Intra-Collegiate Emergency Medical Service



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Membership Application

To become a member you must do the following:

  1. 1)

    Download and fill out the IC-EMS membership form.

  2. 2)

    Print the completed form and sign page 3

  3. 3)

    Photocopy the front and back of any current CPR/AED, First Aid, or EMT-B certifications you have.

  4. 4)

    Place the photocopies, your membership dues ($40 for the entire school year, $20 for a single semester), and your completed membership form in an envelope with your name clearly written on the front.

  5. 5)

    Drop off (DO NOT MAIL) all items to our office: Indiana Memorial Union, Student Activities Tower, Suite 672.

  6. 6)

    Email a scanned copy (front and back) of your certifications to

*NOTE: In order for you to volunteer with IC-EMS, your certifications must be on file.

Application Forms

All membership applications due Sunday, February 5th 2017.

If you want to work Dance Marathon or Little 500 events, your membership application must be submitted.