EMT Policy and Procedure

EMT COURSE QA - MID TERM

COURSE LOCATION: START DATE: EMT LEAD INSTRUCTOR

ATTENDANCE: Completed Sessions:

Student Sign-In Sheets:

Instructor Sign-In Sheets:

CPR CARDS: All students have copies of CPR cards good until end of course?

All students have student contracts signed?

MOD Exams – all present – failures have remediation forms and retests? MOD 1 MOD 2 MOD 3 MOD 4 MOD 5 MOD 6

MOD Skills Forms – all present – failures have remediation forms and retests? MOD 1 MOD 2 MOD 3 MOD 4 MOD 5 MOD6

Total Students:

Paid with Registration:

Paying with Training Fund:

Paying with Other:

All Skills Sheets signed and dated by EMT Instructor?

ROSTER OF STUDENTS WHO RECEIVED BOOKS/SUPPLIES IN BINDER?

COURSE SCHEDULE IS PRESENT IN BINDER?

OTHER NOTES

Individual Doing QA:

Signature:

Date:

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