January 2009 - UPDATED LAST 4/23/10 3:45PM

Student ID #

 

Texas Application Sent with Payment to Austin, Tx DSHS

Fees still owed

Paperwork any evaluations, hospital / ambulance rotations forms, nametag

Approved School File for National Registry Testing

Course Wrap-up online "Class Wrap-Up"

840 - out of class

--

--

--

--

--

--

838

 

Sent to Tx DSHS with fee on 5/20

 

Complete

Approval submitted to NREMT on May 18

Complete

810 - out of class

--

--

--

--

--

--

792

 

Sent to Tx DSHS with fee on 5/25

 

Complete

Approval submitted to NREMT on May 22

Complete

834

 

Sent to Tx DSHS with fee on 5/20

 

Complete

Approval submitted to NREMT on May 18

Complete

902

 

Sent to student.  EMTS fees did not include. 6/8

 

Complete

Approval submitted to NREMT on June 4

Complete

905

 

Sent to Tx DSHS with fee on 5/20

 

Complete

Approval submitted to NREMT on May 18

Complete

931 - out of class

--

--

--

--

--

--

932

 

 

 

Not completed as of 4/23

Not eligible to test

 

933

 

Sent to Tx DSHS with fee on 6/8

 

Complete

Approval submitted to NREMT on June 4

Complete

938

 

Sent to Tx DSHS with fee on 7/29

 

Complete

Approval submitted to NREMT on July 2

Complete

976 - out of class

--

--

--

--

--

--

984

 

Sent to student.  EMTS fees did not include. 5/19

 

Complete

Approval submitted to NREMT on May 18

Complete

985- out of class

--

--

--

--

--

--

224 - out of class

--

--

--

--

--

--

839

 

Application not complete. Sent to student with check for DSHS fees. 5/20

 

Complete

Approval submitted to NREMT on May 18

Complete

O10

 

Sent to Tx DSHS with fee on 5/20

 

Complete

Approval submitted to NREMT on May 20

Complete

O12

 

 

 

Complete

Approval submitted to NREMT on September 4

Complete

O23

 

 

 

 

 

 

O28

 

Application not complete. Sent to student with check for DSHS fees. 5/20

 

Complete

Approval submitted to NREMT on May 19

Complete

O27- out of class

--

--

--

--

--

--

O26 - out of class

--

--

--

--

--

--

O34 - out of class

--

--

--

--

--

--

529

 

Sent to Tx DSHS with fee on 5/25

 

Complete

Approval submitted to NREMT on May 18

Complete

O55

 

Sent to Tx DSHS with fee on 5/20

 

Complete

Approval submitted to NREMT on May 18

Complete

O57

 

Sent to Tx DSHS with fee on 6/8

 

Complete

Approval submitted to NREMT on June 4

Complete

783 - out of class

--

--

--

--

--

--

O99 - out of class

--

--

--

--

--

--

103

 

 

 

Complete

Approval submitted to NREMT on May 22

Complete

104

 

Sent to Tx DSHS with fee on 5/20

 

Complete

Approval submitted to NREMT on May 11

Complete

543

 

Sent to Tx DSHS with fee on 5/25

 

Complete

Approval submitted to NREMT on May 22

Complete

312

 

Sent to Tx DSHS with fee on 6/17

 

Complete

NREMT eligible for testing 06/12/09

Complete

914

 

Mailed application to student with fee.  Application not filed out correct. 5/25

 

Complete

Approval submitted to NREMT on May 22

Complete

888

 

Sent to Tx DSHS with fee on 5/25

 

Complete

Approval submitted to NREMT on May 22

Complete

127 - out of class

--

--

--

--

--

--

 

 

 

 

 

ONCE YOU PASS NATIONAL REGISTRY

WHEN YOUR TEST IS GRADED AND YOU PASS THE NATIONAL REGISTRY YOU WILL RECEIVE IN THE MAIL A CERTIFICATION CARD.  PLACE THE CERTIFICATION NUMBER AND EXPIRATION DATE LISTED ON THE CARD IN THE SPACE BELOW.  ONCE YOU COMPLETE THIS WE WILL SEND YOUR STATE APPLICATION TO DSHS (TDH), UNLESS ALREADY DONE. DSHS WILL SEND YOU A DSHS (TDH) CERTIFICATION IN THE MAIL. THIS CAN TAKE UP TO 4 WEEKS. KEEP A COPY OF THIS FOR YOUR RECORDS.

