[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-363764-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-363764-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","emt-5-week-program-enrollment-agreement","EMT - 5 Week Program Enrollment Agreement","","Emergency Medical Technician (EMT) student enrollment documents for a five-week program outline prerequisite requirements, submission deadlines, and enrollment procedures. The packet specifies acceptable certifications, health documentation, and additional required forms, along with submission methods via email or in person. 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Enrollment may be jeopardized if items are not received.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How can applicants submit the form and supporting documents?",{"text":68,"@type":64},"Applicants can email the form and documents, or submit them in person on the first day of the program; anything past the first day must be emailed.",{"name":70,"@type":61,"acceptedAnswer":71},"What must a student complete to achieve course completion and be eligible for the National Registry Exam?",{"text":72,"@type":64},"The student must complete all required skills with a passing score and achieve an 80% on the Final Exam. Only after course completion is the student eligible to take the National Registry Exam and apply for county EMT-B licensure.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},363764,1790218466,{"code":4,"msg":82,"data":83},"success",[84,88,92,95,100,105,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":93,"slug":94},70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":33,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":108,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},18829141979164,"https://eur-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","EMT Prerequisite Checklist  \nFINAL DEADLINE FOR THE FOLLOWING ITEMS IS DAY 1 OF THE PROGRAM . ENROLLMENT MAY BE IN JEOPARDY IF THE FOLLOWING ITEMS ARE NOT RECEIVED .  \nYou can send us this form and the following documents in two ways:  \n1. Email: [EMT@projectheartbeat.com](EMT@projectheartbeat.com)  \n2. Submit in person on the first day of your program (Anything past the first day must be emailed)  \nPrerequisites:  \n¨ California Drivers License  \n¨ BLS Certification (only AHA accepted)  \n¨ HS Diploma or GED  \n¨ Seasonal Influenza Shot (only for classes from Oct to March)  \n¨ Negative TB (within 1 year)  \n¨ TDAP (within 10 years)  \n¨ MMR  \n¨ Hepatitis B  \n¨ Varicella  \nAdditional Required forms:  \n¨ Signed Enrollment Agreement  \n¨ Disclaimer  \n¨ Release of Liability/COVID-19  \n¨ Photo Release  \n¨ School Performance Fact Sheet  \n¨ Promissory Form  \n¨ Denial and Revocation Form  \n¨ Clinical Ridealong Form with Dates  \nProject Heartbeat LLC | 333 Hegenberger Rd, Suite 855 Oakland, CA 94621  \n| (510)452-1100 Main (510)452-1110 Fax  \n| [www.projectheartbeat.com](www.projectheartbeat.com) v1 .0  \nPROJECT HEARTBEAT EMERGENCY MEDICAL TECHNICIAN (EMT) STUDENT ENROLLMENT AGREEMENT – 5 WEEK PROGRAM  \nProject Heartbeat – Oakland 333 Hegenberger Rd, Suite 855 Oakland, CA 94501  \nProject Heartbeat-Sacramento 2033 Howe Ave, Suite 150 Sacramento, CA 95825  \nPlease Print Clearly or Type  \nApplicant Full Legal Name:   Phone \\#:   Email:   Mailing Address:  \nStreet Address:   City:   State:   Zip Code:   Date of Birth:   Ca Driver’s Lic \\#   \nProgram Name: Emergency Medical Technician  \nProgram Start Date:   Program End Date:    \nTotal Clock hours:   184 hours   Total \\# of weeks:   5 weeks    \nA: ITEMIZATION AND TOTAL TUITION FEES  \nRegistration fee (non refundable) $100 Tuition $1495  \nInsurance (non refundable) $200 Student Tuition Recovery Fund (non refundable) $0 Lab Supplies Fees and equipment (non refundable, pen light, BP cuff, stethoscope, trauma $25 shears)  \nUniform Tee Shirts (non refundable. 