Class 49 Application

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Paramedic Academy Application Class #49
Palomar College
Escondido Center
Dear Academy Applicant:
Thank you for your interest in the Palomar College Paramedic Academy. Please read this application
package ENTIRELY and follow all instructions carefully. Incomplete application packages or failure to
comply with these procedures may preclude your acceptance into the Academy.
PROFESSIONAL CERTIFICATION:
The Paramedic Academy has a rigorous curriculum that requires two academic semesters. A selection process
is conducted to assure fair consideration to all applicants, and to obtain the most qualified candidates.
The Palomar College Paramedic Academy is a series of college courses accredited by the San Diego
County Emergency Medical Services and CoAEMSP. Completion of the Academy qualifies the candidate to
take the National Registry EMT-P exam, which is required for State of California Paramedic licensure.
Upon successful completion of the program, students will obtain a Certificate of Completion in Paramedic
Training, and upon completion of Palomar College General Education Requirements, students are eligible for
an Associate in Arts Degree in Paramedic Education.
MINIMUM REQUIREMENTS (MUST PROVIDE PROOF BY INTERVIEW) – (SEE LAST PAGE FOR DETAILS)
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High School graduate (or equivalent)
Original letter of work verification from your employer(s) sign and dated on letterhead
Valid California EMT-B certification or National Registry EMT license
AHA Health Care Provider CPR Card or equivalent - must remain valid and current for duration of
program
Valid Driver's License - must remain valid and current for duration of program
Qualification for English 50 and Math 15 & Reading 110 as determined by a Palomar College
Assessment Test. (Test is waived only for those with a A.A. or above or those who have successfully
completed those courses. Contact Counseling Dept. for dates scheduling your exam.). Assessment
test scores are only valid for 2 years.
Three original professional letters of reference; signed and dated. (Allowed one personal letter, but not
from a family member)
MINIMUM REQUIREMENTS (MUST PROVIDE PROOF BY FIRST DAY OF CLASS) – (SEE LAST PAGE FOR DETAILS)
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Completion of Zoology 145, Intro Anatomy & Physiology (or equivalent basic anatomy/physiology course)
with a grade of "C" or better.
Paramedic Preparation (EME-175, EME-175 Lab) with a grade of “B” or better
Minimum of 1040 hours paid work experience as an out of hospital EMT. (This is equal to six months full-time
employment)
The application is to be submitted to the EME office in a manila file folder by Friday, April 8, 2016 at 4:30pm.
Failure to follow instructions could cause your packet to be rejected.
EVALUATION PROCESS (Two steps) (All dates are subject to change)
1.
EMS Written Entrance Exam: Exams will be given at the Palomar College Escondido Center.
Attend one day only:
Wednesday, April 13, 2016 - Palomar College Escondido Center – Room # 822 at 12:30 pm
OR
Thursday, April 14, 2016 - Palomar College Escondido Center – Room # 822 at 12:30 pm
The Written Exams will consist of the following:
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EMT level knowledge exam with a minimum score of 80%.
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Medical terminology/Math exam with a minimum average score of 70%. (A Medical
terminology class or self-study preparation is recommended prior to this test).
Please bring the following items with you to the entrance exams:
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A small 100 question scantron sheet.
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A large 200 question scantron sheet.
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A #2 pencil.
2.
Oral interview: The interviews will be given at the Palomar College Escondido Center.
You will schedule your interview appointment on the day of the entrance exams.
Attend one day only:
Tuesday, April 19, 2016 (by appointment)
OR
Thursday, April 21, 2016 (by appointment)
The oral interview will consist of being scored on the following:
 EMT skills performance
 Pathophysiology questions.
SELECTION PROCEDURE:
Students with a completed application packet and that meet minimum requirements (including successful
testing) will be interviewed. The selection committee will recommend candidates for admission. Students will
be ranked on a point system based on admission criteria, written examinations and the oral interview.
