2020 Clemson Stadium EMS Application
Stadium EMS Worker Application
Enter your status. *
First Name *
Last Name *
I am Certified as a(n): *
Enter your South Carolina EMT #: *
Example: SC000000
SC EMT Expiration Date *
MM
/
DD
/
YYYY
Enter your NREMT # *
Example: B0000000
Enter your preferred email *
Enter your preferred Phone contact # *
My Polo ( Golf shirt) size is *
Emergency Contact Name: *
Emergency Contact Phone Number *
I am currently affiliated with ____________________ Ambulance/ EMS Service *
My availability to work the following games if needed *
Available
Not Available
September 12 - Louisville
September 19 -Akron
September 26 - Virginia
October 17 - SC State
October 24 - Syracuse
November 14 - Citadel
November 28 - South Carolina
Questions or Comments
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