Apply to the EMS Paramedic Program

Due to the limited number of available student slots per year and the number of interested students, this program has developed an application process for potential students who wish to attend.


A prerequisite for entry into the program is an EMT-Basic State Certification or National Registry of Emergency Medical Technicians (NREMT) certification and employment in the EMS field for at least one year.

Conditional Acceptance

Admission to the paramedic program is conditional based on:

  1. Successful admission to LCCC
  2. Initial selection criteria are listed below:
Item Points
Currently licensed in Wyoming as an EMT 5
Current NREMT-B certification 20
Current licensure at AEMT level or higher 2
At least 3-years of experience in EMS or a related field 10
At least 1-year of experience in EMS or health care 5
Applied to and accepted at LCCC 5
Oral Interview Panel 120

Application Dates

The application process opens Aug. 1 and will close Sept. 30.*  Applicants who submit a completed application will be contacted to schedule an oral interview during October.  The oral interview panel will take approximately 60-90 minutes.

*NOTE: The application period for the cohort starting Spring 2024 has been extended until Oct. 31, 2023..

Step 1:  Apply to Laramie County Community College

Choose Degree-Seeking Students or Non-Degree-Seeking Student

  • If you are interested in earning an Associate of Applied Science degree, choose Degree-Seeking Students tab.
  • If you are interested in earning a Credit Diploma, choose Non-Degree-Seeking Student tab.
  • If you are a current student or have taken courses at LCCC within the last year, you do not need to reapply to LCCC.

Step 2: Complete Paramedic Program Application

Please allow 30 - 60 minutes to complete the application. Prior to beginning the application, preview and answer essay questions so that you can simply copy and paste.

Paramedic Program Essay Questions

  1. What reasons/experiences attracted you to a career in EMS / Pre-hospital medicine?

  2. How would you rank the value of pursuing continuing education (on a scale of 1-10)? Why?

  3. At your current level of certification, give an example of how you enhanced a patient’s service/patient relations?

  4. What do you perceive are the primary duties of being a Paramedic?

  5. What three characteristics do you have that will enable you to be a successful Paramedic? Explain why you chose each characteristic?

  6. How did you hear out about the Paramedic Program at LCCC? Why did you choose to apply to the LCCC Paramedic Program?

  7. If accepted into the Paramedic Program, what professional goals would you like to achieve in the next five years?

  8. How do you deal with conflict between co-workers, physicians, instructors and fellow students?

  9. What motivates you to put forth your greatest effort?

  10. Describe a specific example of a time when your supervisor criticized your work. How did you respond? How did you ultimately remedy the situation?

  11. Think of a situation where you had to interact with a difficult person (as a peer, customer, employee, etc.). Describe the circumstances of the situation and how you dealt with the person and situation in order to resolve the conflict.

  12. This program is fast-paced and challenging, but in the end very rewarding. Some comments from past graduates are: “study, study, study . . .”; “Be ready to give up a lot of time . . .”; “stay focused and don’t give up . . .” Obviously, this program requires a great deal of study and clinical time. What types of support do you feel that you will have from family and friends?

  13. As a Paramedic, do you feel you would be able to take control of a scene, even when senior officers or other Paramedics are present? Why?

  14. Think of a situation where you had multiple tasks to complete with similar deadlines. Describe the actions you took / will take to ensure the timely completion of the tasks.

  15. Describe your role as a patient advocate.

  16. What would you do if a patient suddenly became aggressive toward you?

  17. Please describe in detail how you would handle the situation outlined below:

You arrive for your shift and find your partner sleeping on the couch in the station.  You proceed with your unit check-off and in the process, you are dispatched to a cardiac arrest. Your partner comes to the ambulance and smells strongly of ETOH.  They reply that the smell is their new cologne when asked.  Describe how you would handle this situation.

  1. Why should we accept you into the program over someone else?

  2. If you are not accepted this year, what are your plans?

  3. Questions/Comments

Provide three (3) references with email contacts.

Your references will automatically be emailed a PDF reference form to complete and submit to the program director.  At least one reference must be from a former or current supervisor and/or instructor. No relatives may be used as references. 

