Ranger College EMT-Basic Program Application

This application should only be completed by students who are requesting entry into the EMT-Basic program.

Application Deadlines: August 1 for Fall start; December 1 for Spring Start.

EMT-Basic Program Type:

Student Acknowledgement of Continuing Education EMS Program Payment Procedure

Along with the application, a non-refundable deposit of $290 is requiredby the application deadline. If accepted to the program, the remaining balance is due by the third class day. Students who do not make the payments by the deadlines will be dropped from the program.

Payment Options

Mail

Ranger College

Attn: Bursar

1240 College Circle

Ranger, TX 76470

In-Person

Payment at any campus location; Ranger, Stephenville and Early (Heartland Mall).

Phone

Bursar's Office - (254)267-7042

I understand the following:

• Ranger College EMS Continuing Education payment requirements
• Submission of the application does not guarantee acceptance
• The application fee of $290 is non-refundable

Name Information

First Name

Last Name

Suffix

Maiden/Birth Last Name

Age Criteria for Acceptance into the EMT program: Students must be 18 years old by October 1 for Fall Start or by March 1 by Spring start.

Birth Date (MM/DD/YYYY)

SSN

Gender

Citizenship Information

Citizenship Status

If you are a Non US Resident, please go back to the Applicants tab and complete the International Application for Admission.

Card Number

Card Issued Date

Birth Country

Race Information

Race (Choose one or more)

Ethnicity

Military Information

Are you a veteran?

(if requesting benefits, you must submit a military transcript)

Branch of Service:

Type of Discharge:

Total Time of Service:

Highest Rank:

What is your Selective Service Registration Status?

Are you a veteran's spouse or dependent?

Candidacy Information

What year do you plan to begin your studies?

2025 Academic Year = 2025 Fall and 2026 Spring

What term do you plan to begin your studies?

Which describes your entrance status?

I am currently enrolled in High School.

What type of student will you be?

Choose a program of study.

Choose one of the following options that best describes your education goals? 

What campus do you plan to attend?

Where will you be living during your enrollment?

Please explain why you wish to be considered as a candidate for Ranger College's EMS program.

Medical and Vaccination Documentation Requirements

The Ranger College Allied Health Department complies with the required Texas Department of State Health Services Immunizations, Special Requirements, Health Care Students (Non-Veterinary) for healthcare students (non-veterinary) at the link: https://www.dshs.texas.gov/immunizations/school/requirements

Per Texas Education Code 51.933, Health and Human Services may write rules requiring students enrolled in health-related courses to receive certain vaccines. The following information is summarized from Title 25, Texas Administrative Code §97.64. This text is provided as a courtesy but is in no way intended to supersede or take precedence over official regulations.

Students must have all the following vaccinations before they may engage in the course activities which will involve direct patient contact with potential exposure to blood or bodily fluids in educational, medical, or dental care facilities.

If one or more vaccines are on the same document, only upload the document once.

Tetanus-Diphtheria Vaccine

Students must show receipt of one dose of tetanus-diphtheria-pertussis vaccine (Tdap). In addition, one dose of a tetanus-containing vaccine must have been received within the last ten years. Td vaccine is an acceptable substitute, if Tdap vaccine is medically contraindicated.

Measles Vaccine

Students born on or after January 1, 1957, must show, prior to patient contact, acceptable evidence of vaccination of two doses of a measles-containing vaccine administered since January 1, 1968 (preferably MMR vaccine).

Mumps Vaccine

Students born on or after January 1, 1957, must show, prior to patient contact, acceptable evidence of vaccination of two doses of a mumps vaccine.

Rubella Vaccine

Students must show, prior to patient contact, acceptable evidence of one dose of rubella vaccine.

Hepatitis B Vaccine

Students are required to receive a complete series of hepatitis B vaccine prior to the start of direct patient care.

Varicella (Chickenpox) Vaccine

Students are required to have received two doses of varicella (chickenpox) vaccine.

ADDITIONALLY: A current chest X-Ray or negative TB skin test AND current COVID-19 vaccination card are RECOMMENDED. Failure to have these will not disqualify you from the Ranger College EMT Program but may limit availability of where you are able to complete clinical rotations.

