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Student Name
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.
Preceptor Name
Start Date and Time
End Date and Time
Clear Signature
Clear Signature
Hand to your preceptor to sign digitally.

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Saturday & Sunday 7am – 7pm PST

Phone: (800) 728-0209
Email: info@emsuniversity.com

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Corporate Mailing Address:

501 South 48th Street, Suite 105, Tempe, AZ 85281

 
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Our Locations:  501 South 48th Street, Suite 105, Tempe, AZ 85281 – 4945 East 29th Street, Tucson, AZ 85711 – 1730 SW Military Drive, Suite 202, San Antonio, TX 78217 – 6910 Miramar Road, Suite 206, San Diego, CA 92121 – 32980 Alvarado-Niles Road, Suite 810, Union City, CA 94587 – 1452 Hughes Road, Suite 360, Grapevine, TX 76051

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