EMR Class Registration

Class Registration - EMR

EMR: $500.00 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 NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / 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?*
If you advised you have a conviction, please explain.
Do you have a high school diploma or GED?*
Name of High School/College graduated from:
What size Polo shirt do you wear (men's sizes)?
Submit a minimum of 300 words explaining why you want to be an EMR.*
Do you plan to pay in full at the time of registration or only pay the registration fee? *
How will you be paying?*
If you selected that your department will be sponsoring you, are they aware of this?
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.*

Cancelof
Should be Empty:

Class Registration - EMR