Malcolm X College



MALCOLM X COLLEGE1900 W. Van Buren St.Chicago, IL. 60612PARAMEDIC PROGRAM Room 2617312-850-7303RE: Paramedic Program Fall 2014Dear Prospective Student:Thank you for your interest in the Malcolm X College Paramedic Program. Enclosed is the application packet for the Program starting in the fall semester. The Program runs for one year, beginning with the fall 2014 semester and continuing through summer semester 2015. Classes meet on Mondays & Wednesdays from 9:30AM to 2:00PM and on Fridays from 9:30AM to 4:30PM. These dates and times may be variable and do not include Clinical Rotations or Internship Assignments.Please read the following enclosed instructions carefully. Incomplete or inaccurate applications will jeopardize your consideration as a candidate for the program. Also take note of the admission requirements which includes a college level Anatomy and Physiology course. This course must be successfully completed prior to program interviews in early June. Candidate selections are made by interview process. Interviews are granted to students who submitted a complete application before the deadline and attain acceptable scores on the entrance exam. The interviews will be scheduled sometime between May 28th and June 18th. The deadline to submit the application is no later than Friday, April 25, 2014 at 4:00 p.m. If you have any questions, please call the EMS office at 312-850-7124.Sincerely,Susan SantacaterinaSusan Santacaterina, RN, MHPEDirector, Paramedic ProgramPARAMEDIC PROGRAM – APPLICATION DOCUMENTSBelow is a list outlining the documents enclosed in the application packet:Information documents – In addition to the application packet, you will find the following information:Paramedic Program Description - Program description and admission requirements.Frequently Asked Questions (FAQ) - Information regarding program application and estimated cost.EMT Refresher Course –This course is OPTIONAL and is available to those students who wish to refresh skills and knowledge prior to sitting for entrance exam. Timeline – Dates and deadlines for application process.Program Entrance Exam and College Placement Exams – All students are required to take EMT entrance exams. Some students will also be required to take COMPASS placement exams in reading and/or math.Application Forms – The following documents are to be completed and returned as per instructions.Paramedic Program Application form – Complete and sign. An application fee of $35.00 must be submitted with application packet in the form of a Cashier’s Check or Money Order made payable to the Malcolm X College Paramedic Program. Applicants must attach clean copies of the following items:A current Illinois EMT-B licenseCPR Healthcare Provider card (both sides) An identifiable Driver’s License or State I.D. Transcript Information Official college (or high school transcripts if no college background) must be sent to Malcolm X College Office of the Registrar, unless you are currently enrolled as a MXC student. Include an unofficial copy of all transcripts with the completed application packet that is returned to the EMS Department.There must be validation of successful completion (C minimum) of a college level Anatomy and Physiology class, 4 credit hours with a lab. BIO 116, 226, 227 are acceptable. Students currently enrolled during spring semester must provide transcript with successful completion before interview.Verification of Field Experience – Return the form completed by your employer validating work experience as an EMT. Recommendation Forms (3) – Provide personal and professional recommendations from three different sources. Spouse or family relative cannot submit these recommendations. These forms can be mailed directly to the MXC EMS Program Office or the recommendation can be placed in a sealed envelope with the author’s signature written across the seal, and included with the completed application packet. It is the responsibility of the applicant to make sure all 3 recommendations have been submitted. Fax copies are unacceptable.Personal Statement Form – Provide a personal statement expressing your reasons for making application to the program. No more than two pages, legible please.Checklist – Return the provided checklist to make sure your application is complete. Make certain you identify your requested reservation dates for taking the Paramedic Entrance Exams. Sign where indicated on checklist. Completed applications are to be submitted to: Malcolm X CollegeEMS Program Office - Room #26171900 W. Van Buren StreetChicago, IL. 60612The deadline for return of completed application is:Friday, April 25, 2014 at 4:00 pm.Malcolm X College One of the City Colleges of Chicago EMS Program Office, Room 2617 1900 W. Van Buren Street Chicago, IL. 60612 (312) 850-7124Paramedic Program Application Information Form:All applicants must fill out the Paramedic Program Application Information Form and return to EMS Program Office. Official college transcripts are to be sent to MXC Office of the Registrar, and copies of transcripts are to be included with the completed application packet. Application fee of $35.00. Cashier’s checks or money order made payable to Malcolm X College Paramedic Program.Signing this application: Certifies that the facts contained are true and complete to the best of the applicant’s knowledge, and understand that falsified statements on this application shall be grounds for dismissal from both the application process and/or the Paramedic Program. ALL required documents must be submitted by the application deadline- Friday, April 25, 2014 no later than 4:00PM.Personal Information (please print or type)Student ID Number (if