Eaw, For the first few years of your career, you need to be prepared to go where the work is. I would expect to move quite a few times actually until you reach that EMS job. They typically require 2000-3000 hours with a certain number of night and cross country hours. Remember, you may have 3000 hours, but not enough night hours to qualify for certain positions. A good way to gain night hours during training is do your instrument flying at night. First - You will probably have to move to a location near the flight school you want to attend. Remember flight schools are risky business, when selecting one make sure it is reputable and has a long history. Flight schools have been known to flop overnight taking students loan money with them. Second - When you become a flight instructor, the school you trained at might not have work for you, this means you will have to find a job else ware, which could be on the other side of the country. Third - You get your 1500 hours as a flight instructor, now you can get an entry level job, usually tours of Alaska or the grand canyon, or flying to rigs in the gulf of Mexico. Fourth - Now you finally have a bunch of hours and qualify for whatever job you want, you can get that job and hopefully stay there, buy a home if that is what you want. So as you can see you can expect to move at least three to four times on your path to becoming an EMS pilot, or really any desirable job as a helicopter pilot. It is worth noting that a lot of people who work in the gulf don't live near it, they take a commercial flight in every week or 2 weeks, whatever their schedule. Since I don't think anyone explained the difference between CFI and CFII, here it is. CFI stands for certified flight instructor. CFII stands for certified flight instructor - instrument. A CFI can only teach people to fly by reference to what you can see out the window. A CFII may teach people to fly by reference to the instruments without being able to see out the window. The concept of instrument flying was hard for me to grasp until I got to that point in my training. Imagine driving your car down the road on a bright sunny day. This is comparable to regular flying. Now imagine you spray painted all the windows in your car black and you can't see anything outside, that is essentially instrument flying. You have a number of instruments in the cockpit that tell you how the aircraft is flying. Remember, you could be diving strait toward the ground, but if you can't see the ground or the sky, or anything outside, how would you know you were headed for the ground? There are other instruments and resources used that help you navigate from where you take off, to where you want to go. For example these include VOR, GPS, and air traffic control. Feel free to PM with more questions if you like.