2019 Clemson Stadium EMS Application
Stadium EMS Worker Application
Enter your status. *
First Name *
Your answer
Last Name *
Your answer
I am Certified as a(n): *
Enter your South Carolina EMT #: *
Example: SC000000
Your answer
SC EMT Expiration Date *
MM
/
DD
/
YYYY
Enter your NREMT # *
Example: B0000000
Your answer
Enter your preferred email *
Your answer
Enter your preferred Phone contact # *
Your answer
My Polo ( Golf shirt) size is *
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number *
Your answer
I am currently affiliated with ____________________ Ambulance/ EMS Service *
Your answer
I am available to work the following games if needed *
Available
Not Available
August 29 - Ga Tech (Thursday Evening)
September 7 - Texas A&M
September 21 - Charlotte
October 12 - Florida State
October 26 - Boston College
November 2 - Wofford
November 16 - Wake Forest
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