EMT Part 2 Transfer - Allied Medical Training

Student Information
Full Name*
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Email Address*
Must use the same email address as your username for courses.alliedmedtraining.com
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Phone Number*
Course Info
In which format are you currently registered?*
Start date of your currently scheduled Skill Week*
MM slash DD slash YYYY
Start date of your currently scheduled Evening Skills*
MM slash DD slash YYYY
To which format would you like to transfer?*
To which Skill Week are you requesting to transfer?*
Skill Weeks are held Monday-Saturday at 8:30a-4:30p (note that Saturday may run until 5p).
To which Evenings Skills are you requesting to transfer?*
Evening Skills classes take place for 6 weeks, with class two evenings per week at 6:30-10p. All sessions must be attended in-person at our Edina, MN facility.
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Alternate 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.
Why are you requesting a transfer?*
Agreement
Part 1 - Online Learning Completion Requirement*
- I understand and agree that I will not be allowed to attend Part 2 of the course if I have not completed and passed Part 1 at least one week before Part 2 begins.
Part 2 Refund Policy*
- I understand and agree that there is no refund of Part 2 tuition under any circumstances as documented in the TERMS AND CONDITIONS
Terms and Conditions*
- I understand and agree to the TERMS AND CONDITIONS
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Signature of Student
By typing my first and last name below, I verify understanding and agree to the terms and conditions. I also verify that the person completing this form is the student enrolling in the course.
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Transfer Request: Part 2 of Self-Paced EMT Course

Student Information

Course Info

Agreement