Course OptionsCourse*Select Your CourseEMT: 12 WeekEMT: Self-PacedEMR: Self-PacedEMT RefresherEMR RefresherRN to EMT TransitionACLSType of Recertification*If renewing both a state and NREMT certification, select "NREMT"Please SelectNREMTMinnesota onlyNREMT EMT Certification NumberState of EMT Certification/LicenseLeave blank if you are not renewing your state EMT license. Select Your StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State State EMT License/Certification NumberLeave blank if you are not renewing your state EMT license.Year of EMT Expiration*Select Type of EMT Refresher Course*Most people need the full 40 hour NCCP refresher course.Select Type of Refresher CourseFull 40 Hour NCCP Course ($295)20 Hour NCCR Only ($225)20 Hour LCCR & ICCR Only ($125)Select Type of EMT Refresher Course*Most people need the full 40 hour NCCP refresher course.Select Type of Refresher CourseFull 40 Hour NCCP Course ($295)20 Hour NCCR Only ($225)20 Hour LCCR & ICCR Only ($125)Select Type of EMT Refresher Course*Due to the year you expired, Minnesota still allows you to take our 24 hour refresher course instead of the 40 hour NCCP refresher. Please select which course you would like to take.Select Type of Refresher CourseFull 40 Hour NCCP Course24 Hour Refresher CourseSelect Refresher Course*Since your certification expired over four years ago, Minnesota requires that you either take the initial EMT course again or renew your NREMT certification. To renew your NREMT certification, you must take the 20 hour NCCR component plus take a new skills exam and the NREMT cognitive exam.Select Type of Refresher Course20 Hour NCCR Component ($225)Select Refresher Course*Since your certification has expired, the NREMT requires that you take only the 20 hour NCCR component along with a new skills exam and their cognitive exam.Select Type of Refresher Course20 Hour NCCR Component ($225)Psychomotor Skills Exam Information*A new NREMT skills exam is required. This can be added to your course for $75. The session is scheduled 9am-4pm and held at 2300 Myrtle Ave, St. Paul, MN 55114. It consists of group practice in the morning followed by the skills exam. There is also the option to obtain this exam elsewhere if you are not able to take it with us.Select Skills Exam OptionSunday March 3rd, 2019Sunday March 31st, 2019I will obtain this exam elsewherePsychomotor Skills Exam Information*Since your certification has already expired, the NREMT requires you take a new skills exam. You may take this exam at our facility for $75 or you may choose to obtain this exam elsewhere. Our skills exam is scheduled 9am-4pm and held at 2300 Myrtle Ave, St. Paul, MN 55114. It consists of group practice in the morning followed by the skills exam. Select Skills Exam OptionSunday March 3rd, 2019I will obtain this exam elsewherePsychomotor Skills Exam Information*Since your certification has already expired, the NREMT requires you take a new skills exam. You may take this exam at our facility for $75 or you may choose to obtain this exam elsewhere. Our skills exam is scheduled 9am-4pm and held at 2300 Myrtle Ave, St. Paul, MN 55114. It consists of group practice in the morning followed by the skills exam. Select Skills Exam OptionFeb 2019 Date TBDI will obtain this exam elsewherePsychomotor Skills Exam Information*Because of the year your certification expired, Minnesota requires a new NREMT skills exam. This can be added to your course for $75. The session is scheduled 9am-4pm and held at 2300 Myrtle Ave, St. Paul, MN 55114. It consists of group practice in the morning followed by the skills exam. There is also the option to obtain this exam elsewhere if you are not able to take it with us.Select Skills Exam OptionSunday March 3, 2019Sunday March 31, 2019I will obtain this exam elsewhereCPR Certification*The Minnesota EMS Board requires EMTs maintain CPR certification at the Healthcare Provider level. We provide a CPR course for those who need it.Select CPR StatusRegister for CPRI'm already CPR certifiedI will obtain CPR certification elsewhereCPR Certification*The Minnesota EMS Board highly recommends EMRs maintain CPR certification, and it's also required by most employers. We provide a CPR course for those who need it.Select CPR StatusRegister for CPRDecline CPR certificationCPR Session*CPR skill session will take place at 2300 Myrtle Ave, St. Paul, MN 55114. Choose Classroom DateFriday March 15, 2019 (4:30-6pm)Friday April 12, 2019 (4:30-6pm)Friday May 10, 2019 (4:30-6pm)Year of EMR Expiration*Choose Expiration Year2018 or later20172016 or earlierRegister for Skill Week?*YesNo, I will choose a Skill Week later.Skill Week Registration*Choose Skill Week DatesMay 13-19, 2019June 17-23, 2019July 15-21, 2019August 5-11, 2019Possible Skill Week*Help us plan enrollment levels by letting us know which Skill Week you are thinking of attending. This does NOT register you in a Skill Week. Skill Week DatesMay 13-19, 2019Alternate Skill Week*Choose a backup spot in an additional Skill Week in case a spot does not open up for you in the waitlisted Skill Week.Alternate Skill WeeksMay 13-19, 2019Class Dates*Select Available ClassSaturdays (9a-1p): March 2 - May 18Tuesdays (6-10p): May 14 - July 30Wednesdays (6-10p): May 29 - Aug 14Saturdays (9a-1p): June 1 - August 17Select Skill Weekend*Select Available Skill WeekendMay 10-12, 2019August 2-4, 2019October 4-6, 2019Include CPR Certification?