Personal Information - 2026 NOV 48-HR EMS Recertification Course

Registrant Information

Revised 09 SPT 2026

Provide the information needed, then click Next to continue.

Core Course Registration

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* Email address

* First Name as it appears on your primary EMS license

* Middle Initial or Name if and as it appears on your primary EMS license

* Last Name as it appears on your primary EMS license

Mailing Address

* Address 1

Address 2

* Country/Region

USA

* City

* State/Province

* ZIP/Postal code

* Gender at BirthThis question is required.

Male
Female

Without using periods, dashes, slashes, or any other separator, enter your contact phone number.

* Phone

* Employer

* Title / Rank / Position (NOT level of license)

Level of Primary EMS License

This question is required.

State of Primary EMS License

Enter text between 2 and 2 characters long.

Enter your current EMS License Number, if applicable.

If you do not have a state EMT license number, enter N/A in the State EMS License Number box.

State EMS License Number

Enter your State EMS License Expiration Date, if applicable.

If you do not have a current State EMS License Number, please enter/select 12/31/1900 in the State EMS License Expiration Date box.

Enter your current NREMT Registration Number, if applicable. If are not currently registered with the NREMT, enter N/A.

NREMT Registration Number

Enter your NREMT Registration Expiration Date, if applicable.

If you are not currently registered with the NREMT, enter/select 12/31/1900 in the NREMT Registration Expiration Date box.

Are you currently employed full-time as a Paramedic with a licensed ambulance service in Tennessee? (This is for statistical purposes only and does not affect anything in this course)

This question is required.

Yes, with a NON-FIRE based EMS service.
Yes, with a FIRE-BASED EMS service.
No