Additional Course Application

Desired Course and Date
CPR Instructor Course ($275) AHA BLS CPR Course ($70)
AHA Heartsaver CPR Course($70) NREMT Written Prep Course ($50)
NREMT Continued Competency ($200-245 as listed) NREMT Remedial Training ($250)
First Responder ($400) NAEMT AMLS ($150)
Personal Information
Yes No
Program Fee
The total fee is due in full by the first day of class. The application fee and the initial deposit are nonrefundable and must accompany the application when applying for a seat in our program. Deposit MUST be in the form of a credit card, cash, or money order. PERSONAL CHECKS ARE NOT ACCEPTED.NO EXCEPTIONS. Seats are filled in the order that deposits are received. It is important you return your application/deposit as soon as possible.
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Refund Policy

Full payment is required when applying for the course. Withdrawals from the program prior to course start date must be made in writing and sent by certified mail.

1. A student will receive:
     a. 100% refund up to 14 days prior to first class date.
     b. 50% refund up to 7 days prior to first class date.
     c. There is no refund 6 days before first class date.
Refunds will be returned within 30 days from first class date.

For the NREMT Written Prep course:

     If a student fails to pass the National EMT-B written exam after the third attempt, your money will be returned as long as you take the written exam within 30 days of this program (all three attempts within 90 days of this program). If the student fails the National EMT-B written exam three times within the agreed upon time period, after taking this course, their results must be presented to management to receive a full refund of $50.

Attendance Policy
"Students are required to have 100% attendance during our EMT courses. If the student is not present on the first day of class, they will be denied access to the program. In the event that there is a dire circumstance, the student must get written permission from the President or Vice President to be absent on that first day."
Financial Agreement
I understand and agree that I am entering an training program sponsored by National EMS Institute Inc. I agree to pay tuition of the scheduled course, and realize that submission of this application and non-refundable fees commits me financially to a position in the program. This is evidenced by my signature on this date. I accept total full responsibility for payment for the program regardless of my status in the program.

* There will be no refunds for continuing education courses in the financial agreement.

To attend a CPR Instructor Course you must:
- Hold a current AHA CPR Certification

I have completed truthfully and without falsification.

National EMS Institute is an Accredited EMT Training Institution by the Commonwealth of Massachusetts. Department of Public Health, Office of Emergency Medical Service National EMS Institute reserves the right to change course location in order to better serve their students.