GEMRU Summer 2019 Application
This is the first part of the application process to join GEMRU in Summer 2019.

Applicants should already have completed their EMR and CPR certification courses.

If you have any questions or experience difficulty completing this form, let us know at gemrutraining@gmail.com

First Name *
Your answer
Last Name *
Your answer
UF Email Address *
Your answer
UFID *
Your answer
Mailing Address (Street, City, State, ZIP) *
Your answer
Permanent Address (Street, City, State, ZIP) *
Your answer
Primary Phone # *
Your answer
If you are interested in operating GEMRU vehicles, enter your valid driver's license information here
Your answer
Major/Program of Study
Your answer
Graduation Semester and Year *
e.g. Fall 2020
Your answer
Please give the contact information (name and either email or phone #) of your EMR instructor/TA as a reference *
Your answer
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