Key Takeaways
- Candidates must be at least 18 years old, though some states allow 16-17 with restrictions
- Completion of a state-approved EMT training program is required before applying
- Registration is completed online at NREMT.org with a $104 exam fee
- Exam scheduling is done through Pearson VUE after receiving the ATT
- A valid government-issued photo ID is required on exam day
- Background checks and criminal history may affect eligibility in some states
Eligibility & Registration
Before you can take the NREMT EMT cognitive exam, you must meet specific eligibility requirements and complete the registration process. Planning ahead ensures there are no delays in your certification timeline.
Eligibility Requirements
| Requirement | Details |
|---|---|
| Age | Must be 18+ (some states allow 16-17 with parental consent and restrictions) |
| Education | High school diploma or GED (recommended, not universally required by NREMT) |
| EMT Course | Must complete a state-approved EMT training program |
| Course Verification | Program director must verify completion in the NREMT system |
| Background | Criminal history may affect state licensure eligibility |
| CPR Certification | Current CPR/BLS for Healthcare Providers (AHA or equivalent) |
Age Exceptions by State
While NREMT requires candidates to be 18 years old, several states have provisions for younger candidates:
- 16-17 year olds may be eligible in some states with:
- Parental or guardian consent
- Restrictions on working hours and environments
- Limitations on certain types of calls (e.g., no hazmat scenes)
- Supervision requirements from a certified EMT or paramedic
- Check your specific state EMS office for age-related policies
Registration Process — Step by Step
Step 1: Create Your NREMT Account
- Visit NREMT.org and click "Create Account"
- Enter personal information, contact details, and create login credentials
- You will use this account throughout your EMS career
Step 2: Complete the Application
- Select "EMT" as your certification level
- Enter your training program information
- Provide your course completion date
- Disclose any criminal history (if applicable)
Step 3: Program Director Verification
- Your program director must log into NREMT and verify your course completion
- This step is required before you receive your ATT
- Contact your program director if this is not completed promptly
Step 4: Pay the Exam Fee
- The fee is $104 per attempt
- Payment is made online via credit/debit card
- The fee is non-refundable (even if you do not schedule or take the exam)
Step 5: Receive Your ATT
- Once verification and payment are complete, your ATT is issued
- Valid for 90 days — schedule your exam within this window
Step 6: Schedule Through Pearson VUE
- Visit pearsonvue.com/nremt or call Pearson VUE
- Choose a test center location or online proctored option
- Select your preferred date and time
- Receive a confirmation email
What to Bring on Exam Day
| Required | Details |
|---|---|
| Primary ID | Valid government-issued photo ID (driver's license, passport, military ID) |
| Name Match | Name on ID must exactly match your NREMT account name |
| Confirmation | Appointment confirmation (printed or on phone — for reference) |
NOT Allowed:
- Cell phones, smartwatches, or electronic devices
- Notes, textbooks, or study materials
- Food or drinks (stored in a locker)
- Hats, hoodies, or bulky outerwear (may be asked to remove)
Special Accommodations
If you have a documented disability, you may request testing accommodations:
- Submit a request through NREMT with supporting documentation
- Accommodations may include extended time, separate testing room, or screen magnification
- Requests must be submitted before scheduling your exam
What is the exam fee for the NREMT EMT cognitive exam?
Which of the following is required for exam day at a Pearson VUE test center?
At what minimum age can someone typically take the NREMT EMT exam?