South Dakota EMT Initial Certification Application

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Account

Class entry


Login

ControlTypeNotes
Register link Links to new Account page.
Email text Required.
Password text Required.
Forgot password? link Links to page to send email with a new password.


Account

ControlTypeNotes
First name Text Required.
Middle name Text Optional, may use an initial with or without period.
Last name Text Required.
Training level Text Required. EMT, AEMT, Paramedic, RN, MD, Other
EMT License# Text Optional.
Address Text Required.
City Text Required.
State Text Required.
Zip Text Required.
Email Text Required.
Phone Text Required.
Password Text Required.
Should be a strong password: depending on system settings, one or more non-alphanumeric characters may be required."
Password again Text Required. Must be the same as Password


Class Entry

ControlTypeNotes
Course ID:Text Required.
Enter at least 2 characters to see valid courses starting with those numbers.
Course Name:Text Required.
Enter at least 2 characters to see valid courses starting with those characterw.
Start Date:TextRequired.
End Date:TextRequired.
Start Time:TextRequired.
End Time:TextRequired.
CE Hours:TextRequired.
Instructor CE Hours:TextOptional.
Sponsor Institution:TextRequired.
Address:TextRequired.
City:TextRequired.
State:TextRequired.
Zip:TextRequired.
County:TextRequired.
Contact Same as InstructorTextOptional.
Contact Name:TextRequired.
Phone:TextRequired.
Contact Email:TextRequired.
Assistant Name:TextOptional.
EMT#:TextOptional.
Comments:TextOptional.