Course Registration Form
The Southern New Jersey EMS Collaborative is a Non-profit 501 c3 created by the Southern Region Leadership of the New Jersey EMS Task Force. The mission of the Collaborative is to coordinate low cost first responder training utilizing participating agencies that share resources, instructors, and locations.

For courses that have a cost, checks can be made out to: SNJ EMS Collaborative. We also can accept Pay Pal. Once registered, we will email you with billing information.
Course *
Last Name *
Your answer
First Name *
Your answer
Email *
Your answer
Confirm Email *
Your answer
Phone number *
Law Enforcement Officers are not required to give personal phone numbers and may use their agency phone number.
Your answer
Agency and Agency Mailing Address *
Your answer
Primary Discipline *
NJ OEMS Number (NJ EMT and Paramedics Only)
Six digit number on the bottom of your NJ EMT or Paramedic certification card.
Your answer
FEMA Student ID Number
Some courses require a FEMA Student Identification number. If you do not have a FEMA SID you should get one. You may get one for free at:
Your answer
I am a US Citizen *
Some NDPC courses areavailable to non US citizens pending approval. If you are not US citizen I will contact you and explain the approval process.
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