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Complete the EMS Education Application First before taking this exam. This EMT entrance exam will test your abilities in 4 areas. Testing areas include math, medical terminology, anatomy/physiology, and reading with a writing sample. You must achieve a passing grade. Upon successful completion of the exam, you will need to complete the pre-requisite module.


EMT - Basic Course

The EMT education program covers all emergency medical concepts and techniques currently considered to be within the responsibilities of the EMT-Basic (EMT-B) providing emergency care in a pre-hospital setting as set forth by the Unit of Emergency Medical Services of the State of Missouri. This program meets or exceeds course requirements established by the U.S. Department of Transportation and the Missouri Unit of Emergency Medical Services. The education program will also cover topics related to future trends and care methodologies in emergency medicine.


  1. Perform Trauma and Medical patient assessments
  2. Demonstrate proficiency in EMT-B practical skills within the scope of practice
  3. Understand basic vehicle operation, MCI operations, and aircraft utilization
  4. Understand basic human anatomy and body system physiology
  5. Provide adequate patient care based on assessment findings & questioning
  6. Adequately write patient care report forms


Are you interested in a career in emergency medical services?  To learn more about an exciting career assessing injuries, delivering emergency medical care, and extricating individuals from entrapment, use the following O*Net Online link.  It includes an explanation of the technical skills, knowledge, and abilities necessary to perform this vital public service.  Additionally, you will find information about job openings, wages and employment, and related occupations. 

View O*Net Online

  • Completed Application (including essay, reference letters and non-refundable registration fee)
  • Be 18 years of age.
  • Be of good mental and physical health and able to lift and carry 100 to 150 lbs.
  • Be a U.S. Citizen or have a legal right to work in the U.S.


  • High school diploma or G.E.D.
  • Current health insurance.
  • Have a valid email address and regular access to a computer
  • Background check
  • Entrance Exam - Comprehensive score >70%
    • Material covered: math, reading comprehension, and writing skills
  • Current Medical Liability Insurance (submitted after acceptance into the program)
  • 7 Panel Urine Drug Screen- Negative within six months from the start of class, may be subject to additional screenings during the course
  • Immunizations/Health Screenings (submitted after acceptance into the program):
    • Mantoux Tuberculin (Tb) Skin Testing
      • 2-step TB skin test:  placements of test 1 and test 2 must be separated by at least 7 days; both tests must be within the last 12 months and 
      • Must be annually tested once every 12 months after initial 2-step testing
      • or negative TB Blood Test (QFT or T-spot) must be completed within the last 12 months
    • Hepatitis B / Heptavax Series in progress or verification of completion (series of 3- must have at least #2 prior to having patient contact)
    • MMR - Positive titer with the date of test OR documentation of 2 immunizations (one after 1980)
    • Varicella (Chicken Pox) 2 vaccines one month apart OR positive titer
    • Flu Vaccination (If unable to receive the vaccine due to documented allergic reaction, must submit “Immunization Allergic Reaction Form”)
    • Covid vaccine with boosters
    • Tetanus Diphtheria (Td) or (Tdap) Documented within 10 years


Regular course - 18 weeks

    • Specialized training sessions may be held on selected weekends or other times (to be announced).

Accelerated Course - 8 weeks, requiring EMT Entrance Exam comprehensive score of >80%

    • Specialized training sessions may be held on selected weekends or other times (to be announced).

The EMT-B and EMT-B AC courses also include approximately 136 hours of Clinical Rotation experience outside of class. Clinical hours need to be completed within 45 days of the last in seat class.

ACE Credit Recommendation

12 semester hours in the vocational certificate or in the lower division baccalaureate/associate degree category.

2024 EMT Entrance Exam