Online Application

Thank you for your interest in becoming an EMT with SEMS. Before you proceed, please make sure that you meet the following requirements:

You are a student at ASU with at least one semester remaining before you graduate.
You are in academic good standing at ASU.
You are a Nationally Registered EMT-B, or you are eligible to take the NREMT-B exam.
You are willing to attend regular training in-services throughout your membership with SEMS.

If you meet the aforementioned criteria, please provide us with the following information. We will contact you soon to schedule an interview.

Personal Information

First Name:

Last Name:

Gender:

Phone Number:

Email Address:

Anticipated Month & Year of Graduation:

NREMT Certification Number:

NREMT Certification Expiration Date:

How did you find out about SEMS?
If you were referred by a SEMS member, please give us their name:

References

Please provide the names and phone numbers of 2 non-family references who have known you for at least 2 years. We will contact these references after your initial interview.

First Reference

Name:

Phone Number:

Second Reference

Name:

Phone Number: