Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.
Please list all certificates, licenses, and or memberships below.
Please list three professional or personal references:
Answer the following questions truthfully. Should you answer “YES” to questions 2-17, please be prepared
to provide further information, including supporting documentation during the application process.
I affirm that I have completed this application in full and that all of the information provided is true. I
acknowledge that if any false information was furnished that I may be disqualified as a student of EMT
Academy. I consent to any background, CORI, employment and/or reference checks that may be
conducted here forth. EMT Academy reserves the right to revoke admission status at any time due to
the revelation of any details found to be contradictory to the information provided in this application.
A PARENT OR LEGAL GUARDIAN MUST SIGN THE FOLLOWING IF THE APPLICANT IS UNDER 18 YEARS OF AGE
I certify that I am the parent or legal guardian of the above signed applicant. I hereby acknowledge that I have
read and fully understand this application and that it has been completed truthfully and in full. I personally and on
behalf of the said applicant consent to their participation in the EMT program at EMT Academy.
This course has been developed for all individuals desiring to perform emergency medical care
with an ambulance service. No prior experience or training is required of the course applicant. In
order to be eligible for the state EMT certification examination the applicant must:
The student must also successfully complete the Basic EMT course including 100% attendance.
These requirements are from the OEMS website and can be found at:
EMT Academy’s Basic EMT program is designed to prepare our students for the psychomotor
skills (practical) evaluation administered by the Massachusetts Office of Emergency Medical
Services (OEMS), as well as the cognitive (written) examination administered by the National
Registry of Emergency Medical Technicians (NREMT). Once a candidate has successfully
completed our course and passed each of the aforementioned tests they can then apply to the
Commonwealth of Massachusetts for their EMT certification by filling out an application and
paying the required fee.