1. Personal Information

    2. Date of Birth

    3. I have a current driver's license which is required to register

    4. I have a high school diploma or a GED

    5. I have completed an EMT basic course and hold a current EMT card

    6. I hold a CPR card from the American Heart Association "Healthcare Provider Level"

    7. I have a minimum of 1000 hours of part-time or full-time experience as an EMT prior to the application deadline.

    8. Employment Information




    9. Have you attended another Paramedic Program