How to Become an EMT in Montana (2026)
Montana employs about 860 EMTs earning a median $36,140 a year (BLS OEWS, May 2025). Training as an EMT here means completing a state-approved EMT course (typically a few months), the NREMT exam, and state or local EMT certification, then applying through Board of Medical Examiners.
Montana employs approximately 860 EMTs according to the Bureau of Labor Statistics, with a median annual wage of $36,140 1. The state’s concentration of emt jobs is 1.44x the national average, indicating strong demand. Nationally, emt employment is projected to grow 5.1% from 2024 to 2034, with about 14,100 openings per year 2. This page covers how to become an EMT in Montana, including licensing requirements, training programs, and salary data.
At a Glance
- Training paths: state-approved EMT course at a community college, fire academy, or EMS training program (find programs)
- Typical timeline: a state-approved EMT course (typically a few months), the NREMT exam, and state or local EMT certification
- Licensing authority: Board of Medical Examiners
- Licensing authority: Board of Medical Examiners
- Exam: NREMT (most states)
- Median wage (Montana): $36,140 per year 1
Quick Answers About How to Become an EMT in Montana
How to become an EMT in Montana? Complete a state-approved EMT course (typically a few months), the NREMT exam, and state or local EMT certification. Apply through Board of Medical Examiners. See the NREMT 3 for the national exam.
How long does it take? Most people finish a state-approved EMT course (typically a few months), the NREMT exam, and state or local EMT certification. Confirm current hour totals with the training program and Board of Medical Examiners.
Do I need a license in Montana? Yes. Montana certifies EMTs through Board of Medical Examiners 4. You also pass the NREMT exam in most states. See the licensing section below.
What do EMTs earn in Montana? The median annual wage for EMTs in Montana is $36,140 according to BLS data. Entry-level wages start around $27,280 and experienced professionals can earn $46,310 or more 1.
How to Become an EMT in Montana
- Meet basic requirements. Most Montana EMT courses require you to be 18 (some allow 16 or 17 to train), hold a high school diploma or GED, and hold current CPR or BLS. Confirm the current age and health-screening rules with the training program.
- Complete a state-approved EMT course. Finish a state-approved EMT course in Montana. Courses are usually a few months at a community college, fire academy, or EMS training program, with classroom hours plus skills labs and clinical time. This is not a registered apprenticeship.
- Pass the NREMT exam. Pass the National Registry of Emergency Medical Technicians EMT exam. Most states use NREMT as the cognitive test; some still require a psychomotor exam. See the NREMT 3.
- Get your Montana EMT certification. Apply through Board of Medical Examiners. Some states also issue a local EMS agency card on top of the state credential. You cannot practice as an EMT until that certification is current.
Steps and hour totals vary by credential level; confirm current requirements with the state board before you apply.
EMT License Requirements in Montana
The Board of Medical Examiners oversees EMS certification in Montana 4. Most candidates also take the NREMT exam 3.
Typical EMT path
- Meet age, diploma or GED, and CPR requirements.
- Complete a state-approved EMT course (typically a few months).
- Pass the NREMT EMT exam.
- Apply for Montana EMT certification (and a local EMS agency card if the state uses one).
EMT is the entry credential. Advanced EMT and paramedic are later rungs on the same ladder, not the first license to chase.
Hour totals, background checks, and reciprocity rules change. Confirm current requirements with the Montana EMS office before you enroll.
EMT Wages by Metro Area in Montana
Emergency Medical Technicians Wages by Metro Area in Montana
According to the Bureau of Labor Statistics ( OES data), emergency medical technicians wages in Montana vary by metro area.
| Metro Area | Employment | Median Annual Wage | Avg. Annual Wage | Entry Level (10th pctile) | Experienced (90th pctile) |
|---|---|---|---|---|---|
| Missoula | 120 | $38,190 | $37,140 | $32,780 | $46,320 |
| Billings | 40 | $38,570 | $38,990 | $31,580 | $48,270 |
Wages reflect survey data and vary based on experience, credentials, employer, and local market conditions. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May .
Frequently Asked Questions
What is the job outlook for EMTs in Montana? Montana currently employs approximately 860 EMTs 1. Nationally, emt employment is projected to grow 5.1% from 2024 to 2034 2.
Can I work as an emt in Montana with an out-of-state license? Contact the Board of Medical Examiners for details on reciprocity and credential transfer.
What training programs are available in Montana? Options include trade schools, community colleges, and state-approved training programs. Use the school finder above to search for programs in Montana.
How much do EMTs earn in Montana compared to the national average? The median annual wage for EMTs in Montana is $36,140, which is $5,200 below the national median of $41,340 according to BLS data 1.
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Citations
About this guide: Researched and written by the TradeCareerPath Editorial Team. Our editorial team researches and sources every trade school and career guide using federal labor and education data, including BLS OEWS and Employment Projections, DOL apprenticeship records, IPEDS, College Scorecard, and state licensing boards. We follow the editorial standards documented at /editorial-policy/.
References
Bureau of Labor Statistics - Occupational Employment and Wage Statistics: https://www.bls.gov/oes/ ↩︎ ↩︎ ↩︎ ↩︎ ↩︎
Bureau of Labor Statistics - Employment Projections: https://www.bls.gov/emp/ ↩︎ ↩︎
NREMT - National Registry of Emergency Medical Technicians: https://www.nremt.org/ ↩︎ ↩︎ ↩︎
Board of Medical Examiners - Licensing Information: https://boards.bsd.dli.mt.gov/medical-examiners/ ↩︎ ↩︎
Data sources
Figures on this page are sourced from the federal and state datasets below. Methodology: how we rank and source data.
| Data | Provider | Vintage |
|---|---|---|
| Occupational Employment and Wage Statistics (OEWS) | U.S. Bureau of Labor Statistics | May 2025 |
| Employment Projections | U.S. Bureau of Labor Statistics | 2024-2034 |
| Integrated Postsecondary Education Data System | National Center for Education Statistics (IPEDS) | 2024 |
| College Scorecard (school-level outcomes) | U.S. Department of Education | latest release |
| College Scorecard (field-of-study earnings) | U.S. Department of Education | latest release (updated 2026-06-12) |
| Occupational licensing requirements | CareerOneStop (U.S. Department of Labor) | latest release (updated 2026-02-22) |
| Registered apprenticeship programs | CareerOneStop / Apprenticeship.gov (U.S. Department of Labor) | latest release (updated 2025-10-25) |
| O*NET occupation profiles (skills, tasks, tools, job zones) | U.S. Department of Labor (O*NET / Employment & Training Admin.) | O*NET 29.1 (updated 2026-06-13) |