Cal-JAC Pre-Apprenticeship Academies Interest Form

Cal-JAC EMT and Paramedic Academies Interest Card
The Cal-JAC Academy EMT and Paramedic academies are a pre-apprenticeship program, designed to remove barriers to entry and provide a direct path toward the fire service.

For more information on our current EMT and Paramedic academies, please visit our website CalJacAcademy.org.
Please select the academy of interest*
Please note, in order to be eligible for the Paramedic Academy you must have an EMT certificate.
Name*

Preferred First NameLast Name
Email*
example@example.com
Prevent Dups
I would like to be informed of future fire-service related programs.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Only enter a phone number if you wish to be contacted via phone.
Terms and Conditions

I agree to receive promotional messages sent via an autodialer, and this agreement isn't a condition of any purchase. I also agree to the Terms of Service and Privacy Policy. 4 Msgs/Month. Msg & Data rates may apply.
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Cal-JAC EMT and Paramedic Academies Interest Card