I would like more information about either the EMT or Paramedic program at WCC.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Cell Phone

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* 5. Please indicate which information session you plan to attend.   (A link to the zoom meeting location will be sent automatically upon submission of this form)

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* 6. I am interested in becoming a(n)

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* 7. I am already certified in NYS as an EMT

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* 8. I am unable to attend one of the posted sessions, but would like more information.

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* 9. Comments

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