Paramedic Program Application - Traditional January 27 Cohort

Please note: * (asterisk) Indicates a required field.

Personal Information

*First Name

Preferred First Name

*Last Name

*Email Address

*Birthdate
This information is needed primarily for record-matching and data integrity purposes.

*Mailing Address

Country

Street

City

Region

Postal Code

Would you like to receive text messages from CCE?

Yes

Opt-in Confirmation: You have opt-in to receive notifications from Sacramento State. Sacramento State May, directly or through third-parties acting on its behalf, send marketing information regarding Sacramento State and your continuing education, including texts, emails, and calls made using an automated dialing system to the number and email address that you provided above. Providing this consent is not required to obtain any good or service. Please refer to CSU Privacy Policy Statement for terms of use.

Mobile Phone Number
By providing phone number, you consent to receive calls or texts (if opted-in above) from Sacramento State. Reply STOP to unsubscribe. Msg & Data rates may apply. Please refer to CSU Privacy Policy Statement for terms of use.

Preferred Contact Method:

Home Phone Number

Demographics

*Which best describes your gender? Choose all that apply.

*Which of the following best represents your racial/ethnic heritage? Choose all that apply.

General Information

Do you have a current drivers license?

Yes

Please enter expiration date (mm/dd/yyyy)

Will you be using VA benefits to pay your course fees?

Yes

What chapter?

If accepted to the Paramedic Program, does your employer intend to pay for your course fees?

Yes

Agency Name

Agency Contact Person Name

Agency Contact Person Email

How did you hear about the Sacramento State Paramedic Program?

Other - please specify

Education History

High School

CEEB (hidden)

Do you hold a GED?

Yes

Year of High School Graduation

Have you completed an EMT Basic Course?

Yes

School Name

Completion Date

Have you previously attended another Paramedic Program?

Yes

Paramedic School Name

Start Date

End Date

Have you ever been dismissed from a Paramedic Program for academic or behavior issues?

Yes

Please provide a brief description of the circumstances surrounding the dismissal and what changes you have made in order to be successful in the future.

Do you have a College Degree?

Yes

What was your major?

Degree Type:

How many units have you completed?

Have you take a college level Anatomy and Physiology course?

Yes

From where?

Have you taken a Pre-Paramedic course?

Yes

From where?

Employment History

*Do you currently have a job?

Yes

*Are you currently working as an EMT?

Yes

No - However, I have previous EMT experience

No - I don't have EMT experience

Delete_ID_
Employer: EMT Experience
Employer Name Number of Hours Worked per Week Employment Type Job Title Start Date Start Date End Date or leave blank for current End Date or leave blank for current What was your role at this agency? Job Length - Years Job Length - Months Full Address of Employer Full Address of Employer Country Street City Region Postal Code Phone Number of Employer In this position, did you work on an ambulance?

Click here to add more Employer: EMT Experience

Unofficial Transcripts

Please upload your unofficial transcript(s).

If you have attended more than one college, you must submit individual transcripts for each college, including any coursework you are currently taking or enrolled in. If you have attended more than 5 colleges, please combine multiple transcripts into a single document before uploading, or email additional transcripts to: Rose Browne, Senior Program Coordinator at cceparamedic@csus.edu. Please include your full name and Paramedic Program Transcripts in the email.

Upload Your Unofficial Transcript Below
Please note: if we do not have unofficial transcripts from all colleges attended, the application process will be delayed.

Unofficial Transcript 2

Unofficial Transcript 3

Unofficial Transcript 4

Unofficial Transcript 5

*Resume

Please provide your resume here.

NREMT Card

Please upload your NREMT Card here (if it has lapsed, then just upload your State EMT card)

*State EMT Card

Please upload your State EMT card here.

*Test of Essential Academic Skill (TEAS)

Upload your TEAS print out here that includes your name and score.

*Uniform and Interview Selection

If you rank in the top 60 you will be invited to interview. Attending one interview day is mandatory. The interviews will be scheduled in one hour blocks of time. Choose your interview date/time preference or select “Any date/time work for me” if any date/time works for you.

Interviews will take place in-person at Napa Hall.

Monday, November 16 - morning

Monday, November 16 - afternoon

Tuesday, November 17 - morning

Tuesday, November 17 - afternoon

No Preference - any date and time work

What size polo shirt will you need?

What size sweatshirt will you need?

What size scrub top will you need?

*Agreements

The $30 application fee is non-refundable and must be paid via a separate online form. Once you click submit, the next page will display the link to the application fee. The link to the application fee will also be included in your confirmation email. Your application will NOT be considered if the application fee is not paid.

Yes, I agree to paying the $30.00 Paramedic Program Application Fee.

I understand that in order to participate in this program, I will be required to do a 10-panel drug screening, and agree to a background check. Drug screening and background checks will be completed upon acceptance to the program.

Yes, I have read and agree to comply with the statements listed above.

I certify under penalty of perjury that I have provided complete and accurate responses to the items listed on this application.

Yes, I have read and agree comply with the statements listed above.

*Signature of Applicant

Click to Sign...

Privacy Policy:

The College of Continuing Education respects your right to privacy. Any information given to us when requesting course or program material will be used solely for the purpose of answering or responding to your request. We do not sell or otherwise distribute your personal information. We may, however, use it to provide you with advanced notices of our course offerings. If at any time you wish to be removed from our mailing lists, you may contact us and your request will be processed immediately.

Population_CCE (Hidden field)

Yes

CCE Program Paramedic (Hidden field)

CCE Inquiry Major Form Date (Hidden Field)

Program Coordinator - RB (Hidden Field)

Term - Spring 2027 (Hidden Field)