Skip to main content
Skip to main navigation
Accessibility Statement

Careers & MyHR
Services
Forms
News
Contact us

Employment, business and economic development

theme_13_collection theme_13_frontend
theme_13_collection theme_13_frontend

Employment, business and economic development
British Columbians and our governments

theme_1_collection theme_1_frontend
theme_1_collection theme_1_frontend

British Columbians and our governments
Education and training

theme_4_collection theme_4_frontend
theme_4_collection theme_4_frontend

Education and training
Birth, adoption, death, marriage and divorce

theme_3_collection theme_3_frontend
theme_3_collection theme_3_frontend

Birth, adoption, death, marriage and divorce
Data

theme_data_collection data_frontend
theme_data_collection data_frontend

Data
Driving and transportation

theme_5_collection theme_5_frontend
theme_5_collection theme_5_frontend

Driving and transportation
Farming, natural resources and industry

theme_12_collection theme_12_frontend
theme_12_collection theme_12_frontend

Farming, natural resources and industry
Family and social supports

theme_15_collection theme_15_frontend
theme_15_collection theme_15_frontend

Family and social supports
Health

theme_2_collection theme_2_frontend
theme_2_collection theme_2_frontend

Health
Environmental protection and sustainability

theme_11_collection theme_11_frontend
theme_11_collection theme_11_frontend

Environmental protection and sustainability
Law, crime and justice

theme_7_collection theme_7_frontend
theme_7_collection theme_7_frontend

Law, crime and justice
Housing and tenancy

theme_9_collection theme_9_frontend
theme_9_collection theme_9_frontend

Housing and tenancy
Public safety and emergency services

theme_6_collection theme_6_frontend
theme_6_collection theme_6_frontend

Public safety and emergency services
Sports, recreation, arts and culture

theme_10_collection theme_10_frontend
theme_10_collection theme_10_frontend

Sports, recreation, arts and culture
Taxes and tax credits

theme_8_collection theme_8_frontend
theme_8_collection theme_8_frontend

Taxes and tax credits
Tourism and immigration

theme_14_collection theme_14_frontend
theme_14_collection theme_14_frontend

Tourism and immigration

Search

default_collection default_frontend

Home
Health
Health Forms
EMA Licensing

EMA Professional Experience Record

Your browser does not appear to support JavaScript. You may want to try one of the following:

Turn on JavaScript in your browser if it supports it.
Use a browser that supports JavaScript.
Try a JavaScript-free version of this page, if made available by the application author.

An error has occurred

You may want to try one of the following:

Close this dialog and continue to use this page.
Reload this page. Note that you will lose any unsaved changes.
If the above does not work, try reloading the page yourself. Note that you will lose any unsaved changes:
- With Firefox: hold down the shift key and click the Reload button in your browser toolbar.
- With Safari and Chrome: click the Reload button in your browser toolbar.
- With Internet Explorer: hold down the control key and click the Reload button in your browser toolbar.
Return home.

Reloading form

This form has to be reloaded. This most likely happened because your session has expired, which might take you to the login page. (If you think that you shouldn't see this message and that the problem persists, please contact support.)

Help

EMA Professional Experience Record

Emergency Medical Assistants Licensing Board professional experience record for EMA applicants

Applicant Information

Last NameMissing or incorrect value

First NameMissing or incorrect value

Email AddressMissing or incorrect value

Current Level of Licensure Missing or incorrect value

Professional Experience as a Paramedic

Please include all paramedic employment experience obtained in the last 10 years.

Start Date Missing or incorrect value

End Date

Paramedic EmployerMissing or incorrect value

Unit/AreaMissing or incorrect value

Status Missing or incorrect value

PositionMissing or incorrect value

Licence Level at time of EmploymentMissing or incorrect value

Supervisor Name and TitleMissing or incorrect value

Email AddressMissing or incorrect value

Last Day of Active Practice (for current employers use current date) Missing or incorrect value

Courses completed since Paramedic Graduation

Year

Course Name

Agency/Educational Institution

Advanced Degrees/Diplomas/Certificate Programs

Year Completed

Degree/Diploma/Certificate Program Name

Educational Institution

Supporting Documentation

Please attach any suporting documentation

Drag files here or select files.

Remove File

HLTH 8121 Rev. 2023/01/23

9b89373013644cb9cdb97d52589bb3c2348110bf

Confirm

Form Submitted

Review Form Validation Messages

Unable to complete action

Confirmation

Confirmation

Create link to share

Session About To Expire

Session Expired

Your session is about to expire. Click the button below if you wish to continue using this page.

Your session has expired.

Insert Above
Insert Below
Move Up
Move Down
Clear Line
Remove Line

Did you find what you were looking for?

Thank you for your response.

Help us improve gov.bc.ca

*Don't provide personal information . Comments will be sent to 'servicebc@gov.bc.ca'

Enter your email address if you would like a reply:

The information on this form is collected under the authority of Sections 26(c) and 27(1)(c) of the Freedom of Information and Protection of Privacy Act to help us assess and respond to your enquiry. Questions about the collection of information can be directed to the Manager of Corporate Web, Government Digital Experience Division.

I consent

Back to top

Collapse footer

Connect With Us

BC Gov News
Facebook
Twitter
Photos
Videos
Newsletters
RSS feeds

Government A-Z

Services A-Z

Organizations A-Z

Forms A-Z

Services and Information Topics

Employment, business and economic development
British Columbians and our governments
Education and training
Birth, adoption, death, marriage and divorce
Data
Driving and transportation

Farming, natural resources and industry
Family and social supports
Health
Environmental protection and sustainability
Law, crime and justice
Housing and tenancy

Public safety and emergency services
Sports, recreation, arts and culture
Taxes and tax credits
Tourism and immigration

Home
About gov.bc.ca
Disclaimer
Privacy
Accessibility
Copyright
Contact us
Desktop View