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    Ohio EMT Application

    This application is required for admission into the Ohio Basic EMT course. Additional requirements include the following to be submitted to:

    Linda Steele, Program Director
    Shawnee State University

    Emergency Medical Technology

    940 Second Street

    Portsmouth, OH 45662

    • Must be age 17 or older. *If age 17, parental permission is required. 
    • Must possess current driver’s license.
    • High School diploma or equivalent
    • Completion of a pre-entrance physical exam (prior to beginning of course) – [Link]
    • Completion of a five-panel non-DOT drug screen.
    • Full tuition or payment plan arranged or letter of intent from a sponsoring organization. See for more information.
    • Completion of an Ohio State & Federal background check. You may obtain from the SSU Department of Public Safety. Find out more HERE.
    • A Criminal History Statement attesting to the fact that the student has not been charged with, pled guilty to or been convicted of the listed crimes. See page 3 HERE.
    Admission Interview
    Mailing Address
    Mailing Address
    Education Data
    Work Experience
    Other Activities
    Knowledge of Field