Fall-2026 EMS Application Packet - Jefferson State Community College Emergency Medical Services Program

Sep 23, 2026

Uploaded by Jacob

Electronic application instructions for the Jefferson State Community College Emergency Medical Services Program for the Fall 2026 term, including key deadlines, submission steps, and required acknowledgements for immunization records and a medical examination. The packet outlines how to apply as an admitted student, where to complete and submit the electronic form, and what to expect after submission, including uniform, malpractice insurance, background check, and drug testing information. It also includes EMS program goals and the EMT oath, plus admission requirements and contact information for program directors and coordinators.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Application Deadline and Late Acceptance

How to Apply (Steps)

Required Documents and Medical Exam

After Submission and Course Registration

Emergency Medical Services Contact Information

Program Goal and EMT Oath

Admission Information and Requirements

Electronic application is DUE August 21st, by 4:00pm FOR LATE ACCEPTANCE CONTACT PROGRAM DIRECTOR CAAHEP 9355 – 113th St. N \#7709 Seminole, FL 33775 Phone: 727-210-2350 CoAEMSP 8301 Lakeview Parkway Suite 111-312 Rowlett, TX 75088 Phone: 214-703-8445 Jefferson State does not discriminate on the basis of race, color, national origin, sex, disability, or age in its admissions, programs and activities in compliance with Title VI and VII of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, Title IX of the Educational Amendments of 1972 and the Americans with Disabilities Act of 1990. This PDF is for your information and reference. You must apply to the Jefferson State EMS Program by following these steps: 1. Be admitted to Jefferson State. Unless you were enrolled in classes at Jefferson State in the Spring 2026 semester, then you must complete the admissions process for the college by following the instructions at Get Started Today! -Jefferson State Community College 2. Complete and submit the electronic application found at: Jefferson State Community College EMS Program Application Fall 2026 – Fill out form PLEASE NOTE: You will be asked to acknowledge that certain immunization records and a medical examination are required. You will upload these documents in a different form after submitting your application. The medical exam form can be found at Physical-Exam-Form.pdf. You will receive information about uniforms, malpractice insurance, background check, and drug testing on the first day of class. Malpractice insurance is purchased from the Jefferson State cashier’s office. 3. Once we receive your electronic application and you meet the requirements to register for EMS classes, we will send you an email instructing you to register for your Summer 2025 EMS courses. Please note that you may need to register for additional courses if you are pursuing an associate of applied science degree in EMS. Please contact Director Ward for guidance on pathways to earning your associate of applied science degree [at](at wward@jeffersonstate.edu)[ ](at wward@jeffersonstate.edu)[wward@jeffersonstate.edu](at wward@jeffersonstate.edu) or 205.983.5206. You may also scan the QR code below to use a mobile device to complete the application: Emergency Medical Services Contact Information For Admission Information contact: Wes Ward, MPA, NRP Program Director/Advisor [wward@jeffersonstate.edu](wward@jeffersonstate.edu) [Phone:](Phone:) (205) 983-5206 Cell: (205) 229-6390 Sandy Chamberlain, MPSLA, NRP Clinical Coordinator / Instructor / Advisor [cassandra.chamberlain@jeffersonstate.edu](cassandra.chamberlain@jeffersonstate.edu)[ ](cassandra.chamberlain@jeffersonstate.edu)[Phone:](Phone:) (205) 983-5236 Beverly Edwards, AAS, NRP Instructor / Advisor [beverly.edwards@jeffersonstate.edu](beverly.edwards@jeffersonstate.edu)[ ](beverly.edwards@jeffersonstate.edu)[Phone:](Phone:) (205) 856-6048 Mandel Hill, AAS, NRP Instructor / Advisor [Mhill25@jeffersonstate.edu](Mhill25@jeffersonstate.edu)[ ](Mhill25@jeffersonstate.edu)[Phone:](Phone:) (205) 983-5993 Beth Ray Office Manager Shelby Campus [bethray@jeffersonstate.edu](bethray@jeffersonstate.edu)[ ](bethray@jeffersonstate.edu)[P](Phone:)[hone:](Phone:) (205) 983-5225 Precious Baker Office Manager Jefferson Campus [pbaker4@jeffersonstate.edu](pbaker4@jeffersonstate.edu)[ ](pbaker4@jeffersonstate.edu)[Phone:](Phone:) (205) 856-7940 Shelby Campus EMS Program Jefferson State Community College GSB 316 4600 Valleydale Road Birmingham, AL 35242 JEFFERSON STATE COMMUNITY COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM PROGRAM GOAL The goal of the Jefferson State EMS Program is to prepare competent entry-level Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains with or without exit points at the Advanced Emergency Medical Technic

FAQs

What is the Fall 2026 EMS electronic application deadline, and what happens for late acceptance?

The electronic application is due August 21st by 4:00pm. For late acceptance, contact the Program Director.

What documents and acknowledgements are required after submitting the electronic application?

You must acknowledge that certain immunization records and a medical examination are required. You upload the documents in a different form after submitting your application, and the medical exam form is listed as Physical-Exam-Form.pdf.

What are the EMS Program admission requirements and consequences related to the background check?

Applicants must be admitted to Jefferson State Community College, submit a completed EMS Application Packet by the deadline, and submit to a background check. Failure to participate in the background check process disqualifies students from the EMS Program, and students who fall out of progression may need additional background checks before clinical or field rotations.

Sep 23, 2026

Uploaded by Jacob