Chest Xray

TB Skin Test

COVID-19 Vaccination Card

Contact Information

Do you reside outside of the United States?

Permanent Address:

Address Line 1

Address Line 2

City

State

Zip Code

County

Country

Is your Mailing Address different from your Permanent Address?

Mailing Address:

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone Number

Do you agree to receive text messages from college faculty or staff regarding your student account?  

Email Address

Confirm Email Address

Texas Residency

Are you a resident of Texas?

If not Texas Resident, which state?

Did you live in Texas for the 36 months leading up to your high school graduation or Texas GED certification?

When you begin your semester at RC, will you have lived in Texas for 12 months?

Were you enrolled in a Texas Public college or university during the previous 12 months?

If yes, were you classified as a Texas resident at that college or university?

Work Contact Information

Address Line 1

Address Line 2

City

State

Zip Code

Work Phone Number

I understand that I am not allowed to have clinical rotations at my place of employment.

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

School Information

Please indicate your current status

GED Test Date (MM/DD/YYYY)

State of GED Program

Please list all high schools and colleges that you have attended.

You are required to list all colleges you've attended (if any). 

If you do not see your school in the list, please select School Not Listed and type in the name of the school.

State of High School/Institution

High School/Institution

Name of High School/Institution

Degree Earned (if any)

High School Graduation Date (choose approximate date, MM/DD/YYYY)

Click "Add to List" to add the school to the list below. You can add as many schools as needed. Please list any schools you've attended.

I understand that I must furnish a current, official transcript from EACH college and/or high school attended to the Admissions Office at Ranger College. High school transcripts* must have a date of graduation included.

*An official high school transcript must include date of graduation (after graduation has occurred), be signed and stamped/embossed by a school official, and arrive in the Registrar's Office in a sealed envelope from the issuing school.

Prior EMT Experience

List any prior experience or education in the EMS career field.

Agency:

Start Date:

End Date:

Total years of Experience: 

Educational Institution:

Have you ever held or attempted to hold a NREMT certification?

Have you ever been dismissed or otherwise failed to complete any other EMS academy?

Academy Name:

Dates Attended:

Criminal Background

Have you ever been charged or convicted of a felony or violent crime?

Please Explain:

Information from the Texas Department of Health and Human Services EMS and Trauma Systems, Criminal History

https://www.dshs.texas.gov/dshs-ems-trauma-systems/criminal-history

Certain offenses will prevent you from getting your Texas EMS certification.

Anyone who has been convicted of, placed on deferred adjudication community supervision, or deferred disposition for any of the criminal offenses listed below is NOT qualified to obtain or maintain an EMS certification:

1. Murder [Texas Penal Code (PC) Section 19.02]
2. Capital murder [PC Section 19.03]
3. Indecency with a child [PC Section 21.11 (a)(1)]
4. Aggravated kidnapping [PC Section 20.04]
5. Aggravated sexual assault [PC Section 22.021]
6. Aggravated robbery [PC Section 29.03]
7. Substance abuse offenses, as described in Health and Safety Code, Chapter 481, for which punishment is increased under: 
   1. Health and Safety Code, 481.140, regarding the use of a child in the commission of an offense, or
   2. Health and Safety Code, 481.134(c),(d),(e) or (f), regarding an offense committed within a drug-free zone, if it is shown that the defendant has been previously convicted of an offense for which punishment was increased under one of the subsections;
8. Sexual assault [PC Section 22.011]
9. An offense, other than an offense committed on or after September 1, 2009, for which the person is subject to register as a sex offender under Code of Criminal Procedure, Chapter 62.

All other criminal offenses are considered on a case-by-case basis by the Texas Department of Health and Human Services. The following includes some of the factors to determine whether a criminal offense directly relates to the duties and responsibilities of EMS personnel and uses.

