Paramedic Program Application — Cohort 2027-001 PARAMEDIC PROGRAM APPLICATION | COHORT 2027-002
Please complete all required fields below. A $100 non-refundable application fee is due at the time of submission.
Submission of an application and payment of the application fee does not guarantee admission to the program.
Home Address
Country
Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo (Kinshasa) Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo (Brazzaville) Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (Dutch part) Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Türkiye Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) United States (US) Minor Outlying Islands United States (US) Virgin Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Current EMS Certification Level
- Select Level - EMT Advanced EMT
National Registry Certification Status
Current BLS Certification?
Highest Level of Education Completed
- Select Education - High school/GED Some college Associate degree Bachelor's degree Graduate degree
Have you previously attended a paramedic education program?
Did you complete the program?
Briefly explain why you did not complete it
Are you currently employed in EMS or healthcare?
Total Years of EMS Experience
Select experience level No previous EMS experience Less than 1 year 1-2 years 3-5 years 6-10 years More than 10 years
Primary EMS Experience
- Select Primary Setting - 911 Fire-based EMS Private ambulance Hospital/ER Interfacility transport Other
Why do you want to become a paramedic and why have you chosen Prometheus Foundry for your paramedic education?
What do you believe will be your biggest challenge during paramedic school?
What experiences, strengths, or skills do you believe will help you succeed in this program?
Program Commitment Please confirm your ability to meet the rigorous requirements of professional paramedic education.
Are you able to attend the published classroom and laboratory schedule for the duration of the program?
Do you understand that clinical rotations, field internship, and capstone requirements will occur outside of scheduled classroom hours, including nights, weekends, and holidays?
Do you understand that successful completion of the program requires meeting all academic, attendance, skills, clinical, field internship, professional behavior, and competency requirements?
Do you have reliable transportation to attend class, clinical rotations, and field internship assignments at their assigned locations?
Do you understand that clinical and field internship locations and schedules are assigned based on program requirements and site availability and may require travel?
Eligibility / Required Screening Please acknowledge the following clinical and enrollment screening requirements.
Background Check Acknowledgment
Drug Screening Acknowledgment
Clinical Affiliates Acknowledgment
Clinical Eligibility Acknowledgment
How did you hear about the Paramedic Program?
- Select Option - Employer/EMS agency Current Prometheus Foundry student Former Prometheus Foundry student Prometheus Foundry Instructor Facebook Instagram Google/web search Prometheus Foundry website Training Course/Event Other
Applicant Attestations Please review and check each box to confirm your agreement.
Non-Refundable Fee Policy
Applicant Electronic Acknowledgment By typing your full legal name below, you certify that you are the individual completing this application and acknowledge that your typed name serves as your electronic acknowledgment of the statements and information provided in this application.
Application Fee Payment Please complete the payment of the non-refundable $100.00 application fee.
Paramedic Program Application Fee (Non-refundable)
Price: $100.00
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