Students

CES STUDENT RIDE TIME REQUEST FORM

Welcome to the CES Ride Time Request Form! We are proud to be one of the primary hubs for EMS education in the Finger Lakes region and are committed to the excellence and success of students at all levels of care. While participating in ride time with CES, students must follow all rules, regulations, and procedures of their educational institution at all times. All CES rules, regulations, and procedures also apply to every student while on shift.

Ride time requests are accepted on a first-come, first-served basis, and CES reserves the right to make changes to scheduled ride time as needed based on the agency's operational needs.

Student Information:

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Type of Student *

Educational Institution *

Other Educational Institution *

Dates and time:

Requested Date *

Requested Time Frame *

If multiple date request please list all dates and times you are requesting *

Any additional comments: *

FLCC Paramedic Students:

Who is your assigned mentor or preceptor you need to be assigned to? *

Submit