Spring 2019 TVRS EMT Class Application
Email address *
Full Name *
Your answer
Mailing Address *
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Phone Number *
Your answer
Current EMS Agency Affiliation (if applicable)
Your answer
Are you interested in volunteering with one of the rescue squads? *
Name of person recommending you for this EMT class: *
Your answer
What is your motivation behind wanting to take an EMT class? *
Your answer
What do you want to do with your EMT certification after you obtain it? *
Your answer
What prior experience, if any, do you have in the medical field? *
Your answer
While this class is in session, what other obligations do you have (such as school, work, family, etc.)? *
Your answer
How do you plan to manage your time for class with your other obligations? *
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Tell us about how you learn best:
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Name one of your strengths and one of your weaknesses: *
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