Disclaimer: The following information was correct to the best of our knowledge at the time of writing. We frequently review and update this page to ensure accuracy, however, information may change without our knowledge. Please verify with your state, local, or national registry officials that the information is correct before relying on it to make a decision. If you notice anything that is listed incorrectly, please email us to let us know.


  • What’s the difference between Emergency Medical Responder (EMR) and Emergency Medical Technician (EMT)?  While the titles are similar, EMTs undergo roughly double the training hours as their EMR counterparts.  EMR (formerly known as Medical Response Technician (MRT) or First Responder certification) was established to provide basic first aid treatment for emergencies and injuries by the first arriving responders, typically firefighters and police officers.  Workplace safety teams commonly have training to the EMR level so that they can render first aid care to individuals that become ill or injured at work until EMTs can arrive.  An EMR usually does not transport patients to the hospital.  EMTs have more advanced skills, are able to administer additional emergency medications, and are trained in the transport, stabilization, and ongoing assessment of patients.  Emergency Medical Services (EMS) agencies typically have crew members that are at the EMT, Advanced EMT, and Paramedic levels.  In Connecticut, EMS regulation requires that at least one EMT be in the patient care compartment during transport.  EMT candidates do NOT need EMR to obtain EMT certification.
  • How old do you have to be to attend EMT training? Participants must be at least 16 years of age when they start EMT certification testing at the end of their course. Participants under 16 may complete EMT training but will be unable to start certification testing until after their 16th birthday. All participants under the age of 18 must have an age waiver on file at the start of their training signed by a parent or guardian. Please also see information about testing for participants under 18 below.
  • Are there any prerequisites for the EMT program? No, EMT is an entry level into the field of Emergency Medical Services. Participants are not required to complete any prerequisite courses prior to beginning EMT.
  • Does Code One offer paramedic training? Due to the number of paramedic programs in the Hartford area and the limited availability of quality paramedic level clinical rotations, Code One does not offer paramedic training. Paramedic is not considered an entry level into EMS and many programs require at least 2 years experience as an EMT at a busy EMS service before starting paramedic training. Our recommendation for anyone wanting to become a paramedic is to complete EMT training and get at least a year of decent patient care experience before considering starting a paramedic program – it will make your training so much easier when you have a foundation of field experience to rely on. Most of Code Ones instructors are paramedics so you can also ask them for their recommendations.
  • Can I get EMT certification if I have a criminal record? It depends on your conviction. Please review the NREMT policy on criminal convictions. This policy provides information about whether or not the NREMT will grant registration based upon the severity and type of conviction. Although this policy provides a guide for issuing NREMT registration, it is at the sole discretion of the NREMT to approve or deny an application. The State of Connecticut Office of Emergency Medical Services conducts a separate determination as to whether or not to grant certification based upon severity and type of conviction. OEMS will only make their decision when processing a candidate’s application for certification – this is only after the course and all testing has been successfully completed. Unfortunately OEMS does not publish a policy for its decision making nor will they provide an answer as to whether or not they will grant certification until they have a completed application. Please report any prior criminal convictions to your program director prior to the start of training so that we can verify with our clinical sites that they will admit you for this portion of the program.
  • Can I become an EMT if I have a disability? Code One and the Office of Emergency Medical Services will provide reasonable accommodations for disabled program participants. Typically Code One matches any type of accommodation that the NREMT will provide during the certification testing process such as extra time for testing. Since EMT certification requires the competent demonstration of psychomotor skills, all program participants will need to adequately perform required skill, such as CPR, to obtain certification. Reasonable accommodations for skills will be provided upon request and approval from OEMS. Please make any requests for accommodation to your program director.

Registration and Payment:

Do you have a payment plan? Yes, we have a partnership with PayPal Credit which provides 6 months interest free to pay off your course. When registering, choose to pay for your course in full and then select PayPal as your payment method. Once you enter your registration information you’ll be taken to PayPal’s website where you can select PayPal Credit. Enter the remaining details they require and you’ll be all set.

If you’ve already registered and want to use PayPal Credit for your balance, please let Amanda know and she can send you a PayPal invoice for your account balance.

Do you participate in any grant programs? Yes. Our courses are approved by Workforce Alliance / American Job Centers for residents of the Greater New Haven Area. Please contact Omayra Vega to see if you qualify for assistance.

We have accepted students that were funded by various agencies including the Department of Children and Families and local housing authorities. If you receive personal financial assistance, check with your sponsor to see if you qualify for a training grant. We are happy to provide funding agencies any information required for approval.

