Paramedic Program โ Hybrid Option
Program Features
At a Glance
- Designed to accommodate full-time EMS employees who want to obtain a paramedic certification.
- Hands-on learning through a High-Fidelity Simulation Lab, which includes high-fidelity mannequins that mimic live human responses.
- Certification courses including ACLS, PALS, and PHTLS.
- Upon successful completion of the program, students receive 30 units of transferable academic credit. The courses taken can be applied to the fully online BS in Health Science degree completion program at Sacramento State.
- All instructors currently work in the field as full-time professional firefighter/paramedics, private ambulance paramedics, flight paramedics, nurses and physician assistants, serving as great resources for students.
Overview
The Hybrid Paramedic program requires different qualifications from the standard Paramedic Program. Please read the Prerequisites below to see if you qualify for this program.
Students complete a substantial portion of their education through reading and asynchronous learning, then reinforce the reading by attending class less frequently than in a traditional program.
We believe in creating an environment in which faculty and students pursue the knowledge of prehospital care guided by our core values.
Licensure/Credentialing
Admission into programs leading to licensure and credentialing does not guarantee that students will obtain a license or credential. Licensure and credentialing requirements are set by agencies that are not controlled by or affiliated with the CSU and requirements can change at any time. For example, licensure or credentialing requirements can include evidence of the right to work in the United States (e.g., social security number or tax payer identification number) or successfully passing a criminal background check. Students are responsible for determining whether they can meet licensure or credentialing requirements.
The CSU will not refund tuition, fees, or any associated costs, to students who determine subsequent to admission that they cannot meet licensure or credentialing requirements. Information concerning licensure and credentialing requirements is available by contacting the program staff.
Accreditation Information
The Paramedic Program is approved by the Sacramento County Emergency Medical Services Agency and the State of California Emergency Medical Services Authority. It is also accredited by the Commission on Accreditation of Allied Health Education Programs upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).
Commission on Accreditation of Allied Health Education Programs
9355 โ 113th St. N, #7709
Seminole, FL 33775
727-210-2350
www.caahep.org
CoAEMSP
8301 Lakeview Parkway Suite 111-312
Rowlett, TX 75088
214-703-8445
FAX 214-703-8992
www.coaemsp.org
Sacramento State is accredited by WASC Senior College and University Commission (WSCUC), 985 Atlantic Avenue, #100, Alameda, CA 94501, 510-748-9001. Accreditation was reaffirmed for 10 years in June 2017
Audience
This program is designed for experienced EMTs who want to upgrade to Paramedic and are recommended by their agency.
Format
The program is offered once per year. The class is divided into three parts:
The first part of the program is didactic (NURS 51, NURS 52, NURS 53, and NURS 54). Students will learn ALS practices in relation to paramedicine. Students will master anatomy and physiology, cardiology, respiration, general medicine, obstetrics, pediatrics, trauma, and neurology. Class will be scheduled on Tuesdays and Thursdays. Students can attend both days, just one, or neither, depending on their work schedules for the week. However, attending at least once per week is highly recommended for student success.
The second is a clinical experience (NURS 55) where students are placed in the emergency departments of different hospitals. Students have the opportunity to practice and hone their skills with a nurse preceptor in preparation for their field internship. This takes 2-3 months to complete, depending on hospital scheduling and student availability. Many clinical locations will work around student work schedules.
The final requirement is the field internship (NURS 56) in which students assume the role of a paramedic under the supervision of a preceptor (as part of the qualification for the hybrid program, students will have already confirmed their internship agency and preceptor). A minimum of 480 hours must be completed in addition to 40 ALS contacts. Upon successful completion of NURS 56, students will be required to complete a comprehensive final evaluation that also serves as NREMT test preparation.
If youโd like to review the current syllabi or student handbook, please contact us.
Program Introduction
Prerequisites
- Two years of EMT experience in an ALS 911 โtransportingโ agency. This requirement is non-negotiable. You must have time on an ambulance to be admitted to the program.
- Sponsorship letter from your employer stating they will provide a field internship to you upon successful completion of didactic and clinical.
