Due by: 2010-09-09 20:00
Full Name
Headshot
Andrewid
Email
Phone
CMU Affiliation undergraduate graduate faculty staff alumni other
Graduation year
College
Major
CPR Certification (if applicable)
CPR Certification Expiration
EMT Certification Number (if applicable)
EMT Expiration
Resume (optional)
Why are you interested in joining CMU EMS?:
What would you like to get out of this experience?:
What level of commitment do you expect to give?:
List your three current most time-consuming commitments.:
Why do you think EMS is important?:
Please tell us a story from your life that you think we would find interesting.:
Are you able to attend New Member Training on 9/18, 9/19 and 9/25?:
Do you have prior EMS experience or any other talents that may be helpful to our service (e.g. website programming, illustrator, financial management)?:
How did you find out about us?:
By checking this box, I certify that the above information is accurate and that I am ready to submit my application.
