Training Courses

OnLine Courses

ECG & Pharmacology Program Application

To reserve a space in the EMT-Basic Program, please complete this application and pay tuition payment. We accept MC/VISA/AX/Discover.

If payment is to be made by your employer or other agency, we require a purchase order or letter from your employer confirming and authorizing such arrangement. We will need this confirmation at least one week prior to the start date of the first class.*

Registration Requirements

Completed registration form below.
Payment for the course paid online or mailed to When Seconds Count, Inc.
PO Box 3002, Salem, MA 01970
A course syllabus, information packet, and textbooks will be handed out the first night of class.
You do not have to be 18 years of age to participate in this program.

	I am registering for the
	ECG Recognition Course
	ECG and Pharmacology Combination Course
* Indicates Required Field
*Full Name	A value is required.
*DOB	A value is required.
*Address	A value is required.
*City/Town	A value is required.
*State	A value is required.	*Zip Code	A value is required.Invalid format.
*Phone (day)	Required.
Phone (evening)
Phone (cell)
*Email	A value is required.
Do you plan to take the Massachusetts Certification Exam? Y N
(Additional State Examination Fees Apply) You MUST be at 18 years of age to take the State certification Examinations.

*Credit Card: MC VISA American Express Discover
*Amount to be Paid $ A value is required.Enter tuition amount.
*Name on Credit Card Name is required.
*Card Holders Billing Address A value is required.
*City State Zip A value is required
*Credit Card # Required.
Security Code # on back . Exp Date A value is required. mm/yyyy

I understand that the information provided to When Seconds Count, Inc. will be kept confidential and I hereby attest that the information supplied on this Application is complete and accurate. Tuition Refund Policy If for any reason you would need to cancel your registration, we require a minimum of a 7 day notice to receive a full refund otherwise you are responsible for and will be billed the course total. I have read and understand the above registration form, its requirements, tuition and tuition refund policy.
*Signature of Applicant: Your name is required. (In typing my name here validates my application, all credit card payments, tuition responsibility and I am 18 years of age or older)
	Email Confirm: A value is required.The values don't match.
Date	A value is required. mm/dd/yyyyy
How did you hear about the course?
Newspaper \| Web Search \| TV Ad \| Friend \| Co-Worker State List \| Former Student \|

ECG & Pharmacology
Tuition:	ECG Recognition Course - $150.00 ECG and Pharmacology Combination Course - $225.00
Dates & Time:	Course Schedule Coming Soon, Contact us for more information at 978-744-4799
Locations	When Seconds Count, Inc. Training Center 97 Boston Street Salem, MA