(2016-2)
An Equal Opportunity Institution
PALM BEACH STATE COLLEGE – Lake Worth
Limited Access Office
4200 Congress Avenue, Lake Worth, FL 33461
:
Web Site : www.palmbeachstate.edu/programs/ems
Your acceptance for selection MUST be viewed at www.palmbeachstate.edu/pantherweb under Limited Access Application Status.
ALL communication will be sent to your my.palmbeachstate.edu e-mail account including requests for missing information and all required acceptance documentation.
Program Information
CLASS BEGINS:
PROGRAM DESCRIPTION: This college credit certificate program is offered for the student who wishes to complete the core curriculum and be eligible for certification by the State of Florida to practice as a paramedic.
Paramedics are trained to provide advanced life support in medical and trauma related emergencies. The course content includes lecture, skills lab and hospital/fire rescue rotations as outlined in the core requirements of the
Emergency Medical Services A.S. degree program. Students MUST have Internet access .
PROGRAM LENGTH: 42 College Credits; Approximately 1,100 hours; 3 semesters (excluding college observed holidays)
PROGRAM SCHEDULE:
This program is on the Palm Beach County Firefighter shift schedule. http://www.pbcfr.org/shift_calendar.asp
Shift
A SHIFT
Section
Lecture/Lab
Clinical
Schedule
A Shift (except Sundays and College holidays)
Hours
8:30am – 5:00pm*
B or C Shift (except Sundays and College holidays) 8:30am – 3:30pm*
PSD108
9:00 am – 12 pm
* Hours are subject to change in subsequent semesters.
Clinical rotations include a combination of Hospital
Facility and Fire Rescue field experience (** Fire Rescue starts at 7:30 am and Hospital starts at 8:30 am ). Further details of the schedule will be explained at the mandatory orientation .
PROGRAM LOCATIONS:
Classes and labs will be held on the Lake Worth campus – 4200 Congress Avenue, Lake Worth, Florida 33461
Clinical sites will be designated per the Clinical Coordinator and are subject to change throughout the program.
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PROGRAM COSTS:
Program Information
Tuition and fees (FL resident) $ 4,925.00* *These costs are approximate and subject to change .*
Fees include web component access, lab materials, and certificates (BLS, ACLS, PHTLS, PALS), Access fee which includes parking decal, Medical Accident Insurance and Liability Insurance assessed each Fall semester.
Typhon (online skills tracking) one-time fee paid by student.
*Does not include textbooks, uniforms, and pre-screening costs (drug screening, med exam & criminal background).
FINANCIAL AID: http://www.palmbeachstate.edu/financialaid is available for this program and it is recommended that you apply early. A FASFA form is required http://www.fafsa.ed.gov/ . In addition, there are a limited number of scholarships through the Palm Beach State College Foundation http://www.palmbeachstate.edu/foundation .
PROGRAM INFORMATION SESSION:
All students are encouraged to attend one of the following information sessions
 October 5, 2015 at 2:00 pm at PSD108
 November 4, 2015 at 6:00 pm at PSD108
Requirements for Consideration for Selection
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Requirements for Consideration for Selection
PARAMEDIC APPLICATION – SPRING 2016 – DEADLINE: November 20, 2015
The following are required for eligibility in the selection pool. Meeting criteria for selection does not guarantee admission to the Paramedic program. Final selection will be based on the applicant pool. If a student is selected and does not enter the program, or is not selected, the student must reapply and is not guaranteed acceptance in any subsequent selection process. ALL documentation MUST be on file at Palm Beach State
ADMISSIONS Office, Lake Worth, by November 20, 2015.
APPLICATION
 First-time Palm Beach State College Students: Submit a completed Palm Beach State general credit application at http://www.palmbeachstate.edu/admissions and pay the appropriate fee by the deadline date. New students will be assessed a $40 nonrefundable fee. International (F-1/M-1) students will be assessed a $75 nonrefundable application fee. Be sure to insert your current and active email address where requested; is specific regarding your program of study. Once submitted, a confirmation page with conditions of admission will be sent to the e-mail address provided in the college application. Print the confirmation page and follow the instructions within. Applicants must also submit the program application contained in this packet and submit to the Admissions office.
 Non first-time Palm Beach State College Students: Must complete the program application in this packet and submit to the Admissions office.
