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
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 email@example.com.