- You may complete your internship at an agency other than your employer. You will need to submit an internship sponsorship letter from that agency, AS WELL AS a letter of recommendation from your current department stating they approve and encourage your participation in the program
- TEAS test score (no minimum score required)
- Interview with members of our leadership team
Test of Essential Academic Skill (TEAS)
The Test of Essential Academic Skill (TEAS) for Nursing serves as our entrance exam. You will need to schedule a TEAS exam on your own and submit the results by the application deadline. The TEAS exam can be taken remotely at home or in person at a testing center. Please visit the ATI website for more information on how to register for the TEAS for Nursing exam.
Hybrid Paramedic Staff
Paramedic Success Stories
Troy Bennett
โMy name is Troy Bennett from CSUS class 1. I was an EMTย for AMR San Joaquin county and during my class. I immediately placed as a full time paramedic at AMR and became the lead FTO in a year and a half. I recently was hired with CSD fire as a firefighter paramedic and am currently in their academy. I have excelled with my medical knowledge and I contribute it all to the education I received at CSUS. So once again thank you.โ
Gabriel Cottrell
โI chose to go to Sac Stateโsย Paramedic Program in the Fall of 2011. I currently work for the Cityย of Sacramento asย a Fireman. I was hired about 7 months ago and am currently in the probationary period. I learned how to become a Paramedic in a busy 911 system thatย runs over 80,000 calls a year. I believe that doing my internship with the City of Sacramento and going to the Sacramento State Paramedic Program played a big role in me getting a full time job with the Department. Obviously I had to do a lot of other things on my own like pass all the fire tests and interviews and backgrounds etc. But I would not change a single thing I did along this journeyย to be in the best career in the world. So I highly recommend Sacramento State Paramedic Program to any of you eager future paramedics out there. I also oweย everything in the world to the instructors that taught meย and trained me well.โ
Dave Kang
โI completed my final shift of clinicals earlier this evening at Mercy San Juan. I must say that the experience was much more than I had hoped for. The staff was outstanding, my preceptor was top notch and the exposure I received was amazing. No exaggeration. I couldnโt have asked for a better situation. I hope that more Sac State medic students get the opportunity to have the same kind of clinical experience as I did. Thank you for making this happen (Jeff, et al). Thanks to everyone for making this a very worthwhile experience; both didactic and clinicals.ย I couldnโt have been more prepared than I was. The didactic portion was absolutely on point with what we needed to knowย to be set up for success. The nurses and doctors at MSJ commented on that several times. Kudos to you all and thank you again.โ
Justin Kotey
โThe CSUS Paramedic Program offers the curriculum you need in a time effective manner, while providing the resources and motivation to succeed. The staff works hard to ensure success by providing the most up-to-date equipment, techniques, and educational material all presented by working, professional paramedics from all around the area. They also are strategic in their placement following the didactic portion of the curriculum as you enter the emergency room for clinical rotations and the streets for your field internship. The RN preceptor I was placed with in the hospital was fantastic and I could not have asked for a better fit when I was assigned my paramedic preceptor in the field. I set a goal for myself to complete the program and obtain my paramedic license within the year; I began the program 9/11/17 and passed National Registry, Cognitive and Psychomotor, 9/22/18. Although I missed my goal by a week and a half, I am 100% confident that my success and positive experience throughout can be attributed to the
amazing and hard-working staff of the CSUS Paramedic Program.โ
Zachary Schick
โI really appreciate all the work the paramedic staff and instructors put into the program. I owe much of my success to great teaching and administration. I feel prepared to tackle the world of paramedicine with complete humility as a new medic.ย I will be taking what I have learned to Belize to progress their national EMTs. In this way what I have learned from the Paramedic Program at Sac State will have an international impact.โ
Costs
Prices are subject to change; please confirm pricing before your cohort begins.
The cost of the program is $17,250 ($575 per unit) and includes books, materials, and uniform shirts. Students will also be required to pay for the following:
- field internship (approximately $1,000)
- non-refundable drug screening and background check fee due at the time of acceptance into the program ($120)
Total costs are approximately $18,370.
