Class Registration - EMT
EMT: $1850.00 Minimum $250 is required reserve your seat, with the remaining balance due the first day of class, unless prior approved arrangements have been made with WCESD #3. This is non-refundable. An invoice will be emailed to you shortly after you have been enrolled into class. You are required to make the reservation fee within 3 days of receiving an invoice or you will be removed from the list. If you have any questions about class registration or tuition, please email laura.cessor@wcesd3.net or call 830-581-0384.
Student Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
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Day
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Year
Gender
*
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
*
example@example.com
Mobile Number
*
Phone Number
SS# (for criminal background check)
*
DL / ID #
*
Issuing State
*
Expiration Date:
Have you ever been convicted of a Felony, Class A, or Class B Misdemeanor?
*
Please Select
Yes
No
If you advised you have a conviction, please explain.
Do you have a high school diploma or GED?
*
Please Select
Yes
No
Name of High School/College graduated from:
What size Polo shirt do you wear (men's sizes)?
Please Select
Small
Medium
Large
XL
XXL
XXXL
XXXXL
Submit a minimum of 300 words explaining why you want to be an EMT.
*
Do you plan to pay in full at the time of registration or only pay the registration fee?
*
Please Select
Pay reservation payment
Pay in full
Sponsored by my department
How will you be paying?
*
Please Select
Cash
Check
Credit Card
Invoice my department
If you selected that your department will be sponsoring you, are they aware of this?
Please Select
Yes
No
N/A
Please provide what Department your with, your Chief's Name, contact phone #, and email address where to send the invoice
Additional Comments
Upload your immunizations, Driver's license, BLS card (if you have one), a photo of yourself for an ID badge. Include COVID and flu vaccination if you have it and TB test.
*
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