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Fire and EMS Training Signup

Sign up for Emergency Medical Technician

*Is your department/employer paying for this training? OR Do you hold a rank or position within a Fire/EMS department, and perform duties or responsibilities under the authority of that department?
Student Information

Attendance is required for entry into program.

*Date of Birth
*Gender
*Ethnicity
*Highest Grade Completed
*Highest Credential Received
*Work Status at Enrollment
*Do you have a physical or learning limitation?
*Are you a single parent with custodial children under 18 years old?
*Have you ever lost family support, are unemployed and re-entering the labor force?
*Are you receiving Pell, WIA, DVR or W-2 assistance, or is your income below poverty level?
*Is your grade point average (GPA) at or below 1.5?
*Billing Option

Questions? Contact Peter Neverman, 262.691.5541.