Payment Schedule
Fees will be due to Sacramento State at specific times, as follows:
- The first payment of approximately $100 is due if/when youโre accepted into the program
- The second payment will be $3,500, due at time of registration for NURS 51 and NURS 53: Part 1
- The third payment will be $4,000, due at time of registration for NURS 52 and NURS 54: Part 2
- The fourth payment will be $2,500, due at time of registration for NURS 55
- The fifth and final payment will be $5,000, due at time of registration for NURS 56
You must register and pay for each course by the first day of the class. A $25 late payment fee will be assessed for those who register/pay after the first day of the course. Lastly, you also need to pay for your internship directly with an agency, and their fees may vary. The typical cost for an internship can range anywhere from free to $3,500.
Prices are subject to change; please confirm pricing before your cohort begins. Course fees for the program are currently under review and may change effective Summer 2026.
Financial Aid and Student Loans
Unfortunately, this program does not qualify for financial aid or student loans.
Sacramento State is only approved to offer federal financial aid to students enrolled in eligible degree programs. Students enrolled in the Paramedic Program would not qualify for federal financial aid. This includes the Federal Pell Grant and Federal Direct Student Loans.
VA / GI Bill Funding
We accept VA/GI Bill money. Please refer to the Veterans Affairs Benefits webpage to learn more about the benefits accepted by CCE and how to start the registration process.
Information Sessions
Our information sessions are a great way to learn about the Paramedic Program and get all your questions answered. The format is relaxed and friendly, and we welcome all prospective students and families. We will cover the different phases of the program, provide opportunities for Q&A, and (for the in-person session) include a tour of the facility.
Fall 2026 Info Session Dates
Each info session lasts about 60 minutes (in-person session will be 90 minutes). Parking for the in-person date is free and on-site. More details will be provided once your RSVP has been received.
| Time | Date | Location |
| 7 p.m. | Tuesday, Sept. 22 | Zoom Register for this session |
| 10 a.m. | Tuesday, Oct. 6 | In-person at McClellan Paramedic Classroom, 4931 Arnold Ave, McClellan Park, CA 95652 Register for this session |
| 12 p.m. | Wednesday, Oct. 28 | Zoom Register for this session |
How to Apply
Important Dates / Deadlines
- Aug. 2026 โ Applications for the January 2027 cohort open.
- Nov. 12, 2026 โ All online applications are due by midnight. Your TEAS score must also be submitted by midnight.
- Dec. 1 & 3, 2026 โ Interview sessions (sign up for one, not both). Preferably in person at Napa Hall, 3000 State University Drive, Sacramento, CA, 95819. A Zoom option will be available if needed.
- Dec. 7, 2026 โ Applicants will receive an acceptance notification.
- Jan. 21, 2027 – The first day of instruction is in-person and mandatory at the McClellan classroom, 4931 Arnold Ave, McClellan Park, CA 95652.
Application Process
Step 1: Submit your application
Applications must be submitted by the deadline along with the following required documents*:
- NREMT card
- State EMT card
- Resume
- Unofficial transcripts from all colleges attended (If you have a college degree (associateโs, bachelorโs, or masterโs degree), a copy of your diploma can be uploaded instead of transcripts.)
- Test of Essential Academic Skill (TEAS) printout that shows name and score.
- Sponsorship letter from an agency (your employer or other agency of your choice) stating they will provide a field internship to you upon successful completion of didactic and clinical.
Students can take the TEAS exam at a local testing center or virtually through ATI. Please visit the ATI website for more information on how to register for the TEAS for Nursing exam.
*Submit documents in PDF format. Name each file with your last name and first name and the type of document. For example, Smith_John_Resume.
Step 2: Applications are scored and ranked
All complete applications are scored and ranked. Acceptance into the program will be based on four criteria: TEAS exam score (percentage divided by 10), EMT work experience (maximum of 5 points), education (maximum of 5 points), and interview score (maximum of 10 points).