Name/ID #

CERTIFICATION NUMBER

EXPIRATION DATE

__________________________________________

Student ID are listed in random order not by grade point average.  Your ID number was assigned on the first night of class.

Table 1: Student Profile (updated as needed)

Table 2: Overall GPA (updated as needed)

Table 3: On-line Exam Scores  (updated twice weekly)

Student ID #

Criminal Background Check

Legal DVD

History DVD

Shirt

Fee

CPR Re-take date

Clinical Manual

Course Fees

Policy & Procedure Waiver

840

Complete

 

HAS

 

 

Complete

 

Filed

838

Complete

 

HAS

 

 

Complete

 

Filed

810

Complete

 

HAS

 

 

 

$15 TB

Filed

792

Complete

 

Returned

 

 

Complete

 

Filed

834

Complete

 

HAS

 

 

Complete

 

Filed

902

Complete

 

HAS

 

 

Complete

 

Filed

905

Complete

 

HAS

 

 

Complete

 

Filed

931

Complete

 

HAS

 

 

Complete

 

Filed

932

Complete

HAS

Complete

Filed

933

Complete

 

Returned

 

 

Complete

 

Filed

938

Complete

 

HAS

 

 

Complete

 

Filed

976out of class

Complete

 

Returned

 

 

Complete

 

Filed

984

Complete

 

HAS

 

 

Complete

 

Filed

985

Complete

 

HAS

 

 

 

 

Filed

224

Complete

 

HAS

 

 

Complete

 

Filed

839

Complete

 

HAS

 

 

Complete

 

Filed

010

Complete

Returned

Returned

 

 

Complete

 

Filed

012

Complete

 

 

 

 

Complete

 

Filed

023

Complete

Returned

HAS

 

 

Complete

 

Filed

028

Complete

Returned

Returned

 

 

Complete

 

Filed

027out of class

Complete

HAS

Complete

Filed

026out of class

Complete

HAS

 

 

 

Complete

 

Filed

034

Complete

Returned

Returned

 

 

Complete

 

Filed

529

Complete

HAS

Returned

 

 

 

 

Filed

055

Complete

HAS

 

 

 

Complete

 

Filed

057

Complete

HAS

Returned

 

 

Complete

 

Filed

783out of class

Complete

HAS

 

 

 

 

 

Filed

099out of class

Complete

HAS

 

 

 

 

 

Filed

103

Complete

Returned

Returned

 

 

Complete

 

Filed

104

Complete

Returned

Returned

 

 

Complete

 

Filed

543

Complete

HAS

 

 

 

 

 

Filed

312

Complete

Returned

Returned

 

 

 

 

Filed

914

Complete

HAS

 

 

 

 

 

Filed

888

Complete

Returned

Returned

 

 

 

 

Filed

127out of class

Pending

 

 

 

 

 

 

Filed

Table 2: Overall GPA

 

A&P

Vital

Cardiac

CPR

CPR

Abv

Skil Quiz

Skill Quiz

Quiz 

Quiz 

Quiz 

Quiz 

Quiz 

Quiz 

Quiz 

Quiz 

Quiz 

Current

Exam

Exam

Exam

Final

Current

Overall

 

ID #

(5pts only)

