The NREMT International Assessment Track at City College MSU Billings provides a CAAHEP-accredited pathway for foreign-trained paramedics, including Canadian paramedics preparing to work in the United States, to complete the transcript evaluation and competency assessment required for NREMT exam eligibility. This two-stage hybrid process verifies cognitive, psychomotor, and affective paramedic skills through remote and in-person evaluation, and successful candidates are verified by MSUB faculty to apply for the NREMT paramedic examination.

Who should apply

  • Paramedics educated or licensed outside the United States
  • Canadian paramedics preparing to work in the United States
  • International applicants who can travel to Billings, Montana, for an in-person assessment

How the track works

Stage 1: Transcript and curriculum evaluation ($250 USD)

Submit your academic transcripts, course outlines, and current paramedic license or credential. MSUB faculty review your training to determine whether it aligns with entry-level United States paramedic competencies. Screening may result in a determination of ineligibility.

Stage 2: Competency assessment and faculty verification ($1,250 USD)

Available only to applicants approved in Stage 1. Candidates complete a hybrid assessment that includes remote knowledge evaluations and in-person lab and scenario testing at MSU Billings. When competency is verified, the Education Program Director submits the official eligibility verification to the NREMT so the candidate may apply for testing.

Schedule and delivery

  • Hybrid learning and assessment model
  • Remote cognitive evaluations plus onsite psychomotor and affective assessment
  • In-person assessment is held in Billings, Montana
  • Scheduling is case-by-case to support individual applicants

Important notes

  • Participation in this track does not guarantee NREMT certification. Certification is awarded only after successful completion of the NREMT examination.
  • Screening may result in a determination of ineligibility based on transcript review and competency evaluation.
  • Applicants are responsible for travel costs and NREMT application and testing fees.

Program at a glance

  • Total tuition: $1,500 USD ($250 Stage 1 + $1,250 Stage 2)
  • Accreditation: CAAHEP-accredited paramedic program at City College, MSU Billings
  • Outcome: Eligibility verification to apply for the NREMT paramedic examination
  • Intended audience: Foreign-trained paramedics, including Canadian graduates

Registration Questions

Workforce Development & Community Education
406-247-3055 | workforcedevelopment@msubillings.edu