Applicants can earn up to 1 bonus points on their application:
- 0.5 points for completing an Anatomy & Physiology course
- 0.5 points for completing a Pre-Paramedic course
Step 3: Interviews
Once the application deadline passes, the applicant will be contacted via email by the program coordinator to confirm if they ranked in the top 40. Applicants ranking in the top 40 will be invited to interview.
After interviews, the top 25 applicants will be accepted into the program. Applicants will receive acceptance notification via email and will have 48 hours to accept their spot in the program. The remaining applicants who interviewed and meet the criteria will be offered a spot on the waitlist. If you are on the waitlist, but not offered a spot in the current class, you will need to reapply to a future cohort.
Please refer to the University Policy Manual for information on academic credit and university policies.
FAQ
Program Prerequisites & Admission Requirements
What do I need to do after I apply to the program?
After you submit your application, you will receive an email confirmation from the College of Continuing Education (CCE) that includes a link to upload the required documents.
What are the required documents that I need to upload to Send This File after I apply to the program?
After submitting your application, you will be emailed instructions on how to upload and send the following required documents:
- NREMT card
- State EMT card
- Resume
- Unofficial transcripts from all colleges attended (If you have a college degree (Associates, Bachelors, or Masters), a copy of your diploma can be uploaded in lieu of transcripts.)
- Test of Essential Academic Skill (TEAS) printout that shows name and score.
Please make sure to only upload documents in PDF format. Name each PDF with your last name and first name and the type of document. For example, Smith_John_Resume.
What are the requirements for the hybrid program?
- Two years of EMT experience in an ALS 911 โtransportingโ agency
- Sponsorship letter from your agency
- Letter of recommendation from your agency
- You must take the Test of Essential Academic Skill (TEAS) exam prior to the application deadline
- Attend the mandatory interview
Do I have to take an Anatomy and Physiology class before being accepted into the program?
No, several weeks of A&P are included in the course curriculum so we do not require it as a prerequisite. However, if you have already taken an A&P course, you will receive a 0.5 bonus point on your application.
My National Registry certification has lapsed. Can I still apply to your program?
Yes, as long as you are current with your county or state.
Do you have an entrance exam?
The Test of Essential Academic Skill (TEAS) serves as our entrance exam. You will need to schedule a TEAS exam on your own and submit the results by the application deadline. The TEAS exam can be taken anywhere that it is offered. When registering for the exam on the ATI website, please choose the TEAS for Nursing Option. There is no required minimum score.
Please do not route your score to Sacramento State via the ATI website. Once you have taken the exam, download your TEAS Score Report from your ATI Account and upload it with your other required documents.
Am I required to apply to Sacramento State as a student?
No, students are not required to apply to the university or meet campus admissions criteria. Students apply directly to the program by filling out the online application. There is a $30.00 non-refundable application fee.
If accepted into the program, will I need to show proof of immunizations?
Yes. If accepted, youโll need to show proof of immunizations for: COVID-19, MMR, HepB, Varicella, Influenza (current flu season), 2-step TB skin test (1-3 weeks apart), and Tdap. More information will be provided once accepted. Vaccination requirements vary by clinical site, and more information is provided once clinical assignments are made.
What else will I need to submit?
Upon program acceptance, current car insurance and health insurance coverage need to be shown.
Can I apply to the program if I have a criminal conviction on my record?
Having a criminal conviction on your record does not prevent you from applying or being accepted into the program. As of Oct. 1, 2024, the National Registry does not require disclosure of criminal convictions, however, paramedic applicants will need to check with the state for requirements to practice. The Emergency Medical Services Authority can be reached by emailย or you can contact the Paramedic Licensure Unit by phone at 916-323-9875 to ask about your specific situation.
Program Structure
How long is the program?
The program is comprised of three phases: didactic, clinical, and field. On average, students finish the program in a year or just under.
While in the didactic phase, youโll be completing assignments and readings virtually on your own and will also be meeting in person one to two times per week at 4931 Arnold Avenue, Suite 150 McClellan, CA 95652.
Please note that courses administered by CCE do not run on a semester-based schedule like the rest of the university.
What is the schedule like for didactic?
