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Mandatory! Please enter the correct number to receive credit. EMT student ID's are usually in this format: 123456FT-01 and are located in your email. If you do not know the number, meet Customer Service in Live Chat or call (800) 728-0209.
This is the name of the organization where you did your clinical or vehicular hours.
Start Date and Time
End Date and Time
Student Name
Clear Signature
Preceptor Name
Clear Signature
Hand to your preceptor to sign digitally.