Chicago EMT Training EMT Class Application
Thank you for your interest in the EMS-200, Emergency Medical Technician course, Summer 2023!

-This course is operated as a online/in-person hybrid

-Lectures will meet 1-2 times a week and Labs will meet 1-2 times a week depending on the week

-There is only one lecture session, that meets Mondays and some Wednesday evenings from 4-8p


-ALL LECTURES WILL BE CONDUCTED ONLINE. You will need a computer, access to internet, and a webcam. We will be using Webex, there is no additional charge for the program.

-Labs will be hosted, IN PERSON, at our physical location-2054 w Cermak Rd. Chicago IL. There is FREE street parking on Hoyne. Be aware of permit parking on some blocks. 

-This course will also require you to complete a minimum of 32 hours of clinical rotations. These are completed at different clinical settings, outside classroom time.

-This application cycle will be conducted on a rolling admissions basis.

-Applications will be first reviewed 3/20, after, applications will be reviewed each Monday.
Upon review of your application, you will be sent an email with an application decision and more information about 'what to do next'.

-Application should be finished in one sitting

If you have any questions, email the lead instructor, Martin Walsh, at

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Email *
Before continuing with the rest of the application, please check the box next to each statement to confirm you understand and agree with it: *
Which online lecture session are you interested in? *
Which in person lab section are you interested in?
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Course Schedule
Course Schedule pt 2
Course Schedule pt 3
Course Schedule pt 4
Course Schedule pt 5
First Name *
Last Name *
Date of Birth *
Email Address *
Mailing/Home Address *
Polo Tshirt size?
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Have you ever taken an EMT class before? *
Do you have healthcare experience? *
Are you a UIC Student? *
Are you in UIC's GPPA Program *
Are you a U of C student? *
Are you an IIT student? *
Are you a Northwestern University student? *
Are you a Loyola University Student?
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Do you require any special accommodations in this class? If so what are they? If you do not need any accommodations leave this section blank.
Briefly describe your motivation for becoming an EMT. *
How did you hear about this class? *
Have you ever been convicted of a felony or misdemeanor, if so describe the circumstances. If this section is not applicable to you, you can leave it blank.
Emergency Contact Name
Emergency Contact Phone Number
A copy of your responses will be emailed to the address you provided.
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