PLTC Paramedic Application
Fields marked with an * are required
After applying, please send the following items:
Copy of Birth Certificate
Copy of High School Diploma or G.E.D.
Copy of Current EMT License
Copy of Driver’s License
Three Letters of Recommendation


To:

Pike-Lincoln Technical Center
ATTN: Adult Education/Paramedic
342 Vo Tech Road
Eolia, MO 63344

Upon acceptance into the program, you will be required to submit paperwork approving a background check.
Additionally, you may be required to get additional vaccinations based upon clinical site requirements
Email address *
First Name *
Last Name *
Date of Birth *
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Street Address *
City *
State *
Zip Code *
Phone Number *
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