Sign the Cohort Application Form in the Program Application

Complete the Acknowledgment of Essential Functions (Technical Standards) in the Program Application

Paramedic Characteristics

The Paramedic must be a confident leader who can accept the challenge and high degree of responsibility entailed in the position. The Paramedic must have excellent judgment and be able to prioritize decisions and act quickly in the best interest of the patient, must be self-disciplined, able to develop patient rapport, interview hostile patients, maintain safe distance, and recognize and utilize communication unique to diverse multicultural groups and ages within those groups. Must be able to function independently at optimum level in a non-structured environment that is constantly changing.

Even though the Paramedic is generally part of a two-person team generally working with a lower skill and knowledge level Basic EMT, it is the Paramedic who is held responsible for safe and therapeutic administration of drugs including narcotics. Therefore, the Paramedic must not only be knowledgeable about medications but must be able to apply this knowledge in a practical sense. Knowledge and practical application of medications include thoroughly knowing and understanding the general properties of all types of drugs including analgesics, anesthetics, anti-anxiety drugs, sedatives and hypnotics, anti-convulsants, central nervous stimulants, psychotherapeutics which include antidepressants, and other anti-psychotics, anticholerginics, cholergenics, muscle relaxants, anti-dysrythmics, anti-hypertensives, anticoagulants, diuretics, bronchodilators, ophthalmics, pituitary drugs, gastro-intestinal drugs, hormones, antibiotics, antifungals, antiinflammatories, serums, vaccines, anti-parasitic, and others.

The Paramedic is personally responsible, legally, ethically, and morally for each drug administered, for using correct precautions and techniques, observing and documenting the effects of the drugs administered, keeping one’s own pharmacological knowledge base current as to changes and trends in administration and use, keeping abreast of all contraindications to administration of specific drugs to patients based on their constitutional make-up, and using drug reference literature.

The responsibility of the Paramedic includes obtaining a comprehensive drug history from the patient that includes names of drugs, strength, daily usage and dosage. The Paramedic must take into consideration that many factors, in relation to the history given, can affect the type medication to be given. For example, some patients may be taking several medications prescribed by several different doctors and some may lose track of what they have or have not taken. Some may be using nonprescription/over the counter drugs. Awareness of drug reactions and the synergistic effects of drugs combined with other medicines and in some instances, food, is imperative. The Paramedic must also take into consideration the possible risks of medication administered to a pregnant mother and the fetus, keeping in mind that drugs may cross the placenta.

The Paramedic must be cognizant of the impact of medications on pediatric patients based on size and weight, special concerns related to newborns, geriatric patients and the physiological effects of aging such as the way skin can tear in the geriatric population with relatively little to no pressure. There must be an awareness of the high abuse potential of controlled substances and the potential for addiction, therefore, the Paramedic must be thorough in report writing and able to justify why a particular narcotic was used and why a particular amount was given. The ability to measure and re-measure drip rates for controlled substances/medications is essential. Once medication is stopped or not used, the Paramedic must send back unused portions to proper inventory arena.

The Paramedic must be able to apply basic principles of mathematics to the calculation of problems associated with medication dosages, perform conversion problems, differentiate temperature reading between centigrade and Fahrenheit scales, be able to use proper advanced life support equipment and supplies ( i.e. proper size of intravenous needles ) based on patient’s age and condition of veins, and be able to locate sites for obtaining blood samples and perform this task, administer medication intravenously, administer medications by gastric tube, administer oral medications, administer rectal medications, and comply with universal pre-cautions and body substance isolation, disposing of contaminated items and equipment properly.

The Paramedic must be able to apply knowledge and skills to assist overdosed patients to overcome trauma through antidotes, and have knowledge of poisons and be able to administer treatment. The Paramedic must be knowledgeable as to the stages drugs/medications go through once they have entered the patient’s system and be cognizant that route of administration is critical in relation to patient’s needs and the effect that occurs.

