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SB8 Student Monitoring

1.Sponsoring EMS Service
2.EMS representative completing survey
3.Student Name
4.Certification Type
5.Is the program complete?
6.Date Program was completed
Date / Time
7.Exam Date
Date / Time
8.Has student passed the National Registry Exam?  If yes, skip to question 11
9.If no, when is the next scheduled exam
Date / Time
10.If no, how many times has the National Registry Exam been attempted?
11.If yes, you will need to start reporting monthly time per the survey monkey titled SB8 Verification of Hours every month (EMT 1 year, AEMT/Para 2 years)