Check your state/province EMT requirements (EMR vs EMT-B/EMT-A differences)
Meet minimum eligibility requirements (age, education, immunizations, background checks)
Complete required prerequisites (often high school diploma/GED, basic health/CPR readiness)
Obtain a CPR certification approved for EMT training (typically CPR for Healthcare Providers)
Enroll in an accredited EMT program (state-approved or NREMT-aligned)
Complete EMT coursework and skills training hours
Pass EMT program written exams and practical skills exams
Complete required clinical/field internship hours (if included in your program)
Register for the national and/or state exam required for certification
Pass the EMT cognitive (written/computer) exam
Pass the EMT psychomotor (skills) exam
Apply for EMT certification with your state/province authority (and/or NREMT application if used)
Maintain certification requirements (ongoing continuing education/skills refreshers)
Keep CPR current and complete any required refresher training
Update your license/certification before expiration
Consider additional specialties (optional) such as EMT-Interfacility Transport, tactical EMS, flight/critical care pathways