Motlow EMS Program Application

Motlow EMS Education
Which program you are applying for. *
 




License Info



Employment History


Educational Background



Please attach two letters of reference including one from a medical professional. Do not use family members as references.




Background Check
Background checks and drug screens are a requirement for training at most affiliated clinical sites. Based on the results of these checks, an affiliated clinical site may determine to not allow your presence at their facility. This would result in your inability to successfully complete the requirements of this program. Additionally, applicants should be aware that conviction of certain crimes may make them ineligible for EMT/AEMT licensure in the State of Tennessee. To review a list of these crimes or to obtain more information, please to go to http://www.state.tn.us/sos/rules/1000/1000-01.pdf.
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