Acadian Explorer EMT Sponsorship Program

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

Please make sure you meet the following criteria before completing the application:
- Must be a current or past member of the Acadian Ambulance Explorer program
- Must be a high school graduate from the class of 2025 or future graduate of 2026
- 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
For more information on becoming an Acadian Explorer, visit www.AcadianExplorers.com.

All applicants will go through an interview process.

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

For general interest in Acadian's EMT class, visit www.BecomeAMedic.com.

If you have questions, contact Acadian Student Outreach Recruiter Shelby Proctor: shelby.proctor@acadian.com
YesI will be 18 by the end of the yearNo
YesNo
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:

Acadian Explorer EMT Sponsorship Program

Applicant Information

School Information

Parent/Guardian Information