Each EMT course must be a minimum of 120 total hours. Of these hours, a minimum of 110 hours is for didactic classroom instruction and skills training, and 10 hours for supervised clinical experience. The clinical time is divided into hospital emergency room time, EMT ambulance ride-along time, or both. All programs must follow regulations established by the State of California, Emergency Medical Services Authority. The curriculum must be based on the U.S. Department of Transportation's EMT-Basic National Standard Curriculum, DOT HS 808 149, August 1994. At the completion of the program, written and skills exams are given that must be passed to receive a course completion certificate. Following that, you must take and pass the National Registry of EMTs written exam, after which you can apply to an EMS Agency for an EMT card, which is valid statewide.