If you are interested in riding along with the Emergency Response Team please fill out the following form:

Name: *
Email Address: *
Phone number: *
Reason for Ride Along: *
Which shifts work? *

CHECK BOXES REQUIRED

Are you enrolled in an EMT course at UVU?

*
Yes
No

If so, which course? *

I understand that I will be contacted by the ERT by email and a date will be scheduled

*
Yes