EMS CE Program

Please review the application checklist for all requirements. An EMS CE program approval policy, application forms, checklists, and guides have been developed to assist you in submitting a complete application.

Applications may be submitted in person or mail via printed or electronic format (thumb drive/cd/dvd). Additionally, emailing the application is accepted if all required documents are submitted within one email (no share sites accepted). Please contact the Office of Program Approvals if you have any questions after reviewing the documentation below and prior to submitting a program application packet.

Reference No. 1013 – EMS Continuing Education (CE) Provider Approval and Program Requirements.

Application Documents

Application Instruction
Program Application
Program Director
Clinical Director
Schedule Checklist
Attendance Record Checklist
Certificate Checklist

EMS CE Tools

Sample Lesson Plan
Objectives Information
Objective Verbs
Written Exam
Course Evaluation
Course File Storage
Needs Assessment
Quality Improvement
Performance Evaluation
Annual Summary

Approved EMS CE Programs

MICN Field Observation for Certification Renewal

Reference No. 1011 – MICN Field Observation
MICN Field Information
MICN Field Observation Form
MICN Field Observation Form Blank
Field Observation Evaluation