Warwick Community Ambulance EMT Class Application
Once you complete the application, you will receive a link to make your payment. A non-refundable $200 deposit is required no later than October 6, 2025, to secure your seat in the class. The remaining balance of $900 must be paid by October 27, 2025.
Name
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
High School Diploma or GED (check one):
High School Diploma
GED
In 2015, Act 15 required EMS providers to have background checks completed every 5 years.
All EMT applicants must be prepared to complete the following background checks: Pennsylvania State Police Criminal Record Check, Pennsylvania Child Abuse History Clearance and Federal Bureau of Investigation Criminal Background Check through the Department of Human Services.
Are you prepared to complete the required background checks?
Yes
No
Scholarship Opportunity
Limited scholarships for the EMT program are available and will be awarded by the Warwick EMS Board of Directors.
Are you interested in applying for a scholarship?
yes
no
Essay Question (required if applying for scholarship):Write a paragraph explaining why a scholarship for the EMT program is important to you.
Applicant Signature
Continue
Continue
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