Get Request For Initial Course Approval Emt-i Can Approval Documents ...

Filling out the Request For Initial Course Approval EMT-I is an essential step for educators seeking to establish an emergency medical training program. This guide provides straightforward instructions to help you navigate through each section of the form efficiently.

Follow the steps to fill out the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor. This action will allow you to access the document needed for completion.
2. Begin filling out the form by clearly indicating if the CAN approval documents can be sent electronically. Select either 'YES' or 'NO' and ensure to provide an email if 'YES' is chosen.
3. In the level section, check the box for 'Emergency Medical Technician - Intermediate' to specify the course you are seeking approval for.
4. Complete the educator information by filling in your first and last name. Provide your street address, city, state, and ZIP code.
5. Enter your Social Security number. Note that this information is required by law and may be used for specific purposes as stated.
6. Provide the date of the first and the last class to define the timeline of the training program.
7. Fill in the sponsoring organization to identify the institution responsible for offering the course.
8. Complete information for the program coordinator, including their name, phone number, and email.
9. Provide details for the medical advisor, including their name and phone number.
10. Fill in the course location details, including room number, street address, city, state, county, and EMS region.
11. Indicate the days the classes will be held by checking the appropriate boxes for each day of the week.
12. Specify the class time by indicating the beginning and ending times.
13. Enter the number of lecture hours, lab hours, clinical hours, and field hours planned for the course.
14. Calculate and enter the total course hours, along with the anticipated number of students.
15. If applicable, indicate if the course will be given for college credit by selecting 'YES' or 'NO', and provide the name of the institution if 'YES' is selected.
16. Decide if the class is being submitted for educational incentive grant funding by checking 'YES' or 'NO'.
17. At the end of the form, ensure that all required signatures are completed for the program coordinator, primary instructor, and medical advisor, along with the respective dates.
18. Review all filled sections for accuracy before submitting. Save changes, download, print, or share the form as needed.

Complete your Request For Initial Course Approval EMT-I online today for a smooth application process!