17-Day EMT Program Initial Registration Form

Apply for the 17-Day EMT Program

Ready to get started?
Complete the short form below and choose the class you are interested in attending.
Once we receive your information, a member of the Pelham team will contact you with the next steps for enrollment.

Course Tuition: $3,800
Tuition includes course instruction, required course materials provided by Pelham, clinical assignments, two Pelham shirts, student identification badge, stethoscope, and applicable course certification provided as part of the program.

Student housing is available on a first-come, first-served basis.
Let us know below if you are interested in staying on site.

Student Information

Is there anything you would like us to know or any questions you would like answered?

Ready?
Submitting this form starts the enrollment conversation. A member of the Pelham team will contact you with the next steps and any additional information needed to complete your enrollment.


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