Screen Reader Mode Icon
Thank you for taking the first step in applying to the Total Access EMT 7-week class. At the end of this application, you will be asked to pay a $200 enrollment fee before submitting your application. 
 
Note:
  • This class will meet Mondays, Wednesdays, and Fridays starting 8/8/22 and through 9/23/22
  • Classes are held at the Bridgeton Total Access Urgent Care at 12409 St. Charles Rock Rd, Bridgeton, MO 63044
 
We will process your application and reach out within the week for next steps. Please be prepared to pay the remaining $1000 tuition before the first day of class. At this time, we are not offering any payment plans. 
 
Please wait to hear from us regarding next steps. If you have any questions, please reach out to edu@tauc.com. 

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Phone Number

Question Title

* 5. Home Address (ex. 13861 Manchester Rd, St. Louis, MO 63011)

Question Title

* 6. This class will meet Monday, Wednesday, and Friday from 8a-4p. Please confirm that you are available for all classes.

Question Title

* 7. Where did you hear about us?

Question Title

* 8. Please upload a copy of your unexpired driver's license.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 9. Please upload a copy of your active health insurance. If you do not have health insurance, please leave this blank, and we will follow up with resources for obtaining health insurance, which will be required before your first day of class.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 10. Please go here to pay your $200 non-refundable enrollment fee. Once paid, return to this page to complete your application. Applications submitted without a paid enrollment fee will not be processed.

0 of 10 answered
 

T