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Basic Emergency Medical Technician Course Application (Summer 2014)


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BASIC EMERGENCY MEDICAL TECHNICIAN

COURSE DESCRIPTION & APPLICATION

SUMMER 2014

SPONSORED BY:

ERIE COUNTY DEPARTMENT OF HEALTH – EMERGENCY MEDICAL SERVICES DIVISION

  1. Fill out the application below or online at: http://www.erie.gov/depts/community/emergency_fsd_resources.asp#jump_forms
  2. For individuals who are a member of a BLS-FR/ALS-FR/Ambulance Agency with a valid NYS BEMS Agency Code, there will be no fee for the course.  For individuals who are NOT a member of one of these organizations, THERE IS A FEE FOR THE COURSE.  Enclose a MONEY ORDER or CERTIFIED CHECK (Payable to the Erie County Health Department) for the full amount, and enclose it with your application. COST = $775.00
  3. IT IS NOT NECESSARY TO CALL THE EMS OFFICE TO VERIFY ENROLLMENT!  You will be contacted prior to the start of class ONLY if the course you select has been filled and/or cancelled.   Every effort will be made to offer alternative classes.
  4. Please submit your application as soon as possible.  Courses that reach full enrollment prior to the deadline will be closed.
  5. If you have any questions, please call the EMS office at 681-6070.

YOU WILL NOT RECEIVE COLLEGE CREDIT FOR THE FOLLOWING COURSES

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LOCATION

DAYS

DATES

TIMES

101

Erie County Fire Training Academy

3359 Broadway, Cheektowaga

Tues, Thurs Some Weds & Some Sat

5/20/14 – 8/21/14

6:30 – 10:30 Tues., Thurs., Weds. 

9- 5 (Saturday)  

**ALL NYS FINAL WRITTEN EXAMS ARE HELD ON THURSDAYS AT 7 PM**

DEADLINE FOR APPLICATIONS IS 10 DAYS PRIOR TO THE FIRST DAY OF CLASS

CHECK OUR WEB SITE FOR UPDATES:   http://www.erie.gov/

If you are a New York State Certified First Responder please bring your NYSCFR card to the first class.

I understand that:

  1. Successful completion of the course requires attendance at all sessions and achievement of a passing grade.
  2. Purchasing the course textbook is my responsibility.  The approximate cost of the textbook is $100.00.
  3. EMS work is strenuous.  The EMT course will require me to physically exert myself.  I will consult my physician if I have any doubts about my ability to perform these tasks.

Emergency Medical Services Providers active on EMS units or employees of municipal EMS services are entitled to take tuition free courses.  It is the responsibility of the student to provide the completed NYS Verification of Membership Form as proof of participation in an agency with a NYS EMS Agency Code.  (Verification of Membership Forms will be available from the Instructor/Coordinator).  Those students who do not provide Verification of Membership will be billed tuition for the training course.  Failure to pay the tuition will result in dismissal from the course.

Upon receipt of this application by the EMS office, the student will be notified ONLY if there are changes in scheduling or the enrollment is closed.

Erie County Emergency Services Standard Training Course Application (PDF) - This course application must be COMPLETED for EACH student and signed by the student’s supervisor.  This is REQUIRED even for members of the host agency. STUDENTS MUST BE PRE-REGISTERED by the course deadline (if a deadline is posted). If you have any questions about the application or trainings, please call (716) 681-6070.