CWRU EMS Fall 2022 Reciprocity Application
Please email cwruems-application@case.edu for questions.
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Fall 2022 Reciprocity Application
Applications are not yet open for the EMT course. CWRU EMS is currently only accepting applications for currently certified EMTs.
Name
First Name
Last Name
CWRU ID
First part of your CWRU email (abc123)
Student ID Number
7 digit number, can be found on SIS
Phone Number
Format: (000) 000-0000.
Date of Birth
-
Month
-
Day
Year
Year of Study
1st
2nd
3rd
4th
I am a graduate student
If you are a graduate student, where are you studying and how long do you plan to remain at CWRU?
Anticipated graduation term
Please format "Fall 20XX" or "Spring 20XX"
Do you have a U.S. Social Security number?
Yes
No
Do you hold a valid U.S. driver's license?
Yes, and I've had it for more than 1 year
Yes, and I've had it for less than 1 year
No
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Do you currently hold a valid and active EMT, AEMT, or Paramedic certification in at least one state?
Yes
No
What is the highest level certification that you currently hold? (CWRU EMS only accepts current EMT candidates who currently hold an EMT Basic certification or higher. If this does not apply to you, please consider applying for our EMT class.)
EMT Basic
EMT Advanced / Intermediate
Paramedic
In which state(s) do you currently hold an EMT license?
Do you currently hold an active NREMT certification? (It is strongly preferred that applicants hold an NREMT certification, but exemptions may be made on a case-by-case basis.)
Yes
No
What time commitments do you foresee this semester? (Please bullet point in no more than 100 words)
Describe one meaningful previous work/volunteer/life experience that required interpersonal communication skills. (Max 100 words)
Describe any previous work or volunteer experience in EMS. Bullet points or an essay are both accepted. If you have no previous work or volunteer experience in EMS, please write about your clinical experiences during your EMS class or any other experiences related to the field of healthcare. (Max 100 words)
Describe what piqued your interest to join CWRU EMS. How did you hear about the organization? Why do you want to join CWRU EMS rather than a local EMS company? (Max 250 words)
CWRU EMS is heavily involved in the training of our new and continuing members. This involves significant time and energy input from existing members to best cultivate the skills of our new members. Given that, why should we invest in you? (Max 500 words)
Interviews will be held September 10-11th from 10am-5pm. Please note any time conflicts with interview dates here.
OPTIONAL: Attach your resume.
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OPTIONAL: Attach a letter of recommendation.
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Letters of recommendation can also be emailed directly to cwruems-application@case.edu
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