UMEMS Volunteer Application
Thank you for your interest in volunteering as an EMT for the UMEMS. Please be sure you read the FAQ prior to completing this application.

Please understand that the application deadline for the Fall 2022 orientation is Saturday September 17th.  Any applications received after 23:59 on 09/17/2022 will be considered for Spring 2023, but may not be considered for Fall 2022.  (Updated 09/12/2022)
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Date Completed *
MM
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DD
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YYYY
Orientation/Start Date You're seeking
Primary Location/Chapter Applying For: *
Last Name *
First Name *
Middle Name or Initial
Local Address (Street, City, State, Zip) *
Permanent Address (Street, City, State, Zip) *
Email Address *
Phone *
Type of Phone Number *
Do you have a valid U.S. or International Driver License? *
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