EMT Training Application form. First Name (required) Last Name (required) Street Address (required) Street Address 2 City (required) State (required) Zip Code (required) Country (required) Phone Number (required) Your Email (required) Desired Class location: DeKalb CountyLake CountyCook CountyKane CountyMchenry CountyDuPage County *Do you plan on working for A-TEC? YesNo *if you plan on working for A-TEC are you looking for Full or part time work? Full TimePart Time Have you served in the U.S Military? YesNo Have you ever been convicted of a felony? YesNo Are you affiliated with a fire department or law enforcement agency? YesNo If yes What Department or Agency? What is your prefered shirt size?