current mxc student)Date of ApplicationAnticipated Start DateMo. YearLast NameFirst NameMiddle NameAddress Email Address CityStateZip codeCountyHome Phone( )Business Phone Cell. Phone( ) ( ) Emergency Contact: Name, Relationship and Phone #Birthdate____ / ____ / ____Ethnic Background□ African American □ Asian □ Caucasian □ Hispanic □ Native American □ otherAcademic Background - List EMT program and all colleges or universities attended including any of the City Colleges of Chicago. EMT Program AttendedCityStateDates (from/to)Degree EarnedCollege/UniversityCityStateDates (from/to)Degree EarnedHealth care work experience: Employer or Dept. Volunteer SupervisorAddress PhoneDates of affiliation (from / to)Type of affiliation (paid or volunteer)Number of hours weeklyDutiesReason for leavingEmployer or Dept. Volunteer SupervisorAddress PhoneDates of affiliation (from / to)Type of affiliation (paid or volunteer)Number of hours weeklyDutiesReason for LeavingNon-health care related work experience: EmployerPositionDates of EmploymentLicenses / Certifications (include double-sided photocopy of each) License/certificateStateExpiration DateAre you willing to submit to a: Comprehensive medical history and/or exam; Drug screening; Testing for communicable diseases; Immunization (where necessary); Background check and have the results disclosed to the Director, MXC Admission Review Member(s) and Clinical Site Director(s)? Yes NoHave you ever been convicted of a crime? Yes NoSignature___________________________________Date_________________Rvsd/2014 /ssPROGRAM ENTRANCE EXAM AND COLLEGE PLACEMENT EXAMSA. Program Entrance Exam – EMTAll applicants are required to take an EMT entrance exam. This is a multiple question test; scores on this exam will determine eligibility to sit for a program interview. Applicants must request a date to take this exam by submitting your preferences on the application checklist. You will receive a confirmation by email or by phone. Space is limited, so it is important to get the application and test date request submitted early. Applicants must be confirmed to sit for the exam at that specific time. Taking the Entrance ExamReceive confirmation of your requested testing date from the EMS office.Report to testing site (Room 1109 Testing Center or Room 2535 as described below) at least ten minutes prior to start of the exam. Please be prompt, as no one will be allowed into the testing area once the test begins.You will be required to present an official, current photo ID to the testing center prior to sitting for exam. The exam will be offered at the following dates and times:Test DateTest TimeLocation Monday, April 219:00 amRoom 1109 (Testing Center)Tuesday, April 22 4:30 pmRoom 1109Thursday, April 24 9:00am and 4:30 pmRoom 1109Monday, April 284:30 pm Room 1109Tuesday, April 299:00am and 4:30 pmRoom 1109 Thursday, May111:00 amRoom 1109Saturday, May 3*9:00 amRoom 2535*Thursday, May 89:00am and 4:30 pmRoom 1109*There will be only one Saturday testing date offered. Space will be limited so reservations will be taken on a first come, first serve basis. It is unlikely there will be space for candidates submitting applications on the deadline date. B. College Placement ExamTo enroll in the college, each applicant is required to provide evidence of college level reading. This is accomplished by any of the following criteria: A currently enrolled student with acceptable COMPASS reading score within past yearCollege transcript indicating successful completion of ENG 101/102 with a grade of “C” or betterComparable ACT scores (19 or greater) taken within 2 yearsThis documentation will be assessed through the copies of your transcripts which must be included in the application. Any applicant who has no prior college experience and does not meet the above criteria will be expected to take the college COMPASS reading exam. These students must report to Room 1502 and complete a Student Information and Enrollment card to get into the college system. Once you have completed the enrollment card in Rm. 1502 you must make arrangements with the admissions department to attend orientation and take the COMPASS placement exam.2014/ssCITY COLLEGES OF CHICAGOMALCOLM XParamedic Program Frequently Asked Questions:How many candidates typically apply for the MXC program?There are typically three applicants for each class “seat”. I know qualified candidates need to be interviewed, who are the interviewers and how do they make selections?The interviews are conducted by the admissions committee which is made up of representatives of: Malcolm X College; Chicago Resource Hospitals; Chicago Fire Department; and a Field Paramedic. The committee will ask questions of the candidate that address, and may not be limited to: Qualities such as motivation, maturity, academic capabilities, community commitment; and provide a BLS patient scenario for the applicant to manage. The admission committee will look at all components of the application, including academic history, recommendations, personal statement, test scores, work history and community participationIs there any advantage to taking the EMT class at Malcolm X College?There is some advantage, in that students who are already enrolled at Malcolm X College have their academic history readily available to the committee and do not need to make application to the college. Students from MXC, only, are allowed to sit for an interview with a state license “pending” (enrolled in the current Spring EMT class).How much ambulance experience do I need?The committee strongly recommends working experience as an EMT-Basic by the start of the program (fall semester). Typically 500 hours of field experience is