EMT Summer 2021 Request for Enrollment
This is the official Summer 2021 EMT Request for Enrollment. Filling this out does NOT guarantee you a slot in the program; it merely acts as a request for acceptance into the program. It is ultimately YOUR responsibility to take care of any holds on your record. The class is seated on a first-come, cleared basis and the only way to know if you're qualified is to be fully admitted to the college with all your transcripts and immunization records on file. A minimum number of candidates must qualify and be accepted into the program for the program to make. Accepted students will be notified in a timely manner if the course does not make.

The class will meet Monday through Thursday from 08:00-14:30 with clinical rotations taking place outside of normal class time.
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Last Name *
First Name *
Email address *
The email address that YOU check on a regular basis (not your parent's...yours)
A# [PREFERRED] or last 4 of SSN AND Middle Initial *
Your A# was issued to you by the college on admission.  If you do not have an A#, enter the last four digits of your Social Security Number.  Students are responsible for forwarding A# to EMT Coordinator promptly when received.
Phone Number *
YOUR phone number. Not your parent's or your friend's phone number but the one that you will personally answer.
Placement Testing Required? *
If your "View Holds" (refer to steps noted above) indicates Placement Testing Required, you need to complete the process
Final Note
You will be contacted by either the EMT/ AEMT Coordinator or the Health Sciences office. The EMT/ AEMT Coordinator is the ONLY one who admits into the program. Refer any questions you have about your admissions directly to that person. If you have a hold on your record, however, you will be contacted by the Health Science office ONE time and ONE time only. It is YOUR responsibility to let us know when you have completed the requirement to have a particular hold removed (Compass testing, transcripts, vaccination records, Right Start Orientation, etc.).

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