I live in north dakota. I guess my teacher is on crack, I don't know. I know she said that though. And yes the school does require CNA first for whatever reason. It's the only 2 year nursing school anywhere close to here. Considering it fills up all the nursing spots months prior to school starting you'd think they would be smart enough to expand it, or else one of the other 2 year schools could offer courses. =/ Wish I had done this first before I found out I hated the ambulance thing. I don't know why so many places do this, but ours just started. Two emt's on one truck = bad. Why they don't do one emt and one paramedic i'll probably never know. Still don't think I woulda really liked it much, but I woulda at least stayed if I could have had a paramedic partner.