Long story short, my sister is interested in a program like this (if they even legitimately exist). I know that you MUST (slight joke about that stupid fake school) check with your state EMT registry to validate reciprocity regulations, and must also make sure the cert will allow you to sit for the NREMT cert. Here's what I've found so far: EMT B Course - NREMT Approved EMT B Classes Online Online EMT Basic Course from PERCOM. Information on Online EMT B Classes EMT Training, Online Certification, How To Become An EMT, School Most of these schools have you complete the coursework and then you travel to their site for the hands on training. Once that is done, you register for the NREMT, then register with your state EMT board. All of this sounds somewhat painless right? I just have concerns about how prepared you actually become with distance learning and an accelerated hands on program. All three of these schools look great, but I have no first hand knowledge to help her make a judgement call. DL (with the hands on accelerated) is also her only real option without getting into specifics. I would imagine she would have to check with her local hospitals/EMT services to see if they would allow her to complete clinicals/ride alongs? This is a topic that I am completely unfamiliar with and I'm posting here in hopes some of you may be able to offer some advice. As always, thanks!