EMT Class Application

Please fill out the following application for the EMT Class.

Student Info:

Emergency Contact Info

Previous Medical Training

Payment Options

Please select resident type below and either mail payment (checks or cash ONLY) or drop off by January 29th, 2024 to:

Monroe Volunteer Emergency Medical Service 54 Jockey Hollow Road Monroe, CT 06468

Choose one
Textbook Type *
  • Class fees include the cost of the textbooks.

  • Funds are non-refundable after the start of the program.

  • Students who successfully complete the program and receive State certification and become an active volunteer may be eligible for a refund of the class fee.