EMS field guide // 01

How to Becomean EMT

A practical six-step overview—from checking your state’s requirements and choosing an approved course to certification, authorization, employment, and continuing education.

Updated July 2026 · Requirements vary by state

01

Check your state’s eligibility requirements

Start with your state EMS office or health department. Age, education, background-check, driver’s license, immunization, and CPR prerequisites vary. Confirm the rules before paying for a program.

02

Choose a state-approved EMT course

Approved programs may be offered by community colleges, technical schools, fire departments, EMS agencies, hospitals, or private training organizations. Compare total cost, schedule, skills-lab access, clinical requirements, and recent student outcomes.

Before enrolling: verify the program appears on your state’s approved-course list and ask exactly which fees, books, uniforms, screenings, and testing costs are included.
03

Complete classroom and hands-on training

EMT education combines medical knowledge with practical skills such as patient assessment, airway and breathing support, CPR, bleeding control, splinting, safe lifting, communication, and ambulance operations. Attendance and successful skills performance are normally required.

04

Pass the required certification assessments

Many states use National Registry of Emergency Medical Technicians certification as part of their process. National Registry EMT candidates complete its certification examination and a State EMS Office-approved BLS skills competency requirement. Ask your course and state office how that skills requirement is handled where you live.

05

Apply for state certification or licensure

Passing an exam does not always authorize you to practice. Submit the required state application, documentation, fees, and background information, and wait for approval before representing yourself as licensed or certified in that state.

06

Prepare for employment and ongoing education

Employers may require an acceptable driving record, agency orientation, physical testing, or additional credentials. Once working, track renewal dates and continuing-education requirements from the beginning.

Continuing education

Keep learning after certification.

EMSconnect offers CAPCE-accredited continuing education through practical on-demand courses and live lectures. It’s built to help EMS providers stay current, earn CE credit, and fit learning around real shifts.

Your next step

Find the official requirements where you live.

Search for your state EMS office’s official website and approved EMT course list. If a school’s claims conflict with the state’s instructions, follow the state guidance.

This guide provides general educational information, not legal, licensing, employment, or medical advice. Requirements change and differ by jurisdiction; confirm all steps with the appropriate state and local authorities.