Acadian High School EMT Sponsorship Program

High School EMT Sponsorship Program
Thank you for your interest in Acadian's High School EMT sponsorship program!

Please make sure you meet the following criteria before completing the application:
- Must be a high school graduate from the class of 2024 or future graduate of 2025
- At least 18 years of age by the end of EMT school
- Licensed driver for at least one year by the end of EMT school
All applicants will go through an interview process.

If you are college-bound, please see our College EMT Program.

If you have questions, contact Acadian Student Outreach Recruiter Shelby Proctor: shelby.proctor@acadian.com
Are you 18 years old?*

YesI will be 18 by August 2024No
Are you a current Acadian Explorer?*

YesNo
How did you hear about our program?*

College or career fairA current Acadian employeeNews/social mediaOther
Applicant Information
Applicant Name*

First NameLast Name
Applicant Date of Birth*

MonthDayYear
Date
Applicant Phone Number*

Area CodePhone Number
Applicant Email Address*
example@example.com
Applicant Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Information
High School Name*
High School Graduation Date (Month and Year)*
Applicant GPA*
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*

Area CodePhone Number
Parent/Guardian Email Address*
example@example.com
Should be Empty:

High School EMT Sponsorship Program