2015-2016 Certificate of Completion Worksheet
Emergency Medical Technician Basic
Name _____________________________ SID _______________ Date __________ Advisor ______________________
Clark College offers a Certificate of Completion in Emergency Medical Technician-Basic (EMT-B). The EMT-B course is designed to
enhance job opportunities in pre-hospital emergency settings. A variety of community agencies such as ambulance companies, police
and fire departments, and large industries utilize employees with EMT-B training. This program includes lecture, laboratory, emergency
room observation, and field experience on an ambulance or fire rescue unit as available.
Major Area Requirements
Courses listed below are to be completed with a “C” or better.
EMT 103 is a ten-credit-hour Clark College course taught at the
Northwest Regional Training Center (NWRTC). Check the Clark
College website for directions to the training center. Students
must bring the following items to the first night of class:
• Copy of current American Heart Association Healthcare Provider
CPR card (or take HLTH 124 within first week of class)
• Copy of valid driver's license
• Washington State Patrol criminal background check (within six
[6] months of course date)
• MMR immunization (twice in lifetime or within last 10 years)
• Hepatitis B immunization (series of three) or signed waiver
• Negative tuberculosis (TB) skin test or chest x-ray (within past six
[6] months)
• Must be 18 years of age
• Proof of high school completion (transcripts) or GED
• Course textbook: Emergency Care, 12th Ed., Limmer. Available for
purchase at NWRTC or Clark College Bookstore.
• Students will also be required to purchase a uniform at NWRTC
BMED 110 Medical Terminology I*
3
BMED 111 Medical Terminology II*
3
EMT 103 Emergency Medical Technician Basic
10
HLTH 124 First Aid/Healthcare Provider CPR
1
HEOC 100 Basic Concepts of A&P**
4
or
BIOL 164 Human Biology**
4
and BIOL 165 Human Biology Lab**
1
HEOC 120 AIDS Education
1
* BMED 110 and 111 are strongly recommended but not
• Students are strongly encouraged to attend the EMT course
orientation the Friday before the quarter begins, 6-10 p.m.,
at NWRTC.
required for certificate completion.
** HEOC 100 or BIOL 164/165 must be seven years
current upon program entry.
Please call the NWRTC office at (360) 397-2100 if you have any
questions about the above requirements.
Complete
Needed
0
NOTES:
TOTAL CREDITS REQUIRED: 14-19
NEEDS:
0
STUDENT SIGNATURE:________________________________
ADVISOR SIGNATURE:________________________________
REVISED: 06/15
UNOFFICIAL EVALUATION GIVEN TO STUDENT
EPC: 364M