EMT Basic Class Application

  • APPLICANT INFORMATION

  • Upon program completion, where do you intend to work as an EMT? Please share if you will join the Star EMS team or have other plans.
  • EDUCATION

  • College/University

  • Military

  • Vocational, Business, Other

  • CURRENT EMPLOYMENT

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Please select the checkbox to agree.
  • MM slash DD slash YYYY
  • Miles, Grubb & Associates LLC DBA Star EMS in an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to race, color, gender, religion, national origin, marital status, ancestry, citizenship, veteran status, or physical or mental disability.

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