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Certificate in Paramedic Science Application

Biographical Information


Contact Information

Mailing Address

Citizenship Information

Academic History Information

Do you have a High School Diploma or GED?

College-Level Coursework #1

College-Level Coursework #2

College-Level Coursework #3

Do you plan to enroll as a Certificate in Paramedic Science Student?
Do you plan to use financial assistance?

(Although we cannot recommend specific lenders, we do offer a list of lenders that our students have frequently used in the past. Please visit our website to see a list of our most frequently used private loan lenders. We will work with any lender of your choice even if they are not on this list)

Have you previously applied to Anna Maria College?

Disciplinary History

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or equivalent) until now, whether related to academic misconduct or behavioral misconduct that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution?*
Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? (Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded or otherwise ordered by a court to be kept confidential)*

Additional Information

Are you currently certified as an EMT in any state in the country and/or with the National Registry?
Do you have a current BLS for Healthcare Providers CPR card, or will you have one in-hand prior to the first day of class?
Do you possess a current driver’s license?
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