February 2009 - UPDATED LAST 4/14/10 11:00AM

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"

119- out of class

--

--

--

--

--

120- out of class

--

--

--

--

--

141

Sent to Tx DSHS with fee on 6/25

 

Complete

Approval submitted to NREMT on June 23

Complete

166

Sent to Tx DSHS with fee on 8/21

 

Complete

Approval submitted to NREMT on July 22

Complete

170

Sent to Tx DSHS with fee on 8/21

 

Complete

Approval submitted to NREMT on July 3

Complete

177 - out of class

--

--

--

--

--

386

Sent to Tx DSHS with fee on 6/25

 

Complete

Approval submitted to NREMT on June 23

Complete

183- out of class

--

--

--

--

--

194

Sent to Tx DSHS with fee on 7/10

 

Complete

Approval submitted to NREMT on July 1

Complete

225 - out of class

--

--

--

--

--

226

Sent to Tx DSHS with fee on 7/10

 

Complete

Approval submitted to NREMT on July 9

Complete

229 - out of class

--

--

--

--

--

234

Sent to Tx DSHS with fee on 6/25

 

Complete

Approval submitted to NREMT on June 23

Complete

247- out of class

--

--

--

--

--

249- out of class

--

--

--

--

--

289

Sent to Tx DSHS with fee on 7/10

 

Complete

Approval submitted to NREMT on July 7

Complete

416

Sent to Tx DSHS with fee on 7/10

 

Complete

Approval submitted to NREMT on June 28

Complete

290

Sent to Tx DSHS without fee, volunteer on 6/25

 

Complete

Approval submitted to NREMT on June 23

Complete

294- out of class

--

--

--

--

--

399

Sent to Tx DSHS with fee on 6/25

 

Complete

Approval submitted to NREMT on June 23

Complete

302

Sent to Tx DSHS with fee on 8/21

 

Complete

Approval submitted to NREMT on July 22

Complete

303- out of class

--

--

--

--

--

304- out of class

--

--

--

--

--

308

 

 

Complete

Approval submitted to NREMT on August 11

Complete

316- out of class

--

--

--

--

--

317 - out of class

--

--

--

--

--

318

Sent to Tx DSHS with fee on 7/22

 

Complete

Approval submitted to NREMT on June 27

Complete

820 - out of class

--

--

--

--

--

368

Sent to Tx DSHS with fee on 7/10

 

Complete

Approval submitted to NREMT on July 1

Complete

727

 

 

Complete

Approval submitted to NREMT on July 22

Complete

355

Sent to Tx DSHS with fee on 8/21

 

Complete

Approval submitted to NREMT on July 22

Complete

 

 

 

 

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 Clinical Manual Shirt

Fee

 CPR Re-take date History of EMS DVD Legal DVD Basic Skills DVD Course Fees Policy & Procedure Waiver
119OUT OF CLASS Complete Complete -- -- Returned Returned HAS --

Filed
120OUT OF CLASS Complete Complete -- -- Returned Returned HAS -- Filed
141 Complete Complete     Returned Returned Returned   Filed
166 Complete       Returned Returned HAS   Filed
170 Complete Complete     HAS Returned HAS   Filed
177OUT OF CLASS Complete -- -- -- HAS -- -- -- Filed
386 Complete Complete     Returned       Filed
183OUT OF CLASS Complete -- -- -- - HAS HAS -- Filed
194 Complete Complete     Returned Returned HAS   Filed
225OUT OF CLASS Complete -- -- must call school to schedule exam -- HAS HAS -- Filed
226 Complete Complete     Returned

Returned

 HAS   Filed
229OUT OF CLASS Complete Complete -- -- Returned Returned HAS $5 credit Filed
234 Complete Complete -- -- Returned Returned Returned -- Filed
247OUT OF CLASS Complete -- -- -- Returned HAS HAS -- Filed
249OUT OF CLASS Complete Complete -- -- Returned HAS Returned -- Filed
289 Complete       Returned Returned Returned   Filed
416 Complete Complete     Returned   HAS   Filed
290 Complete Complete     Returned Returned Returned   Filed
294OUT OF CLASS Complete Complete -- April 25th Returned -- HAS -- Filed
399 Complete Complete     Returned   Returned   Filed
302 Complete Complete     Returned   HAS   Filed
303OUT OF CLASS Complete Complete -- -- Returned Returned Returned -- Filed
304OUT OF CLASS Complete Complete -- -- -- HAS HAS -- Filed
308 Complete Complete     Returned Returned Returned   Filed
316OUT OF CLASS Complete -- -- -- Returned -- -- -- Filed
317OUT OF CLASS Complete -- -- -- Returned -- -- -- Filed
318 Complete Complete     Returned   Returned $5 credit Filed
820OUT OF CLASS Not Submitted -- -- -- -- -- --- -- Filed
368 Complete Complete     HAS HAS HAS   Filed
727 Complete Complete     HAS   Returned   Filed
355 Complete Complete     Returned   Returned   Filed
                   