*EMTs are required to be CPR certified at the Healthcare Provider level. This is offered during the course for those who need it.CPR OptionsRegister for CPRI'm already certifiedWhen does your CPR certification expire?*Please bring your CPR certification card to the first day of class. CPR Certification Option*The Minnesota EMS Board highly recommends EMRs maintain CPR certification, and it's also required by most employeers. CPR certification will take place during Skill Weekend.Select CPR StatusRegister for CPRDecline CPR certificationTuition Payment Amount*Reserve your spot with a $250 tuition deposit or make a full tuition payment now to earn $50 off with promo code EMT50 at checkout.Choose Tuition Payment AmountDepositFull Tuition PaymentStudent InformationWhat's your name?* First Last How about your email address?* Enter Email Confirm Email Just in case we can't reach you by email, what's your phone number?*And your mailing address?* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Anything else you'd like us to know?PaymentPromo CodeEnter code EMT50 for $50 off Total $0.00 Payment Method*Choose Payment MethodCredit or Debit CardInvoice to a Sponsoring OrganizationCredit/Debit Card* American ExpressDiscoverMasterCardVisa Card Number Exp Month010203040506070809101112 Exp Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Invoice to Sponsoring OrganizationOrganization Name*Choose or Add OrganizationAdd an organization not listed hereAllied Universal SecurityBrooklyn Center Fire DepartmentEyota Volunteer Ambulance ServiceGunflint Trail Volunteer Fire DepartmentHermantown Fire DepartmentMetro Transit PoliceMinneapolis Urban LeaguePrairie Ridge Hospital & AmbulancePolarisRandall Fire DepartmentSafetyCall InternationalSt. Anthony Fire DepartmentName of Organization*Contact Person at Organization* First Last Phone of Contact Person*Email of Contact Person* Email address Confirm email Mailing Address of Organization* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Instructions for Submitting InvoiceEnter any specific instructions we should know about submitting an invoice to this organization (for example: what to include in the memo, etc).Agreement & SignatureInvoice Terms and Conditions* I understand and agree that the organization above has authorized payment for my course fees, and I will NOT receive course completion verification until payment is received. Course Time Commitment* I understand and agree that at least 100 hours of learning is needed to complete the online coursework, and the deadline for finishing the online coursework is one week before Skill Week. Not a Complete Refresher Course* By choosing only the 20 hour NCCR component, I verify understanding that this is only one of the three educational components needed to recertify as an EMT and that I will be obtaining the LCCR and ICCR educational components elsewhere. If, after registering here for the NCCR component, I subsequently decide to complete the LCCR and ICCR components with Allied Medical Training, I must submit a new registration form and pay the course fee for those additional course components. Not a Complete Refresher Course* By choosing only the 20 hour LCCR/ICCR components, I verify understanding that this is only two of the three educational components needed to recertify as an EMT and that I will be obtaining the NCCR educational components elsewhere. If, after registering here for the LCCR & ICCR components, I subsequently decide to complete the NCCR components with Allied Medical Training, I must submit a new registration form and pay the course fee for the NCCR components. Skill Week Refund Policy* I understand and agree that there is no refund of Skill Week tuition under any circumstances as documented in the TERMS AND CONDITIONS Online EMT Course Refund Policy* I understand and agree that there is no refund of the Online EMT Course tuition under any circumstances after 15 days from today as documented in the TERMS AND CONDITIONS Course Time Commitment* I understand and agree that at least 30-40 hours of learning is needed to complete the online coursework, and the deadline for finishing the online coursework is one week before Skill Weekend. Course Time Commitment* I understanding and agree that part of this course includes online learning assigned each week, and I am able to commit at least 15-20 hours outside of class each week to study and complete online learning. No Payment Plans* I understand that the remainder of my tuition is due on the first day of class and that there are no payment plans available. Terms and Conditions* I understand and agree to the TERMS AND CONDITIONS Signature*
