EMT Class Application

Name

Last, First M.I.

Banner ID

CSBSJU email Address

Anticipated Graduation Year

Major/Minor

	Major
	Minor

Anticipate Course Schedule for Spring Semester

Remember to apply for four 4 credit classes as normal and upon acceptance to this course you will drop a class.

Please list the extracurricular activities in which you are involved.

Why do you want to take this course?

Please describe your knowledge and/or impressions of emergency medical services.

Please describe how you plan on using your EMT certification after completing this course.

What qualities do you possess that you think would make you a good EMT?

Do you plan on joining the Saint John's Fire Department or the volunteer SJU EMT Squad after completing this class?

or if you plan on applying for a different job, tell us here.

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