This is a preliminary registration form for the EMT or Paramedic Program in Coral Springs, Fl. An official paper registration form must be completed and signed at the school that provides full disclosure. By filling out this form you acknowledge that you are the student completing this form and a spot will be held for 48 hours. A tuition deposit is required within 48 hours and EEI school requirements are to be followed. EEI reserves the right to disallow any registration. EEI will contact you the next business day to arrange an interview and complete all needed forms. Please note that registration can only be offered to those that posses a U.S. Resident or Citizen status. We look forward to serving and assisting you in your EMS career! EMT or Paramedic?: Name: Street Address: City: Zip Code: Phone #: Date of Birth: eMail Address: Date: Electronic Signature (Type Name):
This is a preliminary registration form for the EMT or Paramedic Program in Coral Springs, Fl. An official paper registration form must be completed and signed at the school that provides full disclosure. By filling out this form you acknowledge that you are the student completing this form and a spot will be held for 48 hours. A tuition deposit is required within 48 hours and EEI school requirements are to be followed. EEI reserves the right to disallow any registration. EEI will contact you the next business day to arrange an interview and complete all needed forms. Please note that registration can only be offered to those that posses a U.S. Resident or Citizen status. We look forward to serving and assisting you in your EMS career!
"Giving Life Through Education" tm 
"Giving Life Through Education" tm