Paramedic application

"*" indicates required fields

I have completed*
(check all that apply)
List colleges attended below
If applicable, official transcripts are also required as described in the Plan your first term steps.
College/University
State
Dates of attendance
 
If you completed a prerequisite course outside of PCC, please upload your unofficial transcripts here.
Prerequisite courses must be complete by the end of Summer term, 2023 prior to starting the program in winter term, 2024. See the full list of prerequisites.
Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 20 MB.
Prerequisite courses
List the details for your prerequisite courses. All students are encouraged to meet with an EMS advisor prior to application to ensure prerequisite course requirements have been fulfilled. For application questions, please email ems@pcc.edu.
MTH 65: Introductory Algebra, or higher*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
WR 121: English composition, or higher*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
HE 295 or PE 295: Health and Fitness for Life*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
Arts & Letters Elective: Any course 100 level or above*
(see AAS general education requirements)
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
Social Science Elective: Any course 100 level or above*
(see AAS general education requirements)
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
EMS 100 (or FP 101): Intro to Emergency Medical Services*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
EMS 105: Emergency Medical Technician Basic – Part I*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
EMS 106: Emergency Medical Technician Basic – Part II*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
EMS 114: Emergency Response Patient Transport*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
EMS 115: Crisis Intervention*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
EMS 116: EMS Rescue*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
MP 111: Medical Terminology*
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
BI 231: Human Anatomy & Physiology I*
(must be current within 7 years)
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
BI 232: Human Anatomy & Physiology II*
(must be current within 7 years)
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
BI 233: Human Anatomy & Physiology III*
(must be current within 7 years)
Completed prerequisite course number
Completed prerequisite title
Educational institution
Grade received
Please attach the following supporting documents:
  • Copy of Current Oregon EMT Licensure or higher (out of state students should allow 12 weeks for reciprocity to Oregon)
  • Copy of Current American Heart Association (AHA) Basic Life Support (BLS) Healthcare Provider level card
  • If you are substituting any prerequisite courses from another college or university, include a copy of your email correspondence for approval of these courses below.
Drop files here or
Accepted file types: jpg, jpeg, jpe, png, gif, pdf, Max. file size: 20 MB.
    Please respond to the following prompt: What are your unique qualities and professional goals as a Paramedic? (2500 character max)
    Patient Contact Experience*
    List all healthcare experiences in which your responsibilities allowed for direct patient contact (e.g. nurse, EMT, aide, medical assistant, ambulance/fire service)
    Employer
    Supervisor's name
    Contact phone number
    Your position title
    Months/years in position
    Full-time, part-time, or volunteer?
     
    References
    Identify three individuals (not related to you) whom you have requested recommendation in support of your application.
    Reference #1*
    Name
    Occupation
    Telephone
    Reference #2*
    Name
    Occupation
    Telephone
    Reference #3*
    Name
    Occupation
    Telephone
    Disclaimer
    This field is for validation purposes and should be left unchanged.