ACADEMIC HIGH SCHOOL DIPLOMA OR GED
Official transcripts must be submitted to the Admissions Office proving a standard high school diploma, GED, or validated foreign equivalent. Transcripts are considered official if sent directly to Palm Beach State College from the previous institution or are handdelivered in a sealed envelope sealed by the issuing institution All applicants – new, current, and college transfer students - must have their official high school or GED transcript on file at the college. You may download the transcript request form from our website at http://www.palmbeachstate.edu/admissions/transcript-request.aspx
. Students who received a Florida GED can request their scores using the downloaded form at http://www.palmbeachstate.edu/admissions/transcript-request.aspx
. Transcripts must be on file at the
College Admissions Office in Lake Worth by deadline date.
EMT CERTIFICATE
Copy of current FLORIDA EMT (not NREMT) certificate MUST be submitted with the Paramedic application .
Students who are currently awaiting EMT Test Results will only be considered if there are vacancies after Florida certified
EMT’s have been accepted. **Subject to State Statute changes.**
American Heart Association CPR CERTIFICATION
All applicants MUST provide a copy of a current BLS for Healthcare Provider card with your application. Courses are available at the college by registering online at http://www.palmbeachstate.edu/CCE/health/health-courses.aspx
(Course ID is EMO
0123) or call the Continuing Education office at (561) 868-3775. CPR will be re-achieved during EMS2620C Paramedic I.
COLLEGE TRANSCRIPTS
Official college transcripts ( transcripts are considered official if sent directly to Palm Beach State College from the previous institution or are hand-delivered in a sealed envelope sealed by the issuing institution) from ALL post-secondary institutions attended must be submitted. You may download the transcript request form from our website at http://www.palmbeachstate.edu/admissions/transcript-request.aspx
. All post-secondary records from out of the country must be submitted with a commercial evaluation. If you have attended college, we still require proof of a standard high school diploma, GED or validated foreign equivalent. Commercial evaluation of foreign transcripts must be conducted by approved evaluators listed at http://www.palmbeachstate.edu/admissions/transcript-request.aspx
.
I/O SOLUTIONS PLACEMENT TEST (NFSI)
Applicants must take the I/O Solutions National Firefighter Selection Inventory (NFSI), within two years of the application deadline date and score at least a 75% grade competency level in order to be eligible for consideration for selection. In order to take the test applicants must pay the cashier $45.00 and report to the College Testing Center , Lake Worth
Campus (561-868-3012), with their photo ID to arrange to take the exam. Additional NFSI information may be located at www.publicsafetyrecruitment.com
. Study guides may be purchased at the College Lake Worth bookstore. Exemptions : Students with an A.A., A.S., A.A.S. or higher degree from a regionally accredited institution; or students who have already met the minimum cut scores, within the past two years, on the Postsecondary Education Readiness Test (PERT), SAT1 or ACT-E are exempt from the exam.
Documentation required.
ACCEPTED STUDENTS WILL NEED A CLEAR CRIMINAL HISTORY BACKGROUND, DRUG SCREENING AND
ACCEPTABLE MEDICAL EXAM, COMPLETED AT THEIR OWN EXPENSE, PRIOR TO STARTING THE
PARAMEDIC PROGRAM.
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Applicant Point System for Selection
After all eligibility requirements for placement into the selection pool have been satisfied, the following point system will be utilized for selection into the program. In the event of a tie, the date and time of application will be used to fill in the remaining spots.
All documentation must be on file at Palm Beach State College ADMISSIONS Office prior to the deadline date.
I. STATUS (Maximum Points- 5):
State of Florida EMT ............................................................................................................
2
The applicant must submit copy of their certification.
State of Florida Firefighter ...................................................................................................
2
The applicant must submit copy of “certificate of compliance.”
U.S. Veteran ..........................................................................................................................1
The applicant must submit copy of DD214 with honorable discharge.
III.
EDUCATIONAL POINTS (Only one point value from this category. Maximum Points-3):
The applicant must have official college transcripts sent from post-secondary institutions.
College Degree earned from any regionally accredited institution .......................................3
OR
30 or more college credits from any regionally accredited institution ..................................
2
IV.
PALM BEACH STATE EDUCATIONAL POINTS (Maximum Points-3):
Graduate of PALM BEACH STATE’s EMT Program with an “B” or higher...…………...