When do classes start? Code One offers accelerated daytime courses in East Hartford several times per year and evening courses in Woodbridge and East Hartford quarterly. Check our schedule at code1web.com/emt to see when courses are starting.

Where do I register for a course? Participants register for training online. You can choose your course format (5 week or 13 week) and the start date of your course on our website code1web.com/emt. We can also register you in person at any of our offices during business hours.

How does payment work? When you register online you can choose to pay your course in full or to pay a $200 deposit to hold a seat in the class. Deposits are nonrefundable but may be transferred to another course start date. We will email an invoice for your course balance within 1-2 business days of registration. The balance of your payment is due by the first day of class.

What payment methods do you accept? We accept all major credit cards (Visa, MasterCard, Discover, American Express), PayPal, check, and cash.

Can you invoice my fire/EMS/police department? Yes. During registration enter the discount code “INVOICE” and then include in the comments field all the details needed for us to issue an invoice to your department (department, contact name, address, email, and purchase order number if it’s needed on the invoice).


Is attendance required to all classes? We encourage participants to attend all course sessions so they do not fall behind on course content. We realize that this may not always be possible so we provide limited flexibility with absences. OEMS and NREMT both have minimum participation hour requirements for EMT programs that we strictly adhere to. We build extra days into each class to account for missed sessions due to illness or weather. Excessive absences, even for legitimate reasons, may prohibit you from completing the course due to minimum hour requirements. We request that all students notify their lead instructor prior to class if they will be absent and submit any due assignments prior to the start of class. Participants that exceed one unexcused absence (an absence or tardiness in which the lead instructor was not notified prior to class starting) are dismissed from the program.


Do you provide a clinical externship? Yes. We provide 12 to 16 hours of ambulance ride time, 4 hours of Emergency Room time (optional), and 4 hours observation time at a NREMT practical exam for each participant. We have partnerships with several EMS agencies that allows flexibility in scheduling internships outside of class time. Externships are scheduled following the course midterm.

Do I need any immunizations to attend clinical rotations?  For the safety of students, EMS crews, and patients, all students should be current with CDC recommended vaccinations prior to starting training, including current influenza and tetanus vaccinations and a tuberculosis skin test. We request all participants be current on their immunizations and be prepared to present vaccination records upon request.

What do I wear to clinical rotations?  Participants are issued a shirt to wear to clinical assignments.  Please wear dark EMS pants or slacks and dark shoes or boots to your clinical rotation.  Dark jackets or fleeces are acceptable for cold weather and should not have any logos or designs on them.

What do I need to bring to clinical rotations?  You should arrive early to your clinical assignment (crews will leave without you if you are late!) with a notepad, pen, stethoscope (issued in class), and your assignment sheet/evaluation (printable from Code One Web Course Tools).


What tests do I need to take for certification? After successfully completing your classroom training, you’ll need to take the National Registry of EMTs cognitive (written) and psychomotor (practical) exams.

The practical exam is offered every three weeks by Code One in East Hartford. The exam consists of five stations which tests EMT skills based upon the NREMT skill sheets. The skills stations tested are:

  • Patient Assessment / Management – Medical
  • Patient Assessment / Management – Trauma
  • BVM Ventilation of an Apneic Adult Patient
  • Cardiac Arrest Management / AED
  • Random Skill (Long bone or joint immobilization)

Copies of the sheets can be downloaded here.

Code One’s EMT training program utilizes the same equipment and skill sheets that are used on the EMT practical examination. This ensures our students are familiar and prepared for their test.

The cognitive exam is conducted by Pearson Vue testing centers by appointment. The NREMT uses a Computer Adaptive Test to assess competence in each topic area. More information about the test can be found on the NREMT website.

How long do I have once class is completed to take the exams? We recommend graduates take exams as soon as possible while content is still fresh. Practical and written exam results are valid for one year from when they are successfully completed.  An exam must be repeated if not completed within one year of each other. Candidates have two years from course completion to get exams done. An example:

  • January 1, 2018 – Candidate completes EMT course and has until Jan 1 2020 to complete testing.
  • February 1, 2018 – Candidate completes EMT psychomotor exam – results are valid for one year.
  • March 1, 2019 – Candidate completes the EMT cognitive exam. Certification not issued because practical exam results have expired.
  • April 1, 2019 – Candidate completes the EMT practical exam again. Now that both practical and written exams are completed within 1 year of each other, state and NREMT certifications are issued.

