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Application Fee of $100.00 must be submitted to payment@randomsoundparamedicine.com for you application to be considered.
First name
Last name
Address Line 1
Address Line 2
(optional)
City
Province/State
Postal/ZIP Code
Country
Email
Phone No
10 Digit Phone #
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Male
Female
Other
Prefer Not to Disclose
High School Diploma Awarded
Yes
No
Name of High School Attended
(optional)
Province and/or Country
(optional)
Did you graduate with Academic (or higher) in Grade 11?
Yes
No
Did you graduate with Academic (or higher) in Grade 12?
Yes
No
Are you applying as a Mature Student?
A Mature Student is an applicant who does not meet the basic admission requirements. Mature Student status will be granted to an applicant provided the following conditions are met: The applicant is at least 19 years of age and has been out of school for a minimum of one year. The applicant participates in an interview process with a designated admissions representative. In the process of the interview, the applicant will be required by the college to provide the following supporting documentation: 1. Letter outlining future plans and the reasons they expect to successfully complete the program of studies 2. Personal resume 3. Letters of reference (3) iii. The applicant will be required to complete the Canadian Adult Achievement Test (CAAT).
Yes
No
Is English your first language?
If no, proof of English language proficiency will be required (official marks are required from the testing company)
Yes
No
Have you ever been required to withdraw from any institution for academic reasons?
Yes
No
If YES which institution?
(optional)
If no, please input N/A
Province/Location
(optional)
Have you attended another Paramedic Program previously?
Yes
No
If YES which institution?
(optional)
Province/Location
(optional)
College/University Attended
(optional)
Degree/Diploma Obtained
(optional)
College/University Attended
(optional)
Degree/Diploma Obtained
(optional)
College/University Attended
(optional)
Degree/Diploma Obtained
(optional)
Drivers License Number
Do you have a physical or learning disability that will require accommodation?
Yes
No
Are you forwarding documentation with regard to you learning or other disabilities?
Yes
No
Endorsements
(optional)
Declaration:
I hereby certify that all of the above information and all supporting documentation is complete and correct. I authorize Random Sound Paramedic Program to verify any information provided as part of this application. I understand that withholding information or providing false information in this application and/or any supporting documentation may be considered grounds for non-acceptance, or after acceptance, grounds for dismissal. I agree to follow and be bound by the regulations of Random Sound Paramedic Program, including any revisions, deletions or additions made to them in the future. If admitted I agree to pay all associated fees with my enrolment and the program.
Yes
No
Name of Applicant
Students are required to submit $100.00 Application fee to payment@randomsoundparamedicine.com, a copy of their High School Transcript, Criminal Record Check with Vulnerable Sector Check, and TWO Confidential reference forms (to be filled out by a school or work related reference). Immunization Forms and all other required documentation must be submitted before final acceptance into the program.
I understand
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