Paramedicine Application

Applicants seeking admission to Columbus Technical College (CTC) Paramedicine programs are encouraged to consult with the Paramedicine Program Director (706.225.0562) or an EMS faculty advisor before applying.

First Name(Required)

Middle Name(Required)

Last Name(Required)

CTC Student ID Number(Required)

Contact Info:

Mobile Phone(Required)

Other Phone (if no mobile)

CTC Student Email(Required)

Enter Email Confirm Email

Alternate Email

By checking the box below, you acknowledge that you have read and understand the Paramedicine Admission Policy.

Please review the Admission Requirements and Deadlines before submitting this application.

Policy Acknowledgement(Required)

I have read and understand the Paramedicine Admission Policy

Do you have a current National Registry of Emergency Medical Technicians (NREMT) certification or a valid state-level Emergency Medical Technician (EMT) certification, or higher?(Required)

Yes

Do you have a CTC-specific HESI A2 examination, earned through the CTC Testing Center, with a score of 60 or higher?(Required)

Yes

HESI A2 Test Date: Type in using MM/DD/YYYY Format(Required)

Application Acknowledgements

In order to proceed and submit the application, you must read and acknowledge the following two items.

To proceed with application submission, please check the box below to certify your submission. Please note that this is the equivalent of an electronic signature.(Required)

Yes

I certify that the information given is correct and I wish to be considered for admission.

Typed Name(Required)

Date (MM/DD/YYYY)(Required)

Please Check your CTC Student Email for Confirmation

Confirmation of your submission will be emailed to your CTC Student Email and the Program Director.