2
Graduate of PALM BEACH STATE’s EMT Program ............................................................ 1
Gr aduate of PALM BEACH STATE’s Fire Academy ............................................................. 1
MAXIMUM POINTS POSSIBLE ...................................................................... 11
Acceptance: Applicants who are selected will be notified approximately two weeks after the application deadline date. The acceptance notice will include registration information. If a student is selected and does not enter the program, or is not selected, he/she must reapply and is not guaranteed acceptance in any subsequent selection process .
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PARAMEDIC APPLICATION
SPRING 2016 – DEADLINE: November 20, 2015
Your criteria for selection can be viewed at www.palmbeachstate.edu/pantherweb under Limited Access
Application Status and ALL communication will be sent to your my.PalmBeachState.edu e-mail account including all acceptance documentation.
Application is to be submitted to the Registration Office.
CREDIT PROGRAM CODE 6450
Class Shift:
A SHIFT ( per PBCFR Shift Schedule )
1. PALM BEACH STATE COLLEGE STUDENT ID #____________________________
2. NAME _______________________________________________________________________________________________
Last First Middle Suffix
Please list all previous names under which documents may be sent _________________________________________________
3. LOCAL ADDRESS ________________________________________________________________________________________
Number and Street Address City
________________________________________________________________________________________________________
County (or Province)
4.
HOME TELEPHONE ( )______________________
State Zip Code
5. CELL PHONE ( )______________________
6. EMAIL ADDRESS______________________@my.palmbeachstate.edu 7. DATE OF BIRTH ______ -_____ -_______
TRANSCRIPTS

Official transcripts must be sent directly to PALM BEACH STATE from issuing school/agency. All applicants, including college transfers, must submit high school or GED transcripts directly to PALM BEACH STATE. College transfer students must submit official transcripts from all colleges in which applicant has enrolled.
8. HIGH SCHOOL GRADUATE?
Yes No OR GED ? Yes No
9. COLLEGE/UNIVERSITY
List all postsecondary colleges or universities you have enrolled. Omission of any constitutes falsification of records and voids application .
NAME OF INSTITUTION CITY/STATE DATES DEGREE CREDITS
10. Have you taken the I/O Solutions National Firefighter Selection Inventory (NFSI) and scored at least a 75% grade?
(Scores can not be older than 2 years)
11. Do you have your FLORIDA EMT certificate ?
Yes
Yes
No
No
Exempt
– EMT Graduation Date? ______________
If yes, you MUST attach a copy of your FL EMT certificate.
12. Are you currently certified as a FLORIDA Firefighter ?
If yes, you MUST attach a copy of “certificate of compliance.”
Yes No
I understand that falsification or omission of any information may result in my dismissal or rejection from the College.
SIGNATURE OF APPLICANT: _______________________________________________ DATE: ___________________
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Signature of Chief or (Designee), Employer, or
Contact Name to Verify Employment Status
PARAMEDIC Program
Important Student Checklist - Please Read Carefully!
Paramedic Program Checklist To Complete Eligibility For Placement In The Selection Pool
You DO NOT have to wait until all requirements are met to submit your application , but remember that everything MUST be complete and submitted to the Palm Beach State College Admissions office by the deadline date.
GENERAL PALM BEACH STATE COLLEGE CREDIT
APPLICATION COMPLETED and $40 non-refundable one-time fee ($75 for International students)
OFFICIAL HIGH SCHOOL DIPLOMA OR GED SENT TO PALM
BEACH STATE COLLEGE : official transcripts are to be mailed from your High School to the PBSC Admissions Office.
EMT CERTIFICATE: copy of current Florida EMT certificate (not
NREMT)
AMERICAN HEART ASSOCIATION CPR CERTIFICATION
ATTEND A PROGRAM INFORMATION SESSION:
All students are encouraged to attend one of the following information sessions:

PSD108
Or

PSD108
PARAMEDIC APPLICATION SUBMITTED
OFFICIAL COLLEGE TRANSCRIPTS : official transcripts are to be mailed from ALL prior colleges to the Palm Beach State College
Admissions Office; this includes incomplete college work due to withdrawals or dropped courses.
I/O SOLUTIONS NFSI TEST : 75% or higher required in all areas of test.
ATTEND THE MANDATORY PROGRAM ORIENTATION : All accepted students
to attend the following

PSD108
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