AEMS Interest Form Spring '23

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Thank you for showing interest in AEMS!

If you are interested in joining Anteater Emergency Medical Services, please complete this interest form. After filling out this form, please attend ONE information session on 4/5 or 4/6 5-6pm on Zoom to learn more about the recruitment process and what being a member of AEMS entails. Attending this information session is MANDATORY in order to be considered for a position within the organization as an EMT or general member.

Zoom link will be posted on instagram (@anteaterems) and emailed to those who fill out this form.

If you have any questions please contact us at pr.hiringaems@gmail.com

Flyer

Name *

UCI Email *

Year *

1st Year

2nd Year

3rd Year

4th Year

5th Year

Are you available on either 4/5 or 4/6 for the information session? *

Yes

Are you interested in becoming a general member? *

Yes

What is your EMT status? *

I am a fully licensed EMT in CA

I have completed EMT school but need to take the NREMT

I am currently enrolled in EMT school

I am planning on attending EMT school soon

I have no plans to become an EMT

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