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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.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/fall-2026-ems-application-packet-jefferson-state-community-college-emergency-medical-services-program/363501/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/fall-2026-ems-application-packet-jefferson-state-community-college-emergency-medical-services-program/363501.png","ImageObject",300,407,{"name":92,"@type":93},"Jacob","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the Fall 2026 EMS electronic application deadline, and what happens for late acceptance?","Question",{"text":112,"@type":113},"The electronic application is due August 21st by 4:00pm. For late acceptance, contact the Program Director.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What documents and acknowledgements are required after submitting the electronic application?",{"text":117,"@type":113},"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.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the EMS Program admission requirements and consequences related to the background check?",{"text":121,"@type":113},"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.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},363501,1790218255,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41},962084931830,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Electronic application is DUE August 21st, by 4:00pm FOR LATE ACCEPTANCE CONTACT PROGRAM DIRECTOR  \nCAAHEP 9355 – 113th St. N  \n\\#7709 Seminole, FL 33775 Phone: 727-210-2350  \nCoAEMSP  \n8301 Lakeview Parkway Suite 111-312 Rowlett, TX 75088 Phone: 214-703-8445  \nJefferson 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.  \nThis PDF is for your information and reference. You must apply to the Jefferson State EMS Program by  \nfollowing these steps:  \n1. 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  \n2. Complete and submit the electronic application found at:  \nJefferson State Community College EMS Program Application Fall 2026 – Fill out form  \nPLEASE 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.  \n3. 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.  \nYou may also scan the QR code below to use a mobile device to complete the application:  \nEmergency Medical Services Contact Information For Admission Information contact:  \nWes Ward, MPA, NRP  \nProgram Director/Advisor  \n[wward@jeffersonstate.edu](wward@jeffersonstate.edu)  \n[Phone:](Phone:) (205) 983-5206  \nCell: (205) 229-6390  \nSandy Chamberlain, MPSLA, NRP  \nClinical Coordinator / Instructor / Advisor  \n[cassandra.chamberlain@jeffersonstate.edu](cassandra.chamberlain@jeffersonstate.edu)[ ](cassandra.chamberlain@jeffersonstate.edu)[Phone:](Phone:) (205) 983-5236  \nBeverly Edwards, AAS, NRP  \nInstructor / Advisor  \n[beverly.edwards@jeffersonstate.edu](beverly.edwards@jeffersonstate.edu)[ ](beverly.edwards@jeffersonstate.edu)[Phone:](Phone:) (205) 856-6048  \nMandel Hill, AAS, NRP Instructor / Advisor  \n[Mhill25@jeffersonstate.edu](Mhill25@jeffersonstate.edu)[ ](Mhill25@jeffersonstate.edu)[Phone:](Phone:) (205) 983-5993  \nBeth Ray  \nOffice Manager Shelby Campus  \n[bethray@jeffersonstate.edu](bethray@jeffersonstate.edu)[ ](bethray@jeffersonstate.edu)[P](Phone:)[hone:](Phone:) (205) 983-5225  \nPrecious Baker  \nOffice Manager Jefferson Campus [pbaker4@jeffersonstate.edu](pbaker4@jeffersonstate.edu)[ ](pbaker4@jeffersonstate.edu)[Phone:](Phone:) (205) 856-7940  \nShelby Campus  \nEMS Program Jefferson State Community College  \nGSB 316  \n4600 Valleydale Road Birmingham, AL 35242  \nJEFFERSON STATE COMMUNITY COLLEGE  \nEMERGENCY MEDICAL SERVICES PROGRAM  \nPROGRAM GOAL  \nThe 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","cbCaiixc32h90VdS","https://ap.wps.com/l/cbCaiixc32h90VdS","pdf",1105344,12,"English","# Application Deadline and Late Acceptance\n## How to Apply (Steps)\n## Required Documents and Medical Exam\n# After Submission and Course Registration\n# Emergency Medical Services Contact Information\n# Program Goal and EMT Oath\n# Admission Information and Requirements","[{\"question\":\"What is the Fall 2026 EMS electronic application deadline, and what happens for late acceptance?\",\"answer\":\"The electronic application is due August 21st by 4:00pm. For late acceptance, contact the Program Director.\"},{\"question\":\"What documents and acknowledgements are required after submitting the electronic application?\",\"answer\":\"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.\"},{\"question\":\"What are the EMS Program admission requirements and consequences related to the background check?\",\"answer\":\"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.\"}]","Fall-2026 EMS Application Packet - Jefferson State Community College Emergency Medical Services Program | PDF",1790151530]