EMS Academy Application

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Information obtained from this form is authorized by state and federal laws prohibiting discrimination on the basis of race, sex, age, religion, national origin or handicap. *Note: Date of birth is requested to verify that the applicant will be 18 years of age at the time of NR/TDSHS registry (for EMS certification courses), in accordance with state law and NR/TDSHS Rules.

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EMS Academy Application

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