P/F

P/F

Quiz

P/F

Quiz

One

Two

One

Two

Three

Four

Five

Six

Seven

Eight

Nine

Quiz Avg

One

Two

Three

Exam

Exam Avg

Course GPA

ID #

840 - out of class

5

Pass

Pass

90

Pass

97

84

96

94

90

79

90

98

90

100

86

91

91.15385

83

79

71

74.1

76.775

77.2

840

838

5

Pass

Pass

90

Pass

82

94

92

87

84

77

71

81

79

84

71

84

82.76923

89

81

84

85.1

84.775

84.5

838

810 - out of class

0

Pass

 

95

Pass

21

84

80

78

84

77

62

85

83

76

 

86

75.91667

78

69

69

 

72

 

810

792

5

Pass

Pass

95

Pass

95

94

88

97

90

81

65

71

87

90

69

91

85.61538

90

85

80

81.6

84.15

84

792

834

5

Pass

Pass

90

Pass

93

94

100

96

86

93

90

98

90

96

94

98

93.69231

88

82

84

88.5

88.5

86.6

834

902

5

Pass

Pass

90

Pass

97

100

96

97

82

77

87

93

94

88

98

94

91.76923

94

81

90

80.2

86.3

86.2

902

905

5

Pass

Pass

80

Pass

100

92

84

89

82

65

81

84

86

86

79

95

84.84615

86

81

83

73.6/pass

83.333333

80.5

905

931 - out of class

5

Pass

Pass

95

Pass

41

98

100

98

88

86

90

92

91

88

90

93

88.46154

92

70

77

78.7

79.425

80.2

931

932

5

Pass

Pass

95

Pass

47

88

96

87

92

86

90

96

94

88

100

93

88.61538

85

77

82

78.7/pass

81.333333

81.2

932

933

5

Pass

Pass

90

Pass

56

92

100

89

88

90

90

91

94

90

79

97

88.15385

86

73

79

82.2

80.05

81

933

938

5

Pass

Pass

95

Pass

95

90

100

91

90

84

87

95

88

94

96

96

92.38462

91

87

91

83.9

88.225

88.1

938

976 - out of class

0

Fail

 

80

Pass

45

43

84

82

66

75

0

65

69

 

 

 

60.9

64

out

 

 

64

 

976

984

5

Pass

Pass

95

Pass

91

88

96

95

90

86

84

91

88

90

81

97

90.15385

95

82

80

82.2

84.8

85

984

985- out of class

5

Pass

Fail

90

Pass

58

90

72

83

0

81

84

95

94

86

94

93

78.46154

80

78

72

0

57.5

76.7

985

224 - out of class

5

Pass

Pass

90

Pass

65

84

92

96

88

88

84

91

91

84

81

90

86.46154

85

86

79

77

81.75

81.7

224

839

5

Pass

Pass

100

Pass

97

98

100

96

90

90

90

93

94

88

96

98

94.61538

96

89

90

91.4

91.6

91.8

839

O10

5

Pass

Pass

80

Pass

86

92

92

91

82

81

81

96

97

92

77

94

87.76923

89

75

77

83.3

81.075

81.9

O10

O12

5

Fail

Pass

100

Pass

47

80

96

95

84

79

84

77

76

80

86

0

75.69231

86

82

87

89.1

86.025

85.2

O12

O23

5

Pass

Pass

100

Pass

100

94

88

94

86

81

78

93

91

86

92

97

90.76923

93

88

82

86.8

87.45

87.6

O23

O28

5

Pass

Pass

95

Pass

89

92

96

94

78

79

90

98

98

98

94

97

92.15385

98

86

89

89.1

90.525

90.5

O28

O27- out of class

5

Fail

 

85

Pass

82

88

100

88

84

65

90

97

90

0

 

 

79

79

77

 

 

78

 

O27

O26 - out of class

5

Pass

 

95

Pass

97

92

92

87

90

72

90

95

100

92

 

 

91.09091

77

72

 

 

74.5

 

