Emergency Medical Technician (EMT) Course Application

To apply for this course, please complete the following application. Before submitting, ensure that your application includes the following information:

  • Fill out all the required sections in the form.
  • Attach a Resume and an optional CPR/First Aid Certification

Apply for San Juan Island EMS’s 2026 EMT Course

"*" indicates required fields

Name*
MM slash DD slash YYYY
Mailing Address*
I have a high school diploma or GED.*
By the start of class (January 6th, 2023), I will be 18 years of age or older.
I have the physical strength required to perform the normal functions of an EMT (including the ability to lift 50 pounds and traverse 2 miles regularly).
Max. file size: 512 MB.
Max. file size: 512 MB.
Background Check Consent*
Criminal Record*
Course Work*
Vaccines and Medical Requirements*