The Paramedic must also be capable of providing advanced life support emergency medical services to patients including conducting of and interpreting electrocardiograms (EKGs), electrical interventions to support the cardiac functions, performing advanced endotracheal intubations in airway management and relief of pneumothorax and administering of appropriate intravenous fluids and drugs under direction of off-site designated physician.

The Paramedic is a person who must not only remain calm while working in difficult and stressful circumstances, but must be capable of staying focused while assuming the leadership role inherent in carrying out the functions of the position. Good judgment along with advanced knowledge and technical skills are essential in directing other team members to assist as needed. The Paramedic must be able to provide top quality care, concurrently handle high levels of stress, and be willing to take on the personal responsibility required of the position. This includes not only all legal ramifications for precise documentation, but also the responsibility for using the knowledge and skills acquired in real life-threatening emergency situations.

The Paramedic must be able to deal with adverse and often dangerous situations which include responding to calls in districts known to have high crime and mortality rates. Self-confidence is critical, as is a desire to work with people, solid emotional stability, a tolerance for high stress, and the ability to meet the physical, intellectual, and cognitive requirements demanded by this position.

Physical Demands

Aptitudes required for work of this nature are good physical stamina, endurance, and body condition that would not be adversely affected by frequently having to walk, stand, lift, carry, and balance at times, in excess of 125 pounds. Motor coordination is necessary because over uneven terrain, the patient’s, the Paramedic’s, and other workers’ well-being must not be jeopardized.


The Paramedic provides the most extensive pre-hospital care and may work for fire departments, private ambulance services, police departments or hospitals. Response times for nature of work are dependent upon nature of call. For example, a Paramedic working for a private ambulance service that transports the elderly from nursing homes to routine medical appointments and check-ups may endure somewhat less stressful circumstances than the Paramedic who works primarily with 911 calls in districts known to have high crime rates. Thus, the particular stresses inherent in the role of the Paramedic can vary, depending on place and type of employment.

However, in general, in the analyst’s opinion, the Paramedic must be flexible to meet the demands of the ever-changing emergency scene. When emergencies exist, the situation can be complex and care of the patient must be started immediately. In essence, the Paramedic in the EMS system uses advanced training and equipment to extend emergency physician services to the ambulance. The Paramedic must be able to make accurate independent judgments while following oral directives. The ability to perform duties in a timely manner is essential, as it could mean the difference between life and death for the patient.

Use of the telephone or radio dispatch for coordination of prompt emergency services is required, as is a pager, depending on place of employment. Accurately discerning street names through map reading, and correctly distinguishing house numbers or business addresses are essential to task completion in the most expedient manner. Concisely and accurately describing orally to dispatcher and other concerned staff, one’s impression of patient’s condition, is critical as the Paramedic works in emergency conditions where there may not be time for deliberation. The Paramedic must also be able to accurately report orally and in writing, all relevant patient data. At times, reporting may require a detailed narrative on extenuating circumstances or conditions that go beyond what is required on a prescribed form. In some instances, the Paramedic must enter data on computer from a laptop in ambulance. Verbal skills and reasoning skills are used extensively.

Source: USDOT 1998 National Standard Paramedic Curriculum

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Step 3. Complete application check list

To ensure your application is complete, have you:

□ Applied to LCCC?

□ Completed the Paramedic Program Application Form?

□ Completely answered all of essay questions?

□ Provided three references and their email addresses and  ensured they are submitted to the paramedic program director by Nov. 15?

Submit your completed application before Sept. 30.  No late applications will be accepted unless prior authorization is given by the Program Director.

Prerequisites and other courses in the curriculum are only eligible for transfer credit from regionally accredited institutions. Students seeking advanced standing will be evaluated on an individual basis and may be required to pass competency examinations monitored by the faculty to be accepted and to determine the level at which the student will enter the program. Official transcripts will be required. All transcripts will be evaluated by LCCC’s Registrar and the Program Director for transfer credit and/or advanced placement, as applicable.

Transfer students and students reentering the program will reenter under the applicable college catalog requirements. Other courses may require testing to determine if they will be accepted.

