Apply to Join

If you would like to apply for this year's EMT-B class, please fill out the following application in its entirety. For more information on the class and time requirements, please see this page. For questions regarding the application, please contact the Class Officer.

Deadline (regular): 2023-07-01 11:59 PM
Deadline (extenuating circumstances): 2023-07-08 11:59 PM

* Required

Personal Information
First Name *
Last Name *
Gender *	MaleFemaleOther
Phone Number *
Email Address *
Driver's License Number *
Driver's License State *	AlabamaAlaskaArizonaArkansasAmerican SamoaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. Virgin IslandsUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Can you comfortably lift 125 lbs? *	Yes No
Academic Information
MIT Affiliation *	UndergraduateGraduateAlumStaffCross-RegisteredOther
Course *	N/A1 - Civil and Environmental Engineering2 - Mechanical Engineering3 - Materials Science and Engineering4 - Architecture5 - Chemistry6 - Electrical Engineering and Computer Science7 - Biology8 - Physics9 - Brain and Cognitive Sciences10 - Chemical Engineering11 - Urban Studies and Planning12 - Earth, Atmospheric, and Planetary Sciences14 - Economics15 - Management16 - Aeronautics and Astronautics17 - Political Science18 - Mathematics20 - Biological Engineering21 - Humanities21A - Anthropology21F - Global Studies and Languages21H - History21L - Literature21M - Music and Theater Arts21W - Writing22 - Nuclear Science and Engineering24 - Linguistics and PhilosophyCMS - Comparative Media StudiesCSB - Computational and Systems BiologyESD - Engineering SystemsHST - Health Sciences and TechnologyMAS - Media Arts and SciencesSTS - Science, Technology, and Society
Graduation Year *
Number of years (including this one) that you plan to be at MIT *
Dorm/Living Group at MIT
MIT EMS Information
Have you previously applied to the MIT EMS class? If so, when? *
How many hours are you willing to work per week for MIT EMS? *
Our application for the Fall 2023 EMT-B class has moved. Please find our new application linked here: https://tinyurl.com/MITEMSFALL2023APP. If you have any further questions about the class or difficulty accessing the application, please contact class@ems.mit.edu. Thank you! *
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