SCHEDULE:
The Academy is offered on Mondays, Wednesdays, Thursdays, and Fridays and is scheduled to be
approximately 9 months in length. Some portions of the class will be held up to 5 days per week. You will
receive a schedule upon admittance to the Academy to allow for planning your schedule.
Paramedic Start Date: Monday, August 22, 2016 (Tentative)
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0830 - 1700 every didactic class meeting.
0800 – 1700 every lab day
Paramedic Orientation (Mandatory): Thursday, May 26, 2016 at 8:30am the Palomar College Escondido
Center in room ESC-824.
Class locations include the Palomar College Escondido campus, and assigned Clinical/ Field
locations.
CONDUCT:
The Academy is run in a paramilitary fashion. Candidates are expected to adhere to strict rules of conduct.
Appearance and grooming standards are enforced. All questions regarding Academy operations and
expectations will be answered during the mandatory Academy Orientation after appointment to the
Academy.
PHYSICAL HEALTH:
Once accepted into the program, you must provide proof that you have had a recent physical exam and
recent immunizations.
The immunizations we require are as follows:
Current Tuberculosis test (within one year)
Measles, Mumps, Rubella (MMR)
Varicella (Chicken Pox)
TDaP within 10 (ten) years
Hepatitis B
Current flu vaccination
The immunization paperwork will be given to you upon acceptance. The physical and immunizations are
due by Fri., Sep. 2, 2016
BACKGROUND CHECK
Upon acceptance into the program you will be given information regarding a background check. Cost for
this is approximately $100.00 and must be completed according to the instructions on the attached sheet.
This MUST be complete before the semester begins.
EXPENSES:
The Academy participant can expect to pay approximately $4,200.00 in costs for enrollment. These costs
cover tuition, books, certifications, uniforms, and a non-refundable materials fee. (See attached list for
breakdown of fees.)
We look forward to your participation in the Paramedic Academy program and in helping you succeed in
your EMS Career. If you have any questions about the application process please contact Mary J. Reed
at (760) 744-1150 EXT 8150 or visit the EME web site at www.palomar.edu/eme .
Good luck.
PALOMAR COLLEGE
PARAMEDIC PROGRAM
COSTS ESTIMATES
1st Semester
Unit Cost
Total Cost
EME Classes
Materials fee 206L
Materials fee 207L
FISDAP Registration*
Books
Background Check
Health/Accident Fee
Parking Permit
20.5 Units @$46.00/unit
$943.00
$45.00
$140.00
$55.00
$500.00
$100.00
$20.00
$40.00
Uniforms*
Patch $3.00 each (x3)
$9.00
T shirts$15.00 each (x2)
Sweatshirt $25.00 each (x2)
Uniform pants/shirt ($76.00 each) x 3
Boots
$30.00
$50.00
$228.00
$150.00
$25.00-$50.00
$50.00
Total
$2360.00
2nd Semester
Unit Cost
Total Cost
EME Classes
Materials fee 208L
Materials fee 210
Materials fee 215
Books
Health/Accident Fee
Parking Permit
Graduation Fee
Uniforms
National Registry Practical test
National Registry Written Exam*
(after course completion )
State skills test*
Fingerprinting* (After course completion)
State License Fee* (After course completion)
County Accreditation* (After course completion)
23.5 Units @$46.00/unit
$1081.00
$15.00
$4.00
$5.00
$10.00
$20.00
$40.00
$25.00
$35.00
$175.00
Optional fees - Stethoscope, goggles, gloves,
penlight, BP cuff, CPR pocket mask, trauma shears
approximate cost
Some states charge additional $49.
Clinical Packet
Field Packet
Approximate
$50.00
Total
$175.00
$42.00
$180.00
$17.00
$1874.00
Grand Total
$4234.00
The textbooks can be purchased online at www.efollett.com and Amazon.com (Approximately $500.00 for
the Spring semester books). The title is called Paramedic Care: Principles and Practice . It is a 7-volume set
with 7 workbooks. These items can also be purchased as real texts or as e-books.
