Spring 2025 First Responder Scholarship Application

Application Instructions:

Please fill out the application in its entirety.

Applications will close on December 19, 2024 by 2359. No late applications will be accepted. Please clear December 26-27 for First Responder Interviews. Please clear January 11 for New Member Orientation.

Questions to prepare that will appear on Page 5:
- Why do you want to become a member of the University of Arizona Emergency Medical Services?
- Why are you the best candidate for the First Responder scholarship through UAEMS?
- Please describe a time when you have demonstrated perseverance.
- Other than academically, please describe a situation or event in your life where you have failed (did not achieve your intended outcome)?
Name:*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number:*

Area CodePhone Number
U of A Student Status:*
*For your application to be considered, it is required that you are either a current or future student of The University of Arizona who is eligible for student employment.
Graduation Semester & Year, Program(s) of Study*
Class Standing*

Incoming FreshmanFreshmanSophomoreJuniorSeniorGraduate StudentTransfer Student
University of Arizona Student ID:*
School E-Mail Address:*
example@arizona.edu, This email will be used to send your application and interview status. PSA: Make sure you are checking your SPAM mail. Incoming or transfer students please use most active email.
Current Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supporting Documents Upload Page
Resume:*

Upload a File

Cancelof
If you have not received your BLS certification by the application due date, or potential interview, that is okay.

However, if you are to be offered a position, the completion and accreditation of your BLS certification is required by orientation on January 11, 2025.

UAEMS holds BLS Certification classes, which you may sign up for here: https://www.signupgenius.com/go/10c0d4cacae2aabf4c70-uaemspublic#/
Upload BLS Certification:

Upload a File
If CPR Instructor certified, please upload CPR Instructor certification too. Cancelof
Vaccination Records:*

Upload a File
UAEMS requires all members to be up to date with ALL of their vaccinations: Proof of immunity to Measles, Mumps, Rubella, seasonal influenza “flu” vaccine, Varicella (Chicken Pox), Hepatitis B is required. Cancelof
Driver's License:*

Upload a File

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Are you currently enrolled in EMD 147? (This response will not impact your application status)*

YesNoI am on the waitlist

Candidate Evaluation Questions: Quality of answers will be taken into consideration.
Why do you want to become a member of the University of Arizona Emergency Medical Services?*
Why are you the best candidate for the First Responder scholarship through UAEMS?*
Please describe a time when you have demonstrated perseverance. *
Other than academically, please describe a situation or event in your life where you have failed (did not achieve your intended outcome ).*
Additional Comments

Acknowledgements
The recipient must complete an initial EMT-B education course that is compliant with AZDHS and NREMT standards before the Fall 2025 semester begins at The University of Arizona. or Recipient must achieve NREMT certification as an EMT-B and Arizona state licensure as an EMCT.*

I understand.I do not understand.
Signature

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The recipient must complete their “first responder” and “probationary” periods with UAEMS. The first responder period is defined as the completion of one academic term while associated with UAEMS. Recipients will be required at minimum to attend eight trainings (defined as a two-hour UAEMS-hosted event with a focus on skills development), attend four classroom sessions, meet four times with their FTO (about once a month), attend Base Hospital and all specialty trainings, and attend one general meeting per month. The probationary period is defined in UAEMS administrative policy 303.*

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Signature*

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Provide signature for question above.
UAEMS responds to all 9-1-1 calls, medical in nature, at the University of Arizona Main Campus. I acknowledge my understanding that there are many known and unknown dangers and/or risks associated with responding to 9-1-1 calls while working in an emergency medical service, including but not limited to exposure to infectious diseases (such as AIDS, Hepatitis, SARS-CoV-2 (COVID- 19) ), potentially hazardous materials, proximity to subjects detained by law enforcement, operations of emergency vehicles in potentially substandard weather conditions. All of which may lead to serious bodily harm or death.*

I understand.I do not understand.
Signature*

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Provide signature for question above.
Important Timeline Details:

If selected for an interview, please prepare for interviews to be held on August 18-20. Decisions for acceptances will be out by the same week.

IMPORTANT: If you are not enrolled in EMD 147 for the Fall 2024 term, and you recieve the First Responder scholarship, you will need to take the class in either the Fall 2024 term or the Winter 2024 term. The Winter 2024 EMT class would need to be obtained at a non-UA institution and would need to be sought and enrolled in by the recipient.

Orientation: If selected, orientation will be held August 25, 8am to 3pm. Shift work will begin August 26.

Please sign below to acknowldge timeline details.
Signature*

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