Table 2: Overall GPA

  A&P Vital Cardiac Chest Pedi CPR CPR Abv Skil Quiz Skill Quiz Quiz  Quiz  Quiz  Quiz  Quiz  Quiz  Quiz  Quiz  Quiz  Current   Exam Exam Exam Final FINAL Current Overall  
ID # (5pts only) P/F P/F P/F P/F Quiz P/F Quiz One Two One Two Three Four Five Six Seven Eight Nine Quiz Avg ID # One Two Three Exam RETEST Exam Avg Course GPA ID #
119- out of class 3 Fail       75 Pass 34 94 80 54 78 58 71 96         71.11111 119 70 60       65   119
120- out of class 5 Pass Pass Pass   95 Pass 95 94 84 95 78 84 84 89 100 98 94 96 91.23077 120 89 74 86 74.1 FAIL 80.775 81.1 120
141 5 Pass Pass Pass Pass 95 Pass 93 96 100 96 100 97 90 95 97 96 96 92 95.61538 141 93 78 88 80.5   84.875 85.5 141
166 5 Pass Pass Pass Fail 95 Pass 93 94 92 91 86 69 78 93 90 88 98 93 89.23077 166 92 85 86 82.2   86.3 86.1 166
170 5 Pass Pass Pass Pass 100 Pass 56 92 92 95 94 87 87 85 91 86 84 95 88 170 95 92 91 87.9   91.475 90.7 170
177 - out of class 5         85 Pass       0 0 0             21.25 177 pending             177
386 5 Pass Pass Pass Pass 95 Pass 97 98 92 94 86 92 93 100 0 90 96 98 87 386 95 86 85 80.5   86.625 86 386
183-  out of class 4 Pass       90 Pass 41 80 76 70 82 46 71 84         71.11111 183 76 68       72   183
194 5 Pass Pass Pass Pass 100 Pass 91 96 92 98 96 94 87 93 90 92 94 97 93.84615 194 94 92 91 93.1   92.525 92.7 194
225 - out of class 0         0 Fail 23 0 0 0 0 0 0 0         2.555556 225 91 pending       91   225
226 5 Pass Pass Pass Pass 95 Pass 93 86 84 91 86 69 84 80 93 70 98 67 84.30769 226 82 80 81 82.8   81.45 81.8 226
229 - out of class 5 Pass Fail Fail   95 Pass 71 92 72 91 62 69 81 85 0 78 62 72 71.53846 229 85 76 75 69   76.25   229
234 5 Pass Pass Pass Pass 95 Pass 95 90 80 93 88 74 84 90 90 76 81 93 86.84615 234 92 83 79 80.5   83.625 83.6 234
247- out of class 5 Fail       95 Pass 0 88 84 71 68 69 87 0         62.44444 247 85 pending       85   247
249- out of class 5 Pass Pass Pass   85 Pass 89 88 96 91 86 66 81 90 86 86 86 94 86.46154 249 95 83 81 77.6 FAIL 84.15 83.7 249
289 5 Pass Pass Pass Pass 95 Pass 97 92 92 95 80 89 81 90 98 94 86 97 91.23077 289 95 92 89 82.8   89.7 89.1 289
416 5 Pass Pass Pass Pass 80 Pass 84 100 92 98 98 100 100 98 100 98 100 87 95 416 88 81 77 81.6   81.9 83.1 416
290 5 Pass Pass Pass Fail 95 Pass 86 96 92 93 76 89 84 78 90 86 98 93 88.92308 290 92 86 79 76.4 PASS 83.35 83.2 290
294- out of class 5 Pass Pass Pass   95 Pass 50 88 84 90 74 71 78 98 90 88 66 98 82.30769 294 81 74 81 79.9 FAIL 78.975 79.4 294
399 5 Pass Pass Pass Pass 85 Pass 95 100 92 97 94 94 78 86 95 98 96 96 92.76923 399 88 84 82 78.7 PASS 83.175 83.6 399
302 5 Pass Fail Fail Pass 95 Pass 97 100 96 89 90 74 84 89 88 82 86 92 89.38462 302 90 88 78 86.8   85.7 86.1 302
303- out of class 5 Pass Pass Pass   100 Pass 56 92 88 94 82 41 78 85 84 84 81 90 81.15385 303 82 77 80 74.7 FAIL 78.425 78.3 303
304- out of class 5 Pass       85 Pass 45 92 68 81 82 0 59 80         65.77778 304 69 62       65.5   304
308 5 Pass Pass Pass Pass 90 Pass 95 0 88 95 92 79 93 92 86 88 88 97 83.30769 308 95 83 91 83.3   88.075 87.1 308
316- out of class 0         95 Pass 82 82 0 81 82 74 0 0         55.11111 316 87 pending       87   316
317 - out of class 5         85 Pass   0 0 95 0 0 0           25.71429 317 pending             317
318 4 Pass Pass Pass Pass 90 Pass 95 78 84 82 88 74 84 89 87 92 86 89 86 318 90 83 86 87.4   86.6 86.6 318
820 - out of class           0 Fail                         0 820               820
368 5 Fail Pass Pass Fail 90 Pass 95 88 88 85 86 82 75 0 79 84 79 77 77.53846 368 89 80 92 87.9   87.225 86.3 368
727 5 Pass Pass Pass Fail 100 Pass 89 100 92 98 98 84 78 95 98 98 100 100 94.61538 727 89 82 80 74.1 PASS 81.275 81.8 727
355 5 Pass Pass Pass Pass 100 Pass 82 88 84 87 88 79 78 86 51 46 39 88 76.61538 355 91 86 86 87.9   87.725 86.6 355
            86.29032   75.67857 82.2069 78.06897 83 76.66667 66.8 73.37931 76.64286 81.04545 86.27273 86.09091 90.95455 80.23825   87.85714 80.6 83.81818 81.35   83.40633 84.87619048  

