Class Registration - EMT
EMT: $1850.00 Once your registration has been received, you will receive an email letting you know that it was received and if you are missing any documents. You must have all the correct documents submitted before your registration is considered complete. 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. You will not receive an invoice for the deposit until your registration is completed (all required docs submitted and form completed). If you have any questions about class registration or tuition, please email laura.cessor@wcesd3.net or call 830-581-0384.
Student Name
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First Name
Middle Name
Last Name
Birth Date
*
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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
*
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.
*
Are you paying for the course in full or do you need the payment plan?
*
Please Select
Pay in Full
Requesting Payment Plan
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
If an organization is paying for your course, provide the name of the organization that is paying and a contact name, phone number, and email for that person.
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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