Applicants who have submitted a completed application and completed the oral interview will be reviewed by a selection committee composed of, but not limited to, EMS faculty members and other EMS personnel. 

Selection will be based on the following criteria:

  1. Initial application selection criteria listed above
  2. Responses to application questions
  3. References

Should any students receive identical scores, the date of receipt of the applications will be considered in giving priority. A final selection will be made, and the applicants will be notified. An alternate list will be created to fill any cancellations.

Our program does not use an annual waiting list; therefore, students not selected for admission into the paramedic program who wish to reapply must initiate the admission application process again the following year in order to be reconsidered. All students’ applications not selected will be kept for one year after the deadline and will then be destroyed.


Applicant notification will occur in November of either conditional acceptance or non-acceptance to the paramedic program. 

Upon receipt of conditional acceptance, proof of the following additional requirements must be submitted by the dates stipulated in the acceptance letter:

  1. A completed physical examination form including verification of current vaccinations and/or titers for Hepatitis B, Rubella, Rubeola, Mumps, PPD, Diphtheria-Tetanus and Varicella.

  2. A current copy of your Basic Life Support (BLS).certification. The certification must be from the American Heart Association.  BLS/CPR certification must be valid for the duration of the program.

  3. Students are advised that influenza vaccinations are also required each Fall semester as mandated by various clinical sites.

  4. Due to the rise in COVID-19 cases and for the safety of health care students and employees, many medical facilities, along with federal policies, are mandating the COVID-19 vaccination, with limited exemptions available for students and employees. Because all clinical hours and/or clinical competencies must be completed to meet program requirements, this means you may be required to receive the COVID-19 vaccination or have an approved exemption on file to enter and/or progress in the Paramedic program. For additional information, regarding these requirements, please see the Health Sciences and Wellness COVID-19 Policy, page 6.

  5. Acceptable Drug Screening and Criminal Background Checks. All allied health students are required to submit a pre-clinical urine drug screen according to the policy of the Allied Health Programs at LCCC. The drug screen is completed at the student’s expense and must be paid for at the time of application via the CastleBranch (or another LCCC contracted vendor) website.

  6. Applicants must also be eligible for licensure by the State of Wyoming Office of EMS. This includes but not limited to fingerprinting and additional background checks at the student’s expense.  See EMS Rules and Regulations for “Wyoming Emergency Medical Services Act of 1977” W.S. 33-36-101, at

In addition to drug screening, for the safety of patients and health care workers, allied health students must also undergo a background check performed by CastleBranch, or a similar LCCC contracted vendor at the student’s expense.

At their discretion, clinical sites may also require a drug screening and/or a criminal background check before allowing students into the clinical setting. (If needed, any associated fees will be the responsibility of the student.) In addition, LCCC and the clinical sites may require random drug testing and/or drug testing for reasonable cause. Generally, the urine drug test screens for alcoholic beverages, illegal drugs, or drugs that impair judgment while in the clinical setting. Testing positive on the screening or evidence of tampering with a specimen will disqualify a student from participation from the clinical assignment.

Your acceptance into the paramedic program at LCCC will not be final until LCCC has received completed background check information from the reporting agencies, and the background check is clear of disqualifying offenses.  Along with verification of eligibility for licensure by the State of Wyoming Office of EMS.  Please see the complete Health Sciences and Wellness Division Policies for Allied Health Students posted on the Division website for more information.  Certain criminal activities, as evidenced by a criminal background check, may also disqualify a student from clinical participation.

Students are advised that the inability to gain clinical education experiences can result in the failure to meet program objectives and outcomes.  These circumstances may prevent final acceptance into and/or progression through the program, and ultimately result in dismissal from the program.

In keeping with the program’s due process policies, if a student disagrees with the accuracy of the information obtained, s/he may request a confirmatory test and/or a review of the accuracy of the background information within seven (7) working days.  All requests must be made in writing to the Dean, Health Science and Wellness, and must include relevant information and/or extenuating circumstances supporting the request. A designated committee will review the results and the request, and will be responsible for making the final decision regarding the student’s request. The student will be notified in writing of the committee’s decision within seven (7) working days.