Paramedicine Application

Personal Information

First Name

Last Name

Birthdate

Mobile Number

Student Information

Student Email Address (okstate.edu)

Student ID

Degree Evaluation

For courses listed in Paramedicine A.A.S. degree sheet - what is your GPA? Enter n/a if you have not taken any classes on the degree sheet

Have you already completed BIOL1515 Human Anatomy & Physiology?

Yes

Have you already completed EMSP1143 EMS Operations?

Yes

Have you already completed EMSP1148 Emergency Medical Technician?
(or, already completed EMT at another school?)

Yes

Have you already completed EMSP1263 ECG Interpretation?

Yes

Have you already completed EMSP1234 Pharmacology?

Yes

How many years of full-time experience do you have working as an EMT?
(Will be verified by resume and reference checks)

What is your current nursing or medical license status?
(Select the highest level that applies.)

Please Provide Other Medical License

What is the highest level of college education you have completed?

Document Upload

Please attach your application essay here. Essay must be written in APA format, be a minimum of 500 words and no more than 1,000 words. Essay must be submitted as a doc or docx.

Please attach your resume here.

Please attach your EMT license here.

Student Agreement

Paramedicine Student Handbook

I understand that the Paramedicine Program includes out-of-pocket expenses and I have reviewed the Paramedicine Student Handbook for details about program requirements, expectations, and associated costs.