EMED 111B/C Student Application 2020-2021

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The Stanford Emergency Medical Technician (EMT) Program (EMED 111B/C), is a two-course sequence designed to give students the theoretical and practical training they need to take the National Registry of EMTs certification exam and work as an EMT. Prerequisite: EMED 111A or consent of instructor.

To ensure an optimal training environment, our course requires that the class size remain within a range that allows each student to receive adequate practice and instruction. Course enrollment is therefore determined by application. Please respond to each question thoughtfully and genuinely - our goal is to find out who you are and why you want to take this course.

Enrollment is only available to Stanford University students (undergraduate, graduate). Staff and faculty of Stanford University can be accepted on a space available basis. If you are a staff or faculty member, please apply and email us.

There is a $100 course fee that covers the cost of a stethoscope, BP cuff, penlight, class polo shirt and uniform pants (you must provide proper footwear) that will be provided to you.

***Please note***: BLS for Healthcare Providers CPR Certification from the American Heart Association or Red Cross is a requirement for this course. If you do not have this certification, we will provide you opportunities to obtain this certification during Fall quarter.

If you have any questions, please contact us at emtprogram@stanford.edu. Thank you for your interest!

Name *

First and Last

E-mail address *

@stanford.edu email address only

Class Year *

For the 2020-2021 academic year

Freshman

Sophomore

Junior

Senior

Co-term

Graduate student (Not a co-term)

Other:

Major *

School *

School of Earth and Science

School of Education

School of Engineering

School of Humanities

School of Law

School of Medicine

Graduate School of Business

Undecided/Undeclared

Other:

Have you previously applied to this course? *

Yes

Have you previously volunteered for one of our training events? *

MCI day and/or NREMT testing

Yes

Will you be able to enroll for 5 units without sustained conflicts for both quarters? *

Yes

There is at least one quarter where I will not be able to enroll for 5 units.

I am not eligible for academic units. (staff, faculty, etc.)

What are your other time commitments during the upcoming year? *

Please list any student groups or other organizations you are involved in and the respective hours/week you spend with that group or organization.

Why are you interested in taking this course? *

Please limit your answer to 250 words or less

What do you hope to accomplish with an EMT certification? *

Please limit your answer to 250 words or less

What are your future plans? *

Please limit your answer to 250 words or less

Is there any additional information we should know when considering your application?

Please limit your answer to 250 words or less

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