TCNJ EMS Standby Request Form
The College of New Jersey EMS is a student-run, quick response, emergency medical service that serves the TCNJ community on weeknights (Sunday-Thursday) from 8:00pm - 7:00am and 24 hours on weekends (8:00pm Friday - 8:00 pm Sunday). We also provide standby coverage to large events on campus.

The following form is for individuals and organizations who wish to request TCNJ EMS' event standby services. All requests must be submitted at least two (2) weeks in advance to allow for ample time to process the request. We consider many factors when allocating resources for campus events. Criteria considered includes the following:
A) A large attendance is expected at the event
B) Event involves activities that may pose a danger to participants or bystanders
C) Availability of emergency resources both on and off campus

Once a request is received, the Deputy Chief will review the event and contact you to coordinate any remaining details for the standby. We may ask you to provide resources for the event based on the details you proved (ex. tables, chairs, garbage can, ice, etc.).

Please direct any questions or concerns to the Deputy Chief at tcnjems@tcnj.edu. Thank you.

** TCNJ EMS will consider all requests submitted and allocation of crews is at the Deputy Chief's discretion. As a student-run volunteer service with limited staffing, it is NOT always possible for TCNJ EMS to provide event standby coverage, even when an event is requested well in advance. We will always try our best to organize event crews, but in the event that we are unable to do so, we will let you know as soon as possible and attempt to make accommodations. **

Contact Information
First Name
Your answer
Last Name
Your answer
Sponsoring Organization
Your answer
Position in Organization
Your answer
Email
Your answer
Phone Number
Your answer
Event Information
Event Name
Your answer
Event Date
MM
/
DD
/
YYYY
Start Time
Time
:
End Time
Time
:
Location of Event
Your answer
Estimated Persons in Attendance
Your answer
Who is the event open to (public, students, faculty, etc.)?
Your answer
Event Description
Please be as thorough as possible.
Your answer
Known or potential risks/dangers to attendees or bystanders:
Your answer
Any questions or concerns?
Your answer
Note: Submitting this form is a request for services TCNJ EMS can provide for your event, not a binding contract between the requesting organization and TCNJ EMS. The Deputy Chief will consider all requests submitted and will contact you within five business days with our recommendations for services. TCNJ EMS reserves the right to deny requests as deemed appropriate.

If you have any questions, please don't hesitate to email us at tcnjems@tcnj.edu

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