 An advanced level member must certify in either First Responder (FR), Emergency Medical Responder (EMR) or International Trauma Life Support (ITLS) courses along with two ambulance ride outs to qualify at that level.The member is then asked to accumulate an additional 96 hours of volunteer medical service to complete his/her advanced qualification.To allow the member to use their training in a large event these members are also required to attend a minimum 5-day Jamboree once every 4 years.