EMT BASIC PROGRAM APPLICATION

BEFORE YOU APPLY

Please review the following before submitting your application.

$100 APPLICATION FEE

A $100 non-refundable application fee is required when you submit your application. Payment does not guarantee admission.

PROGRAM COMMITMENT

EMT Basic education extends beyond classroom hours. Clinical rotations, field internship, and capstone requirements may include nights, weekends, holidays, and travel.

ADMISSION & ELIGIBILITY

Submitting an application does not guarantee acceptance. Applicants must meet all program admission requirements and satisfy required background screening, drug screening, and clinical affiliate eligibility requirements.

EMT Basic Program Application

EMT BASIC PROGRAM APPLICATION 

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.

Program Commitment

Please confirm your ability to meet the requirements of professional EMT Basic education.


Eligibility / Required Screening

Please acknowledge the following clinical and enrollment screening requirements.

Applicant Attestations

Please review and check each box to confirm your agreement.

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.

Price: $100.00

Your $100 application fee summary will appear here.

 

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