KENTUCKY BOARD OF EMERGENCY MEDICAL SERVICES
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The EMS Instructor Candidate Packet is for First Responders, Emergency Medical Technicians, Paramedics, Registered Nurses and Physicians desiring to become instructors.  Please be sure to include a money order or certified check payable to Kentucky Board of Emergency Medical Services for $95.00. If you have any questions, please email amanda.hutson@kctcs.edu or call 859-256-3565.

EMS Instructor Candidate Packet

EMS Instructor Checklist (pdf):  All requirements on this checklist must be completed by candidate before submitting request for EMS Instructor certification.

Board Approved Methods of Instruction

EMS Instructor Initial Certification Application (pdf): Application for Levels I, II, and III EMS Instructor. If you have any questions, please email amanda.hutson@kctcs.edu or call 859-256-3565.

IC Proof of Lecture and Skill Presentations Form (pdf):  If applying for Level I or II EMS Instructor, you must teach five (5) lecture and five (5) skill presentations in a basic training course at the level for which you are applying for.  This must be completed with an instructor who has taught a minimum of three (3) classes as the lead instructor.  If you have any questions, please email amanda.hutson@kctcs.edu or call 859-256-3565.

Certified Instructor Form (pdf): Must be filled out by the lead instructor that your student teaching was completed under.  If you have any questions, please email amanda.hutson@kctcs.edu or call 859-256-3565.

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