TCNJ EMS Standby Request Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The College of New Jersey EMS is a student-run, quick response, emergency medical service that serves the TCNJ community Monday-Saturday from 8:00pm - 7:00am during the academic year. We also provide standby coverage to large events on campus.

The following form is for individuals and organizations who wish to request TCNJ EMS' event standby services. All requests must be submitted at least two (2) weeks in advance to allow for ample time to process the request. We consider many factors when allocating resources for campus events. Criteria considered include the following:
A) A large attendance is expected at the event
B) The event involves activities or conditions that may pose a danger to participants or bystanders
C) Availability of emergency resources both on and off-campus

Once a request is received, the Deputy Chief will review the event and contact you to coordinate any remaining details for the standby. We may ask you to provide resources for the event based on the details you proved (ex. tables, chairs, garbage can, ice, etc.).

Please direct any questions or concerns to the Deputy Chief at tcnjems@tcnj.edu. Thank you.

** TCNJ EMS will consider all requests submitted and allocation of crews is at the Deputy Chief's discretion. As a student-run volunteer service with limited staffing, it is NOT always possible for TCNJ EMS to provide event standby coverage, even when an event is requested well in advance. We will always try our best to organize event crews, but in the event that we are unable to do so, we will let you know as soon as possible and attempt to make accommodations. **

Please note that we have also introduced a pricing matrix based on this form, and your organization will be required to pay the agreed-upon fee through SFB or by check made out to TCNJ EMS AT LEAST 48 hours before the start of your event.

Email *

Full Name (First Last) *

Sponsoring Organization *

Position in Organization *

Phone Number *

Event Name *

Event Date *

YYYY

Start Time of the event itself *

Time

End Time of the event itself *

Time

When EMS should be on standby (when the crowd will start to come in) *

Time

Location of Event *

Estimated Persons in Attendance *

Who is the event open to (public, students, faculty, etc.)? *

Event Description *

Please be as thorough as possible.

Known or potential risks/dangers to attendees or bystanders: *

Is a rain date necessary? *

Yes

If yes, please describe the time, place, and date of the rain date

Any questions or concerns? *

Note: Submitting this form is a request for services TCNJ EMS can provide for your event, not a binding contract between the requesting organization and TCNJ EMS. The Deputy Chief will consider all requests submitted and will contact you within five business days with our recommendations for services. TCNJ EMS reserves the right to deny requests as deemed appropriate.

If you have any questions, please don't hesitate to email us at tcnjems@tcnj.edu

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The College of New Jersey.

Does this form look suspicious? Report

Forms