Complete your Paramedic Registration Form

  • Documents
  • Demographic Information
  • Complete
Your name
Proof of Age

Are you 18 years of age or older?

Submit documentation of proof of age, i.e. driver's license, state-issued ID card, passport, or birth certificate.
One file only.
10 MB limit.
Allowed types: pdf doc docx jpg jpeg png.
High School & College Experience
Or last semester attended
Diploma/GED
Copy of your high school diploma/GED.
One file only.
10 MB limit.
Allowed types: pdf doc docx jpg jpeg png.
Or last semester attended
Or last semester attended
None/Certificate/Associate/Bachelor/Masters/Doctorate
Were you previously enrolled at Pennsylvania College of Technology in a credit or clock-hour program?
Current AHA Healthcare Provider CPR Card
Copy of both sides of your current AHA Healthcare Provider CPR Card.
One file only.
10 MB limit.
Allowed types: pdf doc docx jpg jpeg png.
Current EMT Certification
Pick one that best describes you
Please upload below.
You will need to submit your certification once earned.

You are not eligible for the program at this time. 

Copy of your current PA EMT, AEMT, or NREMT Certification.
One file only.
10 MB limit.
Allowed types: pdf doc docx jpg jpeg png.
Employment
Are you applying for an employer-sponsored scholarship?

The future needs you.

If you put more into today, could you get more out of tomorrow? If you create your future at Pennsylvania College of Technology, the answer is yes.

With open and rolling admission, applying is easy.

Apply today

Experience all that campus has to offer with visit options designed just for you.

Schedule a visit

Get more information about the admission process.

Request information