Please note these prices are based on purchasing new supplies, some of which can be purchased from
previous students. These prices do not include physical, immunizations, notebooks, papers, pens, pencils,
meals & transportation. All applicants are eligible to apply for Federal Financial Aid and the Board of
Governor’s Fee Waiver.
* Fees established by outside agencies. All items subject to change and tax.
BACKGROUND CHECK INFORMATION
NOTE: DO NOT INITIATE THE BACKGROUND CHECK UNTIL ACCEPTED TO THE PARAMEDIC
PROGRAM AND ADVISED BY THE DEPARTMENT TO PROCEED.
A background investigation must be completed prior to your rotation to any clinical experience. Students
are responsible for payment of their background investigation, and American DataBank must conduct the
investigation. If a Palomar College Paramedic Student is denied access to a clinical site by the clinical
agency, the student may be unable to continue in the program.
BACKGROUND CHECK PROCEDURE
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Go to website http://www.palomaremebackgroundcheck.com and read the information printed there.
Print out the Disclosure and Authorization Form and sign it (at the bottom of the web page) & give to
Ally no later than Monday, August, 1, 2016.
On the background check web site you then order the background check which is: Package 1:
Basic Background Check Package Price: $65.00 (Additional charges may be added)
Once your application is complete you will be sent a confirmation email. Forward the confirmation email to Ally Do at ado@palomar.edu
Application information
Step 1: Applicant Information
Please enter your name, date of birth, social security number, phone number and email address.
Step 2: Residential History
Provide your 7 year residential history including state, city, ZIP code & the date range at the address.
Step 3: Payment
Provide payment for your background check by credit card or money order.
Step 4: Drug Screen (done independent and must be complete before start of class)
o A Chain of Custody Drug Screen Request is included in this packet (press firmly when you fill
it out). A phone number is provided to find location of the collection site closest to you. (Not
all labs do this, Oceanside and Rancho Peñasquitos do)
o Note: If you are paying by money order, the Chain of Custody Drug Screen Request will not
be available until the money order has been processed by American DataBank.
o Bring in last page (donor copy) of your drug screen or receipt strip to the EME office.
o Do not drink excessive quantities of water prior to test as this will give a diluted result which
will cause you to re-test (and re-pay)
SPECIAL NOTE REGARDING THE DRUG SCREENING TEST
The drug screen form must be taken to a Quest Laboratory designated by American DataBank. The
laboratory has requested that no small children be brought to the lab when having your testing done. This
would include infants. No one is allowed in the testing area other than the applicant.
Turn the following in to Ally Do no later than Aug. 1, 2016:
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Disclosure Form for American Databank
Forward of email that confirms your request to American Databank
Last page (donor copy) of drug screen paperwork or receipt strip.
CHECKLIST OF APPLICATION MATERIALS TO SUBMIT TO EME AFTER SUBMITTING THE ONLINE
APPLICATON – READ CAREFULLY
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2 ORIGINAL PASSPORT PHOTOS (NO COPIES PLEASE)
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COPY OF VALID EMT-B CARD – (MUST REMAIN CURRENT THROUGH PROGRAM)
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COPY OF VALID CPR CARD – (MUST REMAIN CURRENT THROUGH PROGRAM)
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COPY OF VALID DRIVER’S LICENSE – (MUST REMAIN CURRENT THROUGH PROGRAM)
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EXPERIENCE DOCUMENTATION LETTER – (MUST BE SIGNED AND DATED ORIGINAL ON LETTERHEAD)
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THREE REFERENCE LETTERS – (MUST BE SIGNED AND DATED ORIGINALS ON LETTERHEAD)
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ASSESSMENT EXAM SCORES – READING, ENGLISH, MATH (CANNOT BE OVER 2 YEARS OLD)
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OFFICIAL HIGH SCHOOL/GED TRANSCRIPTS
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OFFICIAL COLLEGE TRANSCRIPTS FOR EACH OF THE FOLLOWING:
 ANATOMY AND PHYSIOLOGY COURSE
 PARAMEDIC PREP COURSE
 EMT TRAINING
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