Student Enrollment For Upcoming Events

A-EMT - Distance Learning Prgm - Greenville
Course Name: A-EMT - Distance Learning Prgm - Greenville
Address: UPMC Horizon-Greenville 110 N. Main St, Greenville, PA 16125
Cost: $50.00
 
Session: 01 - Timing: Monday, January 29, 2024 6:00 PM - 6:00 PM

 Payment Summary
Sub Total : $50.00
Discount : $0.00

Net Total
$50.00

 
 User Information
First Name:
 
Last Name:
 
Address:
 
City:
 
State:
   
Zip:
 
Telephone:
 
Email:
   
EMS Cert #

Leave Blank if not EMS Certified

Date Of Birth:
RadDatePicker
RadDatePicker
Open the calendar popup.
 
Discount Code:
   
 
Click on Apply after entering the code to avail the discount.




Questionnaire - A-EMT - Distance Learning Prgm - Greenville
1 - Service Affiliation or Sponsoring Agency
 

2 - County of Residence
 

3 - You MUST have a current certification as a PA DOH EMT. Do you meet this requirement
 
 
     
           

 Pre-requisite Course
No Pre-requisite course.

 Payment Method
credit cards supported
Payment Type: 
Name on Card: 
Card Number: 
Expiration Date:       
CVV:     
I agree to the terms and conditions of this registration (see terms and conditions)