To be considered for employment with Guilford County Emergency Medical Services, you must meet the following qualifications:

  • High school graduate or GED certificate
  • Must not have committed or been convicted of a felony or serious misdemeanor
  • Able to meet the physically demanding requirements of the job
  • Be a United States citizen
  • Have or be able to obtain a valid North Carolina driver’s license
  • Be at least 18 years old
  • Be a North Carolina certified Emergency Medical Technician or a nationally registered Emergency Medical Technician (See Details Below)

What do I need to do to get a job with the Guilford County Emergency Medical Services?

  • Submit a completed application. Visit the Guilford County Government Career Center.
  • Pre-employment Testing (Physical Abilities Test and Written Test)
  • Background Investigation
  • Complete a formal interview process
  • Psychological Evaluation and Medical Exam (no particular order)

Is there an age requirement?

Yes, all applicants must be at least 18 yrs. old.

Do I have to become EMT (Emergency Medical Technician) certified to work for Guilford County Emergency Services?

Yes, Guilford County Emergency Services conducts its own Paramedic academy but EMT-Basic certification is the minimum qualification for employment. In addition to the EMT certification, all employees must have a valid operator’s license and be CPR certified. All of our full time employee’s are either certified at the Paramedic level or are in training to attain that certification.

How do I become certified as an EMT (Emergency Medical Technician)?

The EMT-Basic course is offered by most community colleges. Locally, this certification can be obtained through Guilford Technical Community College. To learn more please contact San Juan Timmons at This email address is being protected from spambots. You need JavaScript enabled to view it. (336-334-4822) or Christy Ridgill at This email address is being protected from spambots. You need JavaScript enabled to view it. (336-334-4822 x2834).

What does the EMT (Emergency Medical Technician) course include?

This course is designed to train individuals to become emergency medical personnel. The student is exposed to emergency patient care through both classroom training and hands-on application. Topics include patient assessment, basic life support techniques (including airway management and CPR), oxygen therapy, treatment of shock, treatment of fractures, management of various medical emergencies and emergency childbirth. Upon successful completion of this course, the student will be eligible to take the North Carolina OEMS Basic Emergency Medical Technician certification exam.

For more information regarding the North Carolina EMT requirements, visit:

What is the Paramedic Academy?

The paramedic academy is a course intended to educate a person certified at the EMT-Basic level to become a Paramedic. The course is 1,158 hrs. long and is held Monday – Thursday for approximately 9 months. The students then work as a functional member on an ambulance every other weekend. Students are full time employees during and after their education and are selected based on their performance prior to the beginning of class. All class materials are provided to each student. This program is unique in that students learn where they will work and are able to use the skills and knowledge acquired, immediately in a clinical environment. All paramedic academy students are contractually obligated to serve as a Guilford County paramedic for two years following North Carolina certification at the paramedic level. For more information, contact Reid McCormick, ES Training Manager, at 336-641-6204.

Do I have to live in Guilford County?


If I am hired, am I guaranteed a spot in the paramedic academy?

No, employees are rarely guaranteed a spot in the paramedic academy upon initial hiring. The paramedic academy is highly competitive with a limited number of positions. Hiring for the academy takes place after the employee has been successful in completing the initial employee training.

Do I get paid while in the paramedic academy?

Yes. Since we hire you before seating you in the academy, you are a full-time employee of Guilford County Emergency Services. We are paid on the last business day of the month. Health benefits begin on the first of the month after being employed for 30 days.


Please visit for county benefit information.

When will the next Guilford County EMS interviews be held?

Future interview dates have not been set at this time. Applications are taken on a year-round basis and are held for a year.

How long does new employee orientation last?

The new employee orientation is currently a 4 week training class. During this time, all employees undergo training in topics like equipment orientation, navigation, scene operations, infectious diseases, and much more. This orientation should not be confused with the Paramedic academy which is much longer, see FAQ “Paramedic Academy”.

Do I have to have EMS or EMS related experience?

No, but EMS experience is desirable and considered a preferred qualification. Any experience that incorporates a high level of customer service is acceptable.

What is the salary?

Salary depends on the employee’s level of certification and experience level. Employees in the paramedic academy begin at the EMT-Basic level, progress to the EMT-Intermediate level during class, and progress to the EMT-Paramedic level at the end of the class. The minimum salary for each certification is:

EMT – Basic Full-time – $25,343 Hourly – $12.18
EMT – Intermediate Full-time – $27,941 Hourly – $13.43
EMT – Paramedic Full-time – $33,963 Hourly – $16.33

Can I do a ride-along?

We do have a ride along program which allows citizens to ride on our units and observe the EMS operations. For more information, contact Debbie Miller at 336-641-3072.