Get Student Application Packet - Emtp

This guide provides a clear and supportive overview of how to complete the Student Application Packet for the Emergency Medical Technician Program online. Each step is designed to ensure users can fill out the application accurately and efficiently.

Follow the steps to complete the application form online.

1. Click 'Get Form' button to access the Student Application Packet and open it in your preferred online editor.
2. In the 'Desired Course' section, select the program you wish to enroll in by marking the appropriate checkbox. Options include various EKG Technician, CCMA, Phlebotomy Tech, SRNA, and other courses.
3. Provide your personal information in the 'Student Demographics' section. Fill in your first name, middle initial, last name, preferred name, maiden name (if applicable), street address, city, state, zip code, phone number, email address, date of birth, and social security number accurately.
4. Complete the 'Driver’s License' section by entering your driver’s license number, the state it was issued in, and the expiration date.
5. Answer the citizenship and residency questions. Indicate whether you are a U.S. citizen and provide information about your visa status or permanent residency if applicable.
6. Fill out the 'Emergency Information' section by listing an emergency contact name, relationship, phone numbers, and their address. Include any major medical conditions or allergies.
7. Sign and date the authorization for EMTP to contact your emergency contact in case of an emergency and attest to your substance use status.
8. Enter information about your educational background, including high school name, graduation date, and any other training or educational details.
9. Provide your employment background details by indicating your employment status and filling in current employer information if applicable.
10. Complete the 'Criminal Background' section by answering whether you have ever been convicted of a felony and authorize EMTP to perform a background check.
11. Review and acknowledge the 'Hepatitis B Vaccination Statement of Understanding' by initialing your current vaccination status.
12. Complete the 'Financial Commitment' section by initialing each clause to confirm your understanding of the financial responsibilities associated with enrollment.
13. Read through your completed application form carefully to ensure all sections are accurately filled out before submitting.
14. You can now save your changes, download a copy, print it for your records, or share it as required.

Complete your Student Application Packet online today to take the first step towards your new career!