click for mobile pathspacerclick for text only spacer
spacerclick for search enginespacer
About Cowley CollegeNews & EventsAcademicsCowley Campuses and CentersCowley Alumni
Future StudentsCurrent StudentsCampus LifeGo TigersStudent Logins
cowley homeAcademicsAcademic DepartmentsHealth & Human ServicesEmergency Medical ServicesEMS ProgramsMobile Intensive CareEMT BasicsCritical Care Emergency Medical TransportDifficult AirwayEMS LeadershipEMS Educator CoursesEMS OtherAllied Health ClassesAllied Health News & EventsAllied Health Photo GalleryFaculty and StaffDepartment BusinessSpecial OfferingsScholarshipsHigh School StudentsTell Us Your NeedsEMS FacebookAllied HealthCriminal JusticecosmetologyFaculty ProfilesDistance LearningCowley OnlineBusiness & Industry TrainingAcademic AffairsDegrees and ProgramsTransfer InformationGraduation RequirementsClass SchedulesAcademic CalendarCollege Catalogspeakers bureauForms Indexcampus security


Paramedic Program Application

Personal Information  

First Name:


Middle Name:
Last Name: (required)
E-mail Address: (required)
Home Phone Number: (required)
Cell Phone Number:
Address: (required)
City: (required)
State: (required)
Zip: (required)
Educational Background
High School:
Year Graduated:
Degree: Year Graduated:
Other Education (describe):
Program Prerequisites
Are you currently a certified EMT? 
Have you completed the anatomy & physiology class? Grade
Have you completed the English Composition I class? Grade
Have you completed the English Composition II class? Grade
Have you completed the computer class? Yes NoGrade
Have you completed a 3 hour ethics class? Yes NoGrade
Have you completed a 3 hour psychology class? Yes NoGrade
If you answered "no" to any of the previous questions, please explain:
Work Experience:
Describe your work experience, particularly any experience you might have in pre-hospital care, public safety or healthcare:
Program Schedule selection:

12-Month Schedule Winfield starts January 2016

Please click the submit button only once. It may take a few minutes for a confirmation message to appear.

SUBMISSION: After submitting this application please mail or email the following documents to the EMS Program Director:

  • Two letters of reference (typically from previous employers or instructors)
  • A copy of your current EMT or AEMT certification card
  • A copy of your NIMS/ICS certifications (if applicable)
  • A copy of your unofficial college transcripts


Submit the above to:

Chris Cannon, EMS Program Director
1406 E. 8th Street
Winfield, KS  67156


Official transcripts for high schools and colleges must also be sent to our registrar.


Distance LearningHalf the Cost Perspective StudentsContact CowleyCollege CatalogSite MapVideo Gallery
Legal Notices