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EMT Training Course Application
January 3 - March 24, 2017
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Our Mission:
LifeLine Ambulance, Inc. is proud to provide our community with Emergency Medical Technician Training, we will provide the highest quality instruction possible at all times. We will engage and encourage students in learning to become EMS professionals.
Course Description and Requirements:
Course will be held from 1800-2100 on Mondays and Wednesdays, 0800-1600 on Saturdays from January 3, 2018 to March 24, 2018 in Omak, WA. This 12-week course meets or exceeds DOT and Washington state requirements for an EMT course and The National Emergency Services Training Standards. The course takes approximately 170 clock hours to deliver and students should expect to dedicate an equal amount of time to study for the content delivered. Observation time/ride along time is required in addition to class time. Course fee of $1800.00 includes books, online course content and test prep, BLS Provider course and Supraglottic Airway Endorsement class. Students will be responsible for the NREMT cognitive testing fee ($80), any needed immunizations (varies), and any travel expenses associated with observation time or NREMT cognitive testing.

Students must meet all course requirements and maintain a 70% or higher grade in the course to be issued a course completion certificate. Students must have at least 90% attendance in the course.

Course Entrance Requirements Include:
Be at least 18 years of age by March 24, 2018.
Have a photo ID.
Have a GED or High School Diploma.
Read, write, and understand the English language.
Have access to a computer and the internet.
Lift a minimum of 75 lbs.
DOH Background Checks:
The Washington State Department of Health requires you pass a background check to become an EMT. If you have been convicted of a crime, particularly a felony or gross misdemeanor, you can request more information by calling the DOH EMS and Trauma System department at (360)236-4700.
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Phone Number:
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Physical address:
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Mailing address, if different:
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Drivers License/ID #:
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State issued
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Expiration date:
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Do you have a high school diploma or GED?
If no, date you will receive:
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Have you ever been convicted of a felony or gross misdemeanor?
Do you have access to a computer and the internet?
Can you lift a minimum of 75 pounds?
Can you read, write and understand the English language?
Are you currently affiliated with an EMS agency?
If yes, please list agency and years of service:
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If no, which EMS agency do you have intentions of being affiliated with?
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Why do you want to attend this EMT-B training course?
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List any reasons you may not be able to have 100% attendance throughout the course:
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What, if any, long term goals do you have in the medical field?
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A copy of your responses will be emailed to the address you provided.
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