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Emergency Medical Telecommunication/Responder
Equal educational opportunities shall be available for all students, without regard to sex, race, color, national origin, gender, ethnicity, religion, disability, ancestry, or marital or parental status. Educational programs shall be designed to meet the varying needs of all students. No student, on the basis of sex or gender, shall be denied equal access to programs, activities, services, or benefits or be limited in the exercise of any right, privilege or advantage or be denied equal access to educational and extracurricular programs and activities. To view a current list of compliance officers and how they can be reached, visit the Bedford County Public Schools website at http://www.bedford.k12.va.us.
Name (First, Middle, and Last) *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Base School *
Grade *
Address (Street, City, State, Zip Code) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
GPA *
How many days of school did you miss last year? *
Explain in 2-3 sentences why you want to take this course. *
Your answer
Student ID Number (Lunch Number) *
Your answer
Provide the name of a teacher from your base school that can provide a character reference. *
Your answer
Provide the teacher’s email address. (Ex. John Smith-Jsmith@bedford.k12.va.us) *
Your answer
What is your career goal? (What do you want to do for a living?) *
Your answer
Is this BSTC course your 1st, 2nd, or 3rd choice> *
Explain the roles and responsibilities of an EMR/dispatcher? *
Your answer
What is your greatest weakness? *
Your answer
What is you greatest strength? *
Your answer
Tell about a difficult situation and how you handled it. *
Your answer
How do you learn best? *
Your answer
How old are you? *
Your answer
When is your birthday? *
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Have you ever been convicted of any felonies? *
I understand EMR/dispatcher is a very rigid course and I must do the following: maintain a minimum grade of 80%, attend class and be present for a minimum number of hours, complete clinical hours after school/weekends. I understand that failure to meet the required standards makes me ineligible to test for my EMR/dispatcher certification and could result in dismissal from class. *
How did you hear about this course? *
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