textbook is my responsibility. The approximate cost of the
textbook is $95.00.
3. EMS work is strenuous. The EMT course will require me to physically exert myself. I will consult my physician if I
have any doubts about my ability to perform these tasks.
Emergency Medical Services Providers active on EMS units or employees of municipal EMS services are entitled to take
tuition free courses. It is the responsibility of the student to provide the completed NYS Verification of Membership Form
as proof of participation in an agency with a NYS EMS Agency Code. (Verification of Membership Forms will be available
from the Instructor/Coordinator). Those students who do not provide Verification of Membership will be billed tuition for
the training course. Failure to pay the tuition will result in dismissal from the course.
Upon receipt of this application by the