EMS Program Application

To Learn More:

Brian Ayres, Program Director
Emergency Medical Services

409-944-1481 

Fax: 409-944-1511

EMS Program Application

Please complete the form below for application to the EMS Program.

Upon submission of the form, you will be contacted by the EMS Director to review and complete the application process.

Answers to all items are required. 

Step 1 of 3

Program of Interest

Applying for Semester: