EMT 2017-2018 Application
Please fill out all of the information. Please be advised, even though you have applied, not all applicants will be accepted based on limited class size. EMT is a rigorous adult level training program, 6 hours of concurrent credit through Weber State University is available to those who successfully complete this course. By industry requirement, you must be 18 by September 10, 2018 to take this class as a Senior. Applications need to be completed by Friday, April 14th. You will be notified by email by Friday, April 21st if you have been accepted into the class. Contact Sadie Riel at sriel@graniteschools.org with questions. This course requires a TB test and fingerprinting, and participation at the hospital will require 2 step TB test, current immunizations with flu shot, and drug screen prior to clinical hours. This is the same requirement for any adult medical program.
Email address
First Name
Your answer
Last Name
Your answer
Birthdate (ex: 07/20/2000) You must be 18 by Sept. 10, 2018. This is the Fall after you graduate.
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Phone Number - Where you can receive text.
Your answer
Student Number
Your answer
Home School
Your answer
Cumulative GPA
Your answer
Email Address - Needs to be checked regularly!
Your answer
Home Address - If you have been accepted into the program, you will receive a packet in the mail by beginning of June 2017 to this address.
Your answer
City
Your answer
State
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Zip Code
Your answer
Previous Medical Classes Taken
Your answer
Why would you like to be an EMT?
Your answer

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