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Membership Form

Please submit the contact information requested below. This form will email the information to the Secretary of the EMC.
(see privacy policy):

First Name:

Last Name:

Frequently Checked Email Address:

Current Semester at SGU:

Membership Status (choose one):

New member, not yet paid dues

Already a paid member, dues current

Already a member, but payment has expired

The EMC provides hands-on training for various skills throughout the semester. Please select the skills below if you feel that you are proficient enough to proctor a small group at one of these training workshops.

Advanced Airway Management (ET Intubation)

Phlebotomy

IV Catheterization

Other – list in comments

Other comments or special instructions: