* = Required Information
Desired Course and Date
How long at current res.?
Social Security Number
Date of Birth
Did you speak with an Admissions Specialist?
Which Admissions Specialist did you speak with
Are you military, fire, or police personnel
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. A total of $250.00 is required to hold your seat
. Seats are filled in the order that deposits are received. It is important you return your application/deposit as soon as possible. Your Healthcare CPR fee is included in total fee and is non refundable. State and National certification fee's are not included in the total fee and are the responsibility of the student.
Name on Card
Amount to Charge
Full payment is required by the start of the first class. Your application fee, initial deposit, and CPR certification fee are non refundable. 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.
understand and agree that I am entering an EMT training program sponsored by National EMS Institute Inc. I agree to pay tuition of $975 for the scheduled Fast Track course, the scheduled Boot Camp rate for this course, or the scheduled Hybrid/Online rate for this course, and realize that submission of this application and no-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.
CPR is required and included in the course
The applicant in order to be eligible for the state EMT certification must:
- Be able to read, Understand and communicate in English
- Meet all requirements as set forth by the Massachusetts Office of Emergency Medical Services for testing eligibility
- Be 18 years of age
- Be free from addiction of alcohol and drugs
- Be able to lift 125 pounds
- Be free from any physical or mental defect or disease which might impair his/her ability to provide emergency care within the scope of the EMT's training and responsibilities, or which might jeopardize the health of another member or another member in class
I have completed truthfully and without falsification.
Please tell us where you heard about National EMS Institute Inc.