Collegiate EMS Resource Network™ Membership Request
The Collegiate EMS Resource Network™ (CERN™) provides members of collegiate based EMS agencies a platform to collaborate, build partnerships, and share ideas. Peer-to-peer networking is essential for the success of both new and established squads. Collectively, we can strengthen and further collegiate EMS by sharing experiences, strategies, and lessons learned.

To request membership, please fill out the information below.

Email address *
First name *
Your answer
Last name *
Your answer
Title *
Your answer
Agency name *
Your answer
University or college name *
If you are from a municipal agency working with collegiate EMS, please provide the name of the institution your agency supports.
Your answer
Campus population served *
Institution type *
Email subscription preference *
Never submit passwords through Google Forms.
This form was created inside of Oakland University Police. Report Abuse - Terms of Service