Emergency Medical Services Program Application

EMERGENCY MEDICAL SERVICES PROGRAM APPLICATION
Notice: Admission requirements and procedures may change without prior notice. A new application must be submitted by the applicant for each admission cycle.
Name*

First NameMiddle or Maiden NameLast Name
SUSCC Student ID Number *
EX: A12345678
SUSCC Email*
SUSCC email preferred
Phone Number*
Please enter a valid phone number.
PROGRAM OVERVIEW
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Which level are you applying for?*
Which semester are you applying for?*
Which semester are you applying for?*
Which time frame?*
ADMISSION REQUIREMENTS

Meeting minimal requirements does not guarantee acceptance. Applicants who do not meet all minimal requirements will not be considered for program admission.
MINIMUM ADMISSION REQUIREMENTS - EMT LEVEL
1. Unconditional admission to the college. (See College Catalog)
2. Minimum 2.0 GPA at Southern Union. Transfer students must enter the College on clear status with minimum 2.0 GPA.
3. Official transcripts in Records Office from all postsecondary institutions attended, along with high school transcript.
4. Meet eligibility for English Composition I and Intermediate College Algebra (Mth 100).
5. Meet minimal admission requirements for admission to EMS level you are applying.
6. In good standing with the college.
7. Be 18 years or older within one (1) year of program completion.
8. Meet the essential functions required for EMS program and standards and policies in the current College Catalog and Student Handbook.
MINIMUM ADMISSION REQUIREMENTS - AEMT LEVEL
1. Meet all requirements as listed under the EMT level.
2. Hold a current National Registry license for EMT and state license.
MINIMUM ADMISSION REQUIREMENTS - PARAMEDIC LEVEL
1. Meet all requirements as listed under the AEMT level.
2. Hold a current National Registry license for EMT and state license.
3. Completion of Advanced EMT from an accredited institution or have an NREMT-Advanced.
GPA REQUIREMENTS

CUMULATIVE GPA: A minimum college cumulative GPA of 2.0 is required.
Which of the following best applies to you?*

I am a SUSCC student (current or previous)I am a SUSCC student (current or previous) and I have attended another college.I have attended another college, but plan to enter SUSCC as a new student with a clear academic status.I have never attended college and my GPA is from my 12th grade coursework.I completed the GED.
Name of graduating High School or GED location:
Year of high school graduation or GED completion:

RECORDS & TRANSCRIPTS
List all colleges attended (including Southern Union):
Official transcripts form EACH college attended must be received (via mail or electronically) by the Registrar's office in Wadley before the application deadline. Send to: SUSCC Records Office, P.O. Box 1000, Wadley, AL 36276 OR electronically.

TRANSFER CREDIT
Do you have credits from another college that you would like to have considered for transfer credit?*

YesNo
TRANSFER CREDIT: Course descriptions must be uploaded for TRANSFER courses required for the Emergency Medical Services program. Contact your previous college for the course descriptions from the year the course was taken. Upload your course descriptions here if applicable. Credits from colleges in Alabama do not require an upload.

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ESSENTIAL FUNCTIONS

Students admitted into the EMS Program must maintain the ability to meet all physical and mental essential functions with or without reasonable accommodations. After admission into the program, students will be required to obtain medical verification of their ability to meet all essential functions in order to participate in the program.

EMERGENCY MEDICAL SERVICES PROGRAM APPLICATION

PROGRAM OVERVIEW

ADMISSION REQUIREMENTS

GPA REQUIREMENTS

RECORDS & TRANSCRIPTS

ESSENTIAL FUNCTIONS

PRIOR EMT TRAINING

PRIOR EMT AND AEMT TRAINING

NON-DISCRIMINATION POLICY