Paramedical Services Application

* Required

First Name: *

Middle Initial: *

Last Name: *

Current Address: *

City: *

State: *

Zip Code: *

Phone: *

Personal Email: * (all further correspondence will be via email)

Select program to which you are applying: *

Paramedical Services - Certificate

Paramedical Services - Associate

NOTE: For complete application submission, students currently working in the field as an EMT-B, EMT-I or AEMT must complete the Employment Verification form (link will be given after submission of this form). On this form, students must also attach a copy of the Illinois state license in PDF format

Review the appropriate Paramedical Services Application Checklist. The checklist contains information needed to ensure your application is complete. This includes: admission requirements, pre- and co-requisites, tuition and fees.

I have reviewed the information in the Application Checklist *

Students applying to the paramedical services program at Lake Land College must be able to meet the technical requirements of the program and not pose a risk to the well-being of patients, other students, staff or themselves. Students applying to the program will need, at a minimum, to be capable of performing all Essential Functions required of the paramedic. The student will need to maintain and demonstrate these abilities throughout the duration of the program.

I have reviewed the list of Essential Functions and understand that I need to be able to perform these functions to complete the paramedical services program *

Upon acceptance, I understand that I will be required to comply with all requirements of the program and of the clinical facility to which I am assigned. This may include Covid-19 vaccination or approved exemption requests *

To reduce spam, could you please enter the current 4-digit year? (ex. 2024) *

Paramedical Services Application

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