley Village
P.O. Box 360559, Los Angeles, CA 90036
Administrative Office line: 310-247-0584 • 24 hour Emergency line: 800-613-1911 • FAX 818-325-2056