3 tee shirts only. boots, pants, and belt not included) $25 Textbook with access code (non refundable once code is activated) $350  \nTOTAL TUITION AND CHARGES PAID TO PROJECT HEARTBEAT $2195  \nProject Heartbeat LLC | 333 Hegenberger Rd, Suite 855 Oakland, CA 94621 | (510)452-1100 Main  \n| [www.projectheartbeat.com](www.projectheartbeat.com)  \n| Estimated Additional Fees:\u003Cbr>Live Scan and Drug Screen Fees Immunizations\u003Cbr>National Registry EMT Examination Physical\u003Cbr>County EMS Certification Fee (costs vary by county)\u003Cbr>Tutoring (if needed)\u003Cbr>ADDITIONAL FEES TOTAL\u003Cbr>(5,CCR §71800(e) through (f))\u003Cbr>ESTIMATED TOTAL FOR ENTIRE EDUCATIONAL PROGRAM: | $125 $150 $90 $75 $50 $40/hour\u003Cbr>$490\u003Cbr>$2685 |\n| --- | --- |\n| TOTAL CHARGES FOR THE CURRENT PERIOD OF ATTENDANCE: $2685 TOTAL CHARGES THE STUDENT IS OBLIGATED TO PAY UPON ENROLLMENT: $2195 Initials\u003Cbr>  I AM RESPONSIBLE FOR THIS AMOUNT AND AGREE TO THE TERMS OF THE TUITION AGREEMENT. IF I\u003Cbr>CHOOSE THE INSTALLMENT PAYMENT OPTION, I AM RESPONSIBLE FOR MAKING ALL PAYMENTS AS NOTED IN THE FINANCIAL AGREEMENT TO REMAIN IN SCHOOL.\u003Cbr>  I have reviewed the EMT Program description and prerequisites. I agree to the terms of the Prerequisite Requirements and acknowledge understanding of the EMT Program Requirements |  |\n\n\n| B.  |\n| --- |\n| |\n| |\n| |\n| |\n| \u003Cbr>|\n| |\n| |\n| \u003Cbr>\u003Cbr>(CEC §94911(i)(1)(2))\u003Cbr>  School Catalog   School Performance Fact Sheet\u003Cbr>|\n\nProject Heartbeat LLC | 333 Hegenberger Rd, Suite 855 Oakland, CA 94621 | (510)452-1100 Main  \n| [www.projectheartbeat.com](www.projectheartbeat.com)  \nC. BINDING CONTRACT  \nI,  , am enrolling in the Emergency Medical Technician Basic program provided by Project Heartbeat. I understand the course requirements set forth by Project Heartbeat and the procedures to obtain an EMT-B license through the NREMT and the State of California . I understand that this course is 184 hours, and that I must achieve an 80% on the Final Exam along with successfully comple","cbCaiaijrBNSJ594","https://ap.wps.com/l/cbCaiaijrBNSJ594","pdf",5611717,"English","# EMT Prerequisite Checklist\n## Prerequisites and required documents\n## Submission deadline and submission methods\n# EMT Student Enrollment Agreement – 5 Week Program\n## Tuition and charges\n## Additional fees and totals\n## Binding contract terms\n## Understandings and policies","[{\"question\":\"What is the deadline for submitting the listed EMT prerequisites and forms?\",\"answer\":\"The deadline is Day 1 of the program. Enrollment may be jeopardized if items are not received.\"},{\"question\":\"How can applicants submit the form and supporting documents?\",\"answer\":\"Applicants can email the form and documents, or submit them in person on the first day of the program; anything past the first day must be emailed.\"},{\"question\":\"What must a student complete to achieve course completion and be eligible for the National Registry Exam?\",\"answer\":\"The student must complete all required skills with a passing score and achieve an 80% on the Final Exam. Only after course completion is the student eligible to take the National Registry Exam and apply for county EMT-B licensure.\"}]","EMT - 5 Week Program Enrollment Agreement | PDF",1790153027,101]