Paramedic Registration | EMSTA College

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CPR Expiration

EMT Certification Number^*

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Where have you taken an A&P course with lab?^*

Where have you taken Paramedic Prep class?^*

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Prerequisites^*

*Copy of High School Diploma, Certificate of Completion or GED (This document must include a completion date.) *Copy of current resume *Copy of current EMT-B Certification (Renewed within the past 12 months prior to beginning of class.) *Copy of a current American Heart Association, Healthcare Provider, American Red Cross, Professional Rescuer CPR card or Military Training Network Healthcare Provider. *Proof of at least one year, full-time equivalent, or 2000 hours of EMT experience (Pay stubs, W-2 forms, letter from supervisor, etc.) *Two letters of recommendation (Professional – i.e. Supervisor, Nurse, Doctor, Fire Chief, etc.) *Completion of the Entrance Exam *Completion of a Paramedic Prep Class *Completion of an Anatomy and Physiology Class *Copy of Social Security card  Copy of valid Driver’s License UPON ACCEPTANCE INTO TRAINING CLASS, THE FOLLOWING REQUIREMENTS ARE DUE AT ENROLLMENT: *Provide a criminal background check from http://emstabackground.com *This is the only background check EMSTA College will accept for Paramedic students •Drug Screen through http://emstabackgroundcheck.com *This is the only drug screen EMSTA College will accept for Paramedic students *Successful completion of the application process Required Inoculations: *Annual tuberculosis screening: Mantoux tuberculosis test or if positive, Health Department’s guidelines for follow up. * Measles, Mumps, Rubella (MMR) *2 doses of vaccine documented or a titer evidencing immunity *Chicken Pox (Varicella) *2 doses of the vaccine documented or a titer evidencing immunity *Tetanus immunization within the past 10 years *Vaccine/immunity Hepatitis B is recommended *Seasonal Flu – can be declined if it is not available *Copy of current medical insurance coverage (policy or wallet card). Students must maintain medical insurance throughout the Paramedic training course. Low cost short-term coverage is available online at www.ehealthinsurance.com .

I understand the required Prerequisites for the course:

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