O26

O34 - out of class

5

Pass

Pass

100

Pass

100

90

92

91

82

93

78

80

97

96

83

94

90.46154

94

80

79

74.7

81.925

82

O34

529

5

Pass

Pass

95

Pass

95

86

96

96

98

93

84

78

81

86

100

95

91

88

88

88

85.6

87.4

87.5

529

O55

5

Pass

Pass

95

Pass

95

90

96

91

94

88

84

87

95

92

81

96

91.07692

86

86

82

86.2

85.05

85.7

O55

O57

5

Pass

Pass

85

Pass

71

88

0

93

82

79

65

83

0

78

98

93

70.38462

92

75

75

83.9

81.475

80.5

O57

783 - out of class

5

 

 

0/80

Fail

 

 

 

93

0

 

 

 

 

 

 

 

46.5

out

 

 

 

out

 

783

O99 - out of class

5

Pass

 

70

Pass

32

86

76

95

84

56

87

77

 

 

 

 

73.66667

85

 

 

 

85

 

O99

103

5

Pass

Pass

95

Pass

86

88

92

90

92

88

90

100

100

90

81

89

90.84615

87

72

85

82.2

81.55

82.5

103

104

5

Pass

Pass

90

Pass

95

90

96

91

82

86

87

84

94

88

79

87

88.38462

89

77

81

86.2

83.3

84

104

543

5

Pass

Pass

100

Pass

100

100

100

98

100

93

100

98

100

98

98

100

98.84615

92

90

88

85.1

88.775

89.4

543

312

5

Pass

Pass

90

Pass

89

98

100

98

100

90

100

98

100

100

100

98

97

95

91

94

86.8

91.7

91.7

312

914

5

Pass

Pass

0

Pass

60

100

96

100

100

97

96

96

93

90

79

96

84.84615

92

79

87

81.6

84.9

84.5

914

888

5

Pass

Pass

100

Pass

71

0

64

90

82

50

84

90

90

78

92

82

74.84615

91

88

85

85.1

87.275

85.8

888

127 - out of class

5

 

 

85

Pass

 

90

out

93

90

79

 

 

 

 

 

 

87.4

67

 

 

 

67

 

127

 

 

 

 

88.82353

 

78.0303

86.97059

 

92.08571

82.28571

81.29412

82.21212

89.27273

 

86.19355

87.64286

90.13793

85.90447

87.11765

80.83871

82.41379

80.40769

82.694461

84.4107143

 

 

Table 3: On-line Exams

May take exams as many times as needed to score a minimum of 85% to pass.

"P" pass - "F" fail * The number under the exam is how many questions you can miss and still pass.

Student ID #

Exam1

Exam2

Exam3

Exam4

Exam5

Exam6

Exam7

Exam8

Exam9

Exam10

Exam11

840

P

P

P

P

P

P

P

P

P

P

P

838

P

P

P

P

P

P

P

P

P

P

P

810 OUT OF CLASS

P

P

P

--

--

--

--

--

--

--

--

792

P

P

P

P

P

P

P

P

 

P

P

834

P

P

P

P

P

P

P

P

P

P

P

902

P

P

P

P

P

P

P

P

P

P

P

905

P

P

P

P

P

P

P

P

 

 

 

931

P

P

P

P

P

P

P

P

P

P

P

932

P

P

P

P

P

P

P

P

P

P

P

933

P

P

P

P

P

P

P

P

P

P

P

938

P

P

P

P

P

P

P

P

P

P

P

976out of class

--

--

--

--

--

--

--

--

--

--

--

984

P

P

P

P

P

P

P

P

P

P

P

985

 

 

 

 

 

 

 

 

 

 

 

224

P

P

P

P

P

P

P

P

P

P

P

839

P

P

P

P

P

P

P

P

P

P

P

010

P

P

P

P

P

P

P

P

P

P

P

012

P

P

P

P

P

P

P

P

P

P

P

023

P

P

P