• The nature and seriousness of the crime
• The relationship of the crime to the purposes for requiring a certification to engage in emergency medical services
• The extent to which certification might offer an opportunity to engage in further criminal activity of the same type as that in which the person previously had been involved
• The relationship of the crime to the ability, capacity, or fitness required to perform the duties and discharge the responsibilities of EMS personnel
• The extent and nature of the person's past criminal activity
• The age of the person when the crime was committed
• The amount of time that has elapsed since the person's last criminal activity
• The conduct and work activity of the person before and after the criminal activity
• Evidence of the person's rehabilitation or rehabilitative effort while incarcerated or after release
• Evidence that the person has maintained a record of steady employment; supported their dependents; maintained a record of good conduct; paid all outstanding course costs, supervision fees, fines, and restitution ordered in any criminal case

In addition, the Texas DSHS applies these for the same or similar criminal offenses, resulting in a conviction, deferred adjudication or deferred disposition under other state law, federal law, or the Uniform Code of Military Justice.

Criminal History Evaluation Prior to Enrolling in an EMT Course

Pre-screen petition for review of criminal history

Pre-screening is available to those with a criminal history record that may prevent them from being certified or licensed. If you do not have a criminal history record, you do not need to submit a pre-screen application. Before submitting your application or the pre-screen petition, DSHS recommends scheduling the fingerprint appointment, then on the day of the fingerprint appointment, complete the DSHS prescreen petition application.

To submit the pre-screen

The applicant should create a Texas Health and Human Services account and register as a new user. When registering, the applicant will be asked to link their license; the applicant will not have a license to add, and should skip that section. Once the account is created, use the pre-screen transaction to begin the review process.

The fee for EMS Criminal History Pre-Screen Petition is $52, payable to the Texas Health and Human Services at the time of pre-screen submission. Payment my be made by credit card or electronic check.

You should submit:

• Petition for EMS Criminal History Pre-screening form
• The required fee
• Completed Texas Fingerprint Service Code based background check

Most evaluations are completed withing three to six months.

Use the Texas Health and Human Services Online Licensing System to complete this petition for EMS Criminal History pre-screening form and the Texas Fingerprint Service Code form. To request the fingerprint service code, email emscert@dshs.texas.gov.

Note: Ranger College conducts a criminal background check on all EMT Students. If an EMT student's background has an offense not previously listed on this application and not disclosed to the Texas Health and Human Services, the student may be removed from the program due to lack of truthfulness and failure to comply with application instructions to obtain clearance from the Texas Health and Human Services. Course fees are non-refundable.

Effective March 2027, anyone who has a stalking conviction from September 1, 2025 or after will not be able to obtain or renew an EMT license.

Have you been referred by the Department of Assistive and Rehabilitative Services for education and training or do you receive services through a specific state program?

Do you have limited English Speaking ability?

Were you a homemaker, not working outside of the home, prior to this enrollment?

Are you either unmarried or divorced with custody of a child under the age of 18 (including if you are currently pregnant)?

Do you lack fixed, regular adequate nighttime residence?

Are you currently in or have aged out of the foster care system?

Are you within 17 to 24 years old with a parent that is full-time in the active military service of the United States?

I certify that the information provided is accurate to the best of my knowledge. I understand this information will be used by the officials of Ranger College in creating state reports. I also understand that signing this application confirms that I am familiar with the information provided about Bacterial Meningitis.

I certify that the information in this application for admission is true and correct and that misrepresentation or omission of information will be cause for dismissal or denial of admission. If accepted as a Ranger College student, I agree to abide by the rules and regulations of Ranger College regarding conduct and all other obligations. I also authorize Ranger College to electronically access test scores (TSI or alternates/GED) from any institution or corporate entity which is associated with the transmission of the requested information. I hereby knowingly, freely, and voluntarily waive any right or cause of action arising as a result of the transmission of this information from which any liability may or could accrue to these stated organizations. I understand that Ranger College will upon request, provide me with a copy of any of the above documents and I further understand that I have the right to challenge the accuracy of those records.

Ranger College students are automatically enrolled in receiving electronic tax documents. In order to opt-out, students should login to their MyRanger portal, navigate to the 'Students' tab and select 'Opt Out of Electronic Statements'. 

Digital Signature