AUSTRALASIAN REGISTRY OF EMERGENCY MEDICAL TECHNICIANS
EMT-B APPLICATION EMT-I APPLICATION EMT-P APPLICATION
REGISTERED FIRST RESPONDER RE-REGISTRATIONASSESSMENT COORDINATOR
I am submitting this application to test at

Name of facility - City

                           Date RecdAssess Date

If you possess current state certification as an EMT,please list your current Current EMT Number(on certificate)
Certification number in the space provided and attach a copy of your cert.

Qld/Other

Have you ever applied for AREMT registration yes no Overseas yes no

Last name FirstMiddle

Address Phone:Email

City StatePostcode

MaleFemale DOB

Approved EMT Course:Applicant must have completed an approved EMT training programme that equals or exceeds the objectives of the National Standard EMT-Basic Emergency Care training package or approved health training product curriculum/US DOT EMT curricula or its equivalence. Attach a copy of your course completion certificate or a copy of your current EMT card.
If your initial EMT training programme is more than two years old and you hold current state certification as an EMT,you must document completion of 16 hours of approved EMT refresher training within the past two years and attach official documents to this application.
(Either approved on site training or distance training credits,approved by the Australasian Registry of EMTs with practical evidence)
Name of initial training agency              Address                City                State                     Postcode

Initial course Instructor/Coordinator            Course completion date                   Class Hrs

Refresher course Instructor/Coordinator        Course completion date                    Class Hrs

Highest level of Education completed        Type of EMT service affiliated with          Paid EMT?
HighschoolAmbulance                                                                             Yes No 
Tertiary  Fire and Rescue
University Hospital
Technical Mines/Rescue/SES
Other Volunteer

Privacy and Affirmation Statement:I hereby affirm and declare that the above information on this application is true and correct and that any fraudulent entry may be considered a sufficient cause for rejection of application.All information contained in this application is to be used solely for the purpose of AREMTs requirements for applicants to disclose particular personal information to qualify as registered EMTs and is to be used solely for registration purpose only and not to be released for any other purpose to individuals or other agencies without prior written approval from applicants.
Applicant Signature                                                                                                                                      Date

                                                                                           
EMT PRACTICAL ASSESSMENT:
Please email/attach a certified copy of a nationally recognised training package or product certificate and statement of competency skills, that verifies completion of standard EMT skills required for registration.
For International registrations,copies of your regional EMT training certification from approved training or regulatory bodies.

AREMT VERIFIED:. DATE:

CPR CURRENCY
Proof of currency in the following CPR skills according to your EMT level should be shown,along with verification by attaching statement of attainments in recency skills within the last 12 months:
Adult 1 & 2 Rescuer
Adult Obstructed Airways
Paediatric CPR
Paediatric Obstructed Airways
Infant CPR
Infant Obstructed Airways
Advanced Airway Procedures
*Please submit a certified copy of your current CPR certification*
AREMT VERIFIED:

Registration Criteria:
1. Successful completion of a state/national accredited EMT Basic training program within the past 24 months,that equals or exceeds the behavioural objectives of the EMT Basic National Standards Curriculum(US) DOT promulgated.An approved national health training product or accredited training package(Australia),or overseas approved EMT course that equals AREMT standards of competency.
Completion of current CPR skills as per outline.
2. If candidates initial EMT training completion date is beyond 24 months and the candidate has maintained certification,the candidate must document completion of 16-24 hours of approved accredited refresher training that meets all the objectives of the current EMT programmes along with practical skills verification.
3. Current CPR verification of competence in the skills listed in CPR credential section.
4. Registration fee of $71.00 incl.merchant process fee, initial registry assessment,and practical assess skills,registration,identification and registration certificates/emblems.
5. Re-registration anually after completion of initial registry assessment,with evidence of completion of currency skills at the appropriate EMT level. $75.00 inclusive.
6. Successful completion of the Registry EMT level written examination will remain valid providing your registration remains current and applicants have completed annual refresher EMT training,practicum and ongoing approved continuing education credits.(A list of approved CEU providers will be provided)
7. Upon receipt of registration fees,AREMT will arrange for an appropriate assessment to be conducted by AREMT or its designated Regional Assessment Coordinators unless assessment has been covered during initial EMT courses for approved training providers.
FILL IN FORM AND SUBMIT OR PRINT OUT AND EMAIL / FAX TO AREMT 61732815654

Fees can be submitted at

http://emartshops.com/Australasian_Registry_of_EMTs/home.html