Mail to: Bakersfield College
Paramedic Training Program Paramedic Training Program
1801 Panorama Drive Application Form
Bakersfield, CA 93305
Admission for: Fall Semester Spring Semester Re-Entry RN Crossover
Last First M.I. Previous Last
Street Address Apartment/Unit #
City State ZIP Code
Day Phone: ( ) Alternate Phone: ( )
Birth Date: Student ID #:
U.S. Citizen? Yes No
Have you ever been admitted to the Paramedic Training Program at Bakersfield College? Yes No
Have you ever applied for admission to the Paramedic Training Program at Bakersfield College? Yes No
If yes, under what name? When?
Have you ever applied for a Paramedic Training Program? Yes No If yes, where?
High School Education
Please check only one item and submit supporting documents.
Have a high school diploma (Name of High school) (Location) (Year of Graduation)
Earned a G.E.D with a minimum score of 225 (required)
Received a California High School Proficiency Certificate (CHSPE)
College Name City/State Dates Attended Degree Earned
I certify that to the best of my knowledge all information provided on this document is complete and accurate. I understand that any false or
omitted information, intentional or otherwise, will result in removal of consideration for the program.
This form must be received before your enrollment will be processed. This form will be turned in at the EMT-1 EXAM along with
copies of your EMT-1 Certificate, Driver’s License, 1 letter of recommendation, and any other documentation requested in the