What if I fail my practical exam? Practical exam station failures are retested through the following process. There is no limit on practical exam station attempts. Exam are distributed 3-5 business days following the exam so stations cannot be repeated at the same exam session. Candidates testing in Connecticut can take their initial and repeat station examinations at any testing center (does not need to be the same location as their initial attempt).

  • One station failure – meet with two EMS Instructors to complete a Review and Retrain verification
  • Two station failure – repeat these failed stations at another exam session
  • Three station failure from an exam prior  to October 15, 2018 – repeat these failed stations at another exam session
  • Three station (after October 15, 2018),  four station, or five station failure – repeat the entire examination at another exam session

Exam results are posted to NREMT 4-6 weeks after passing both the written and practical exams.

What if I fail my cognitive exam? Cognitive exams are repeated at Pearson Vue Testing Centers. Results are posted to your NREMT account 2-3 business days after your exam attempt. If you fail the cognitive exam there is a short waiting period before you’re eligible to retest. Here are the rules for how many times you can repeat testing:

  • First three attempts provided upon completion of EMT course
  • Three additional attempts provided after completion of an EMT Refresher course
  • Candidate must repeat EMT course after 6 failed exam attempts. Testing cycle starts over after completion of subsequent EMT course.

Do exams need to be completed in any certain order? If you’re 16 or 17 years old, you must have the practical exam completed before taking the written exam. If you’re 18+, exams may be completed in either order.

Are there accommodations made in testing for persons with disabilities? Yes, both OEMS and the NREMT will make reasonable accommodations for candidates with disabilities in accordance with the Americans with Disabilities Act. Please contact your instructor for details.


Will I be able to obtain national certification for Code One’s course? Yes. Graduates of Code One’s EMT program receive NREMT certification upon successful completion of certification testing (must be 18+ and meet other NREMT eligibility requirements).

What state certification will I receive? Code One EMT program graduates that successfully complete certification testing will receive Connecticut EMT certification (must be 16+ and meet state eligibility requirements).


How long is my certification good for? Connecticut EMT certification is valid for 3 years. NREMT certification is valid for 2 years and expires on March 31 of your renewal year.

Do I need to keep my national certification? In Connecticut, EMTs are only required to maintain state certification. Many other states require NREMT certification to obtain state EMT certification and some require NREMT certification to be maintained to remain certified. Check with your state EMS office for more information.

If my national certification lapses, how can I get it back? State certified EMTs may take the NREMT practical and written exams to obtain NREMT certification.

What steps do I need to take to renew my EMT certification in Connecticut? Connecticut requires EMTs to complete a state approved 30 hour EMT Refresher course to renew state certification. OEMS proctors a written examination at the conclusion of the EMT Refresher course.

When can I take my Connecticut EMT Refresher course? EMTs may take their Refresher course in the year prior to their certification expiring.

How do I get my EMT certification reinstated once it has expired? This depends on the length of time it has been expired. Connecticut OEMS allows a grace period of 90 days following the expiration date for state certified EMTs to continue practicing – however, EMS services may not be able to bill for transports if a crew member has an expired certification so you may not be able to work as an EMT during the grace period.

If the certification has expired less than a year ago, you may complete the EMT Refresher course to be reinstated.

If the certification has been expired for more than a year but less than three years, you may complete the EMT Refresher course plus NREMT practical and written exams to be reinstated.

If the EMT certification has been expired for over 3 years, you must complete an EMT course plus NREMT practical and written exams to be reinstated.

What steps do I need to take to renew my NREMT certification?  NREMT requires that you either complete EMT Refresher training every two years or repeat the NREMT psychomotor and cognitive examinations to maintain registration.  Code One offers EMT Refresher courses including a hybrid online course with in-person instructor-led skills.  More information on the NREMT requirements for renewal are here.


How do I transfer my EMT certification to another state?  It depends on the state.  Most states will require current NREMT registration and verification of your certification from any state(s) in which you have held EMT certification.  Some states require a background check and fingerprinting.  Some states require competency testing or the completion of a state protocol training program while others have reciprocity agreements with neighboring states which allows easy transfer.  The best way to determine how to transfer EMT certification is by checking with the Office of Emergency Medical Services (OEMS) in the state that you’re seeking to become EMT certified.  The NREMT has a helpful listing of all state OEMS departments.

%d bloggers like this: