- This page, Apply to become an EMS instructor or coordinator, is offered by
- Office of Emergency Medical Services
- Bureau of Health Care Safety and Quality
- Department of Public Health
Apply to become an EMS instructor or coordinator
Contact for Apply to become an EMS instructor or coordinator
Office of Emergency Medical Services
Phone
The Details of Apply to become an EMS instructor or coordinator
What you need for Apply to become an EMS instructor or coordinator
To complete the application:
- Your MA EMT number
- Documentation of experience as an EMT providing prehospital care with a licensed ambulance service
- We need a signature of a licensed ambulance service representative. This should be either the service director or their designee.
- Accredited training institution (ATI) sponsorship/affiliation
- You must complete an internship at a Department-accredited EMS training institution (ATI).
- We need the signature of the Program Director on the application indicating sponsorship.
Application attachments
- State EMT card: A copy of both sides of your current Massachusetts EMT certification card (at any level)
- BLS CPR instructor card: A copy of both sides of your current Basic Life Support (BLS) Instructor credentials provided by a nationally recognized organization. BLS credentials must reflect current cardiopulmonary resuscitation (CPR) and emergency cardiac care resuscitation science and treatment recommendations issued by the International Liaison Committee on Resuscitation (ILCOR)’s and Emergency Cardiovascular Care Science with treatment Recommendations (CoSTR), or successor body.
- Instructor/Training (I/C) course completion: A copy of a course completion certificate from a Department approved I/C training course.
There are 2 separate master instructors approved to conduct the I/C training course. Please contact the instructor to ask about their next scheduled I/C training course.- Mark Forgues
email: markforgues@verizon.net - Greg West
email: instructorwest@gmail.com
- Mark Forgues
- Resume: A copy of your current resume which identifies at a minimum:
- Education
- Employment
- Educator/instructor experience/background
- Personal statement: A typed personal statement of at least 1000 words. Explain why you wish to become a Massachusetts EMS Instructor/Coordinator. Include what you will contribute to the initial EMT education field.
- NAEMSE (optional): Proof of course completion from the National Association of EMS Educators (NAEMSE) Level 1 course, if applicable. Completion of this course is substantially equivalent to the Massachusetts I/C training course.
Optional attachments: Background
If you answer “yes” to any of the questions in the Background section, attach a written explanation with supporting documentation, as explained on the application.
How to apply Apply to become an EMS instructor or coordinator
Please submit the completed Instructor/Coordinator Approval Application and all required documents to:
Massachusetts Department of Public Health
Office of Emergency Medical Services
Instructor/Coordinator Approval
67 Forest Street
Marlborough, MA 01752
Next steps for Apply to become an EMS instructor or coordinator
Take a course and obtain a course completion certificate
- Complete the application and include certification copies, resume, and personal statement. Submit the application and all materials to the Office of Emergency Medical Services (OEMS) for review.
- If your application is approved, you will receive a letter stating that you can begin your internship.
- If your application is incomplete or illegible, you will receive notification that your application is delayed. You must provide needed documentation or revise your application, and resubmit to OEMS.
- Complete your internship with a Massachusetts Accredited Training Institution (ATI): once you complete your 52-hour internship, send the internship paperwork to OEMS for review and approval.
- I/C certificate: following the review of internship paperwork, OEMS will issue an I/C certificate.
More info for Apply to become an EMS instructor or coordinator
You must have written approval from the Department before beginning your I/C internship. We will not accept internship hours attained prior to the date of the Department’s approval letter to begin the internship