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EMT- Community Paramedic Pre-Registration Screening Form

This form serves as a Pre-Registration Screening for the CNM EMT- Community Paramedic Program.

This form is to verify students meet the minimum requirements to register for CNM EMT- Community Paramedic Program. Once students submit this form and are approved they will be given permission to register for the EMT-Community Paramedic program. Submission of a completed form does not guarantee a seat in a course. Screening forms will not be considered for students who have not been admitted to CNM.

If you have any questions on the information provided on this form, please call 224-4111 or email CPE@cnm.edu before submitting.

The deadline to submit this form has been extended to July 16th at 5:00pm

Transfer Credits: If you have transfer credit for any courses, submit official transcripts to the CNM Records Office for official evaluation. Transcripts need to be submitted and on file before completing this screening. Please allow time for processing. Before you submit this form, check your MyCNM account to make sure all courses are listed correctly. We also recommend you review the EMT-Community Paramedic Program Pre-Registration Screening Requirements and Instructions

Special Note: Students who are interested in the EMT-Community Paramedic Program must have 3-5 years EMS experience. Students will have to submit a Documentation of Experience form in order to verify EMS experience.  A supervisor/organization official must sign and submit a Documentation of Experience Form by June 23rd, 2014.

Form Submission: You cannot "save" your work and return to it later. The fields marked with an red box below are required. When you click "submit" below, a screen will appear that will notify you that your form was submitted successfully. We suggest you print this screen for your records. You will also receive a confirmation email, confirming that your form was submitted successfully. Once you have submitted this screening form, you will be notified within 5-10 business days via your CNM email regarding your screening form.

Download the EMT-Community Paramedic Program Pre-Registration Screening Requirements and Instructions for Students in 2014 for Documentation of Experience Form

Information and Acknowledgements For each of the following statements click the button labeled "I understand" to acknowledge you understand that you have met/will meet the following requirements. If you have any questions on any of these statements, please contact 224-4111 or email CPE@cnm.edu before submitting this form.
Minimum Requirements   I understand that I must meet the minimum requirements for this program which include: 3-5 years of EMS experience, a current New Mexico EMT-P license or current National Registry Paramedic License

Limited Seating   I understand that there are limited seats for this program and seats will be available. I will be responsible for registering for courses at the assigned date and time.

CNM Student Status   I understand that failure to submit transcripts or meet program requirements will delay my ability to register for this program. I also understand that my academic or financial aid status may effect my ability to to successfully register for this program

Verification and Compliance   I understand that if I am able to register for this program, I must complete pre-entry requirements by a deadline, including attending a program orientation, and completing a background check, drug screen, and immunizations. More information on compliance for this program can be found at the Office of Verification and Compliance (right click and open in a new tab/window)

HWPS Handbook   I understand that I must become familiar with the School of Health, Wellness, and Public Safety Handbook (right click and open in a new tab/window)

 

When you click "submit" you will receive an email confirmation to your CNM email account. Save this page for your records. You will be notified on your registration approval status within 5-10 business days.

If you have questions about the Pre-Registration Screening process, email cpe@cnm.edu.