Students in the hybrid program will do a majority of their learning during didactic virtually at home on their own. In addition, students will be required to come to at least one in-person class a week (not including exam days).
Class meets on Tuesday or Thursday and hours are flexible depending on the class needs. The start date of each program and the end date of the didactic is listed on the application (didactic is approximately 23 weeks long).
What certification is included in the program?
During didactic, you will get certified in AMLS, ACLS, PALS and PHTLS. There is no additional cost for these classes โ they are included in the cost of the program.
Is coursework transferable to another college or university?
Yes, you will receive 30 units of academic credit that may be transferable as elective units.
The courses taken in the paramedic program can be applied to the fully online BS in Health Science degree completion program at Sacramento State.
Are students required to wear uniforms?
Yes, students are provided one uniform polo and one program job shirt (sweatshirt), and are required to purchase and wear dark navy blue Taclite TDU 5.11 pants. Students are also required to wear black shoes and a black leather belt.
What are the required pants for the program and where can I purchase them?
You will need to purchase Taclite TDU 5.11ย dark navy (style #74280) pants. You can purchase them online or at a uniform store.
These pants are being phased out and if youโre unable to find them, the new pant requirement isย 5.11ยฎ Regular Fit Flex-Tacยฎย TDUยฎย Ripstop Cargo Pant.
What are some of the the things that stand out about your program?
- All of our instructors are currently working in the field as either full-time paramedics on private ambulances or as firefighter/paramedics at city fire departments.
- We have our very own ambulance! Students get to run through real life scenarios on the ambulance.
- During the didactic phase, students get the opportunity to use the High-Fidelity Simulation Labs at McClellan for skills practice and learning.
Clinical/Field Placements and Internships
Do I have to find my own clinical placement?
No, we have a Clinical Coordinator who will place you at a hospital for your internship.
Do I have to find my own field placement?
Yes, a requirement of the hybrid program is that your agency will agree to provide you an internship.
Do you have mentors for the clinical and field phases?
Yes, in addition to having a Clinical and Field Coordinator, we also have Clinical and Field Mentors. Each mentor will be assigned several students who they will mentor during those studentsโ clinical and field internships.
What are the hospitals you send students to for the clinical phase?
- Adventist Health Lodi Memorial
- Alameda Health System โ Wilma Chan Highland Hospital
- Doctorโs Medical Center of Modesto
- Kaiser (North Sacramento, Oakland, Roseville, South Sacramento, Vacaville, Vallejo)
- Marshall Medical Center
- Mercy General Hospital
- Mercy San Juan Medical Center
- Methodist Hospital of Sacramento
- North Bay Health Medical Center
- Rideout Memorial
- Sierra Nevada Memorial Hospital
- St Josephโs Medical Center
- Stanford Medical Center
- Sutter Health Memorial Medical Center โ Modesto
- Sutter Amador Hospital
- Sutter Roseville Medical Center
- Sutter Medical Center โ Sacramento
- Sutter Santa Rosa Regional Hospital
- Stanford Health Care Tri-Valley (Valley Care)
- Woodland Memorial Hospital.
Program History and Accreditation
When did the program begin?
The Paramedic Program began in October 2009. We piloted our first hybrid cohort in February 2017.
Is the program accredited?
Yes, the Paramedic Program is approved by the Sacramento County Emergency Medical Services Agency and the State of California Emergency Medical Services Authority. The program is also accredited by the Commission on Accreditation of Allied Health Education Programs upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).
Paramedic Program Outcomes
CAAHEP Accredited Paramedic Programs and CoAEMSP Letter of Review (LoR) Programs track and report outcome measures annually to the Committee on Accreditation for the Emergency Medical Services Professions (CoAEMSP).
The most current CoAEMSP Annual Report was for the calendar years 2024 and 2025.
| CoAEMSP Reported Outcomes | 2024 | 2025 |
| Retention | 81.3% | 83.2% |
| NREMT Cognitive Exam | 94.9% | 97.8% |
| Placement | 96.0% | 97.8% |
The CoAEMSP defines positive placement as โEmployed full or part-time in a related field and/or continuing his/her education and/or serving in the military.โ