Training Request

Willamette Emergency Medical Services is able to provide training and education on specific topics upon request. If you would like us to give a training session on any of our available topics to your department or organization, please fill out the form below. We are more than happy to provide life-saving skills training sessions to make Willamette a safer campus!

Please submit your request at least 7 days before your preferred date.

Personal Information

Your Name requiredYour Name is required.

Your Email requiredYour Email is required.

Your Phone Number requiredYour Phone Number is required.

Department or Organization requiredDepartment or Organization is required.

For which department or organization is the training intended?

Training Information

What topic would you like WEMS to provide education on? requiredWhat topic would you like WEMS to provide education on? is required.

When would you like to have the training? requiredWhen would you like to have the training? is required.

mm/dd/yyyy

What time of day would you like to have the training be? requiredWhat time of day would you like to have the training be? is required.

Where would you like to have the training take place?

Must take place on campus. If left blank, WEMS will book and reserve the location.

Notes or Comments

Willamette University

Willamette Emergency Medical Services

Salem Campus

Phone

503-370-6911

wemsdirector@willamette.edu