Central VA EMS Education Expo
important

THIS IS A DATA COLLECTION APPLICATION.

  • Submission does NOT mean you are registered! But it is the first step in the process.

  • Within 3 business days you will receive your registration by email.

  • If you have successfully submitted this application, (page displays saying successful) and NOT received a registration email after 3 business days please contact Central VA EMS Expo Registration.

  • Please pick your top 3 choices for each time slot.
    Classes fill quickly and we will try to keep this form updated removing courses as they fill. However a sessions presence in the form DOES NOT guarantee availability.

Please complete the form below and submit your request.

  First name:
  Last name:
  Email:
  Phone: (example 804-555-1212)
  Affiliation
  VA Office of EMS Certification #
    Look up your certification number here.
  Cert/License Level
     

NOTE: if you do not see a specific class in the drop-down selections below, the class is full.
Saturday, March 3, 2018     ♦     Day 1

 
  Registration   0630-07:45
       
  Session 1   08:00-10:00
Choices 1st
2nd
3rd
  Session 2   10:15-11:45
Choices 1st
2nd
3rd
   
  Session 3   1:00-2:30
Choices 1st
2nd
3rd
   
Session 4   2:45-4:15
Choices 1st
2nd
3rd
   
  NOTE: If you do not see a specific class in the drop-down selections below, the class is full.
  Day 2 Sunday, March 4, 2018
  Registration   Opens at 0700 (Needed if not checked in on Saturday)
  Session 1   8:30-10:00
Choices 1st
2nd
3rd
   
  Session 2   10:15-11:45
Choices 1st
2nd
3rd
   
  Session 3 1:00-2:30
Choices 1st
2nd
3rd
   
  Session 4   2:45-4:15
Choices 1st
2nd
3rd
     
 

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