 

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
119OUT OF CLASS P -- -- -- -- -- -- -- -- -- --
120 P P P P P P P P P P P
141 P P P P P P P P P P P
166 P P P P P P P P P P P
170 P P P P P P P P P P P
177OUT OF CLASS -- -- -- -- -- -- -- -- -- -- --
386 P P P P P P P P P P P
183OUT OF CLASS P -- -- P -- -- -- -- -- -- --
194 P P P P P P P P P P P
225OUT OF CLASS -- -- -- -- -- -- -- -- -- -- --
226 P P P P P P P P P P P
229 P P P p P P P P P P P
234 P P P P P P P P P P P
247OUT OF CLASS -- -- -- -- -- -- -- -- -- -- --
249 P P P P P P P P P P P
289 P P P P P P P P P P P
416 P P P P P P P P P P P
290 P P P P P P P P P P P
294 P P P P P P P P P P P
399 P P P P P P P P P P P
302 P P P P P P P P P P P
303 P P P P P P P P P P P
304OUT OF CLASS P P P P -- -- -- -- -- -- --
308 P P P P P P P P P P P
316OUT OF CLASS -- -- -- -- -- -- -- -- -- -- --
317OUT OF CLASS -- -- -- -- -- -- -- -- -- -- --
318 P P P P P P P P P P P
820OUT OF CLASS -- -- -- -- -- -- -- -- -- -- --
368 P P P P P P P P P P P
727 P P P P P P P P P P P
355 P P P P P P P P P P P
                       

_________________________________

Student ID # 2/9 2/11 2/16 2/18 2/23 2/25 3/2 3/4 3/9 3/11 3/16 3/18 3/23 3/25 3/30 4/1 4/6 4/8 4/13 4/15 4/20 4/22 4/27 4/29 5/4 5/6 5/11 5/13 5/18 5/20 5/27 6/1 6/3 6/8  6/10 6/15     
119OUT OF CLASS P P P P P P P P P P P P P P P P P P P P P P P P -- -- -- -- -- -- -- -- -- -- -- --
120OUT OF CLASS P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P AB P P -- --
141 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P
166 P P P P P P P P P P P P P P P P P P P T 10 MIN P P P P P P P P P P P P P P P P
170PROBATION P P P P P P P P P P P P P P P P P P P P AB P P P P P P AB P P P P P P P P
177OUT OF CLASS P P P P P P P P P AB AB AB AB AB -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
386PROBATION P P P P P P P P P P P P P P P P P AB P AB P P P P T 15 MIN P P P P P P P P P P P
183OUT OF CLASS P P P P P P P P P P P P P P P P P P P P P P P P -- -- -- -- -- -- -- -- -- -- -- --
194 AB P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P
225OUT OF CLASS P P P P AB AB P P P AB P P P P P P T 10 MIN P P P P AB AB -- -- -- -- -- -- -- -- -- -- -- -- --
226 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P
229OUT OF CLASS P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P AB -- --
234 P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P
247OUT OF CLASS P P P P P P P P P P P P P P P P AB P P P P P P AB -- -- -- -- -- -- -- -- -- -- -- --
249OUT OF CLASS P P P P P P P P P P P