preferred. Documented ambulance experience is not required at the time of interview, however given the competitive application process, field experience as an EMT will provide an advantage for the candidate.Are there any science prerequisites?Yes! The applicant must have successfully completed a college level Anatomy & Physiology (A&P) course, of 4 credit hours with a lab. Courses offered at CCC which meet this requirement include BIO 116, 226 or 227. If A&P was taken at another college it is advisable that a copy of the course description be reviewed by the program director to assure it meets the requirement. An official transcript must be sent or handed over to the Office of the Registrar, include a copy of the transcript with your completed application packet. What is acceptable score on the entrance exams?The applicant must achieve an acceptable score on the EMT entrance test (multiple choice) to be eligible for interview. Cut-off scores are determined by Admissions committee, dependent on the candidate pool; traditionally a score of 75% has been considered acceptable. First time applicants to the college must take placement exams in reading and math. The EMS Department offers an EMT-B Refresher Course (not mandatory) prior to Paramedic Program Entrance Testing. Are there any other characteristics or qualities that can make my application more competitive? As a community college, we look for candidates that appreciate the college mission and demonstrate service to the community. As a health career program, we seek candidates with career goals of service as a paramedic. When are applications available and when are they supposed to be completed?Applications are available yearly in early February and due in late April. Specific deadlines are clearly stated in the application packet. They can be mailed out, picked up from the EMS Office (Rm.2621), or emailed to you. What is the cost of the program? See reverse side.CITY COLLEGES OF CHICAGOMALCOLM XParamedic Program CostList Date: 1-2014All costs are approximate and are subject to change. Refer to the current Malcolm X College “Student Schedule of Classes” for details . Chicago resident cost applies. Fall Semester (EMT 221 & EMT 222):Tuition ($89.00 / credit hour x 14 credit hours) 1246.00Registration Fee 30.00Other Fees – Activity Fee (Full time – 12 or more hours; includesU-Pass. Parking, Technology and other student activities)170.00Lab Fee: 30.00Clinical Fee: 10.00Book cost (cost is approximate)350.00Cost of course & credentialing in: ACLS, PEPP, ITLS fee 85.00 (subject to change)Platinum Ed – clinical tracking system 80.00Background check (cost is approximate) 50.00Physical exam & blood work 130.00 (cost variable per student) Fall Semester Total Cost 2181.00Spring Semester (EMT 223 & EMT 224):Tuition ($89.00 / credit hour x 14 credit hours) 1246.00Registration Fee 30.00Other Fees – Activity Fee (Full time – 12 or more hours; includesU-Pass. Parking, Technology and other student activities)170.00Lab Fee: 30.00Clinical Fee: 10.00Spring Semester Total Cost 1486.00Summer Semester (EMT 227):Tuition ($89.00 / credit hour x 6 credit hours) 534.00Registration Fee 30.00Other Fees – Activity Fee (Part time – Less than 12 hours; includesParking, Technology and other student activities – Does not incl. U-Pass) 50.00Lab Fee: 30.00Internship Fee:500.00Summer Semester Total Cost: 1144.00IDPH exam registration fee 40.00***IMPORTANT: All students are required to carry their own health insurance for the entire duration of the Paramedic Program. The above does not include student health insurance cost.***Tuition Charge Back (Non-Chicago Residents):Non-Chicago residents who plan to enroll in any Malcolm X College program and that program is not available at a community college in their district should apply to their local community college board office for tuition charge back at least thirty days prior to the first day of registration – where applicable. Prices subject to change.Residents of Illinois living outside of Chicago per credit hour cost: 173.56Non-residents of Illinois per credit hour cost:230.352014/ssMALCOLM X COLLEGE PARAMEDIC PROGRAMVERIFICATION OF FIELD EXPERIENCE This document is to verify that the following applicant: (Applicant’s name)has participated in direct patient care, providing BLS pre-hospital care during the following period: (list dates of employment)Starting date _____________________________________Dates: From _________________ to __________________During this period, this individual worked an average of _________ hours perweek.____________________________________________Name____________________________________________Signature____________________________________________Title____________________________________________Company____________________________________________PhoneNote - this form must be completed and returned with other application materialsRvsd/2014ss MALCOLM X COLLEGEPARAMEDIC PROGRAMRECOMMENDATION FORMTHREE NEEDEDTo the Applicant:Type or print your name in the space provided and give this form to the individual submitting a recommendation on your behalf. These individuals must have known you for at least 6 months. If possible, utilize your work supervisor, co-worker and/or EMT Instructor/EMS Coordinator. Three (3) recommendation forms are required. The completed forms are to be submitted with application packet in a sealed envelope with signature of the author written across seal. Mail or hand-deliver packets to:MALCOLM X COLLEGEEMS PROGRAM OFFICE - PARAMEDIC PROGRAM1900 WEST VAN BUREN STREET, ROOM 2621CHICAGO, ILLINOIS 60612ApplicantName: _____________________________________________________________________ (First) (Middle) (Last)Address: __________________________________________________________________ (Street Address) (City/State) (Zip)Telephone Number: ____________________ ____________________________ (Daytime) (Evening)TO THE RECOMMENDER: The above individual has applied to the Malcolm X CollegeParamedic Program. In order to give the Admissions Committee a complete profile of theapplicant, please answer the following questions. If you have additional information, attach a separate page. Completed recommendations are to be returned to applicant in asealed envelope with your signature written across the seal.Recommender Information:Name ____________________________________________________________________________ (First) (Middle)(Last)Address _________________________________________________________________________ (Street Address) (City/State) (Zip)Telephone: (Home) ______________ (Work) ______________(Pager) __________(Fax) _______Institution _____________________________________________ Title _____________________May we contact you if there are any further questions? Yes _____ No _______How long have you known the applicant and in what capacity?____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please rate the applicant in the following areas using the grading scale below:5. Excellent 4. Good 3. Fair 2. Poor 1. Unknown____ A.Academic potential _____________________________________________________________ B.Capacity for logical thinking ______________________________________________________ C. Ability to work with others________________________________________________________ D.Ability to express ideas verbally ___________________________________________________ E.Ability to express ideas in writing __________________________________________________ F.Motivation ______________________________________________________________________ G.Judgment _____________________________________________________________________ H.Maturity ___________________________________________________________________What have you observed to be the applicant’s strengths:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ____________In what way would he/she be an asset to the EMS community:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Recommender’s Signature _________________________________________________________________2014/ssMalcolm X College – Paramedic ProgramPersonal StatementNAME____________________________________________________ DATE________________________Applicants must submit a statement describing your motivation and goals in pursuing a career as a paramedic. The statement should be no longer the one page typed.EMT REFRESHER TRAININGThis 24 hour EMT Refresher Training session is designed to ensure individual competency for the practicing EMT. This course will also give the EMT the opportunity to sharpen their knowledge, skills and review the major concepts and interventions as outlined in the NEW, United States, Department of Transportation, Emergency Medical Technician curriculum.It is strongly suggested that students review their current EMT textbook prior to class. A minimum grade of 70% on the EMT posttest and full attendance will ensure the full 24 hour Continuing Medical Education (CME) credits. The course is approved by the Illinois Department of Public Health and hour for hour CME will be awarded. Class LogisticsDates:Saturday, April 5, 2014Saturday, April 12, 2014 Saturday, April 26, 2014 Time:9:00 a.m. to 5:00 p.m.Students will be given breaks. Lunch is on your own.Location:Malcolm X College1900 West Van BurenChicago, Illinois 60612 Room: 2619Fee:$135.00Note:Bring your EMT textbook to classRegistration:To register for the EMT Refresher Training course, report to the Continuing Education Office in room 2217, Monday thru Thursday 9am to 5:00pm and Friday 9:00am to 4:30pm. Bring a State ID or Illinois Driver’s License as proof of residence. After completing the registration form you will be enrolled in the class at which time you will report to the Business Office to pay your $135.00 fee. Registrations will be taken up to and including Friday, April 4, 2014.If there are any questions or concerns, feel free to contact the EMS Program Office at 312 850 7410. Paramedic Application Timeline – 2014February 4th – April 25th Open Application - Applications are available in the EMS office or online. Applications can be submitted during this time frame.Application packets available from MXC EMS Department. They can be mailed out or emailed available upon request. Hard copies are also available on-line.Monday, April 21 – Thursday, May 8 Dates for entrance exam are provided in application packet. Space is limited, Reserve testing date with submitted application. The earlier the application is submitted, the more likely you will be confirmed for your requested test date.Friday, April 25, 2014 No later than 4:00PMDeadline for completed applications to be submittedMay 5th through May 16th Letters go out to applicants with Letters sent out with results of entrance exams and interview dates.May 27th through June 19th Interviews with Admissions Committee Week of June 23rd Acceptance letters sent outWeek of July 7thStudent confirmations/responses dueWeek of August 20thOne-day orientationMonday, August 25th First Day of Class Application Checklist – DEADLINE FOR SUBMISSION IS APRIL 25, 2014 by 4:00 pm Make sure you have included all of the following, and include this checklist in the submitted application:Paramedic Program Application – Completed and signedApplication fee of $35.00 in the form of cashier’s check or money order made payable to: Malcolm X College Paramedic ProgramOfficial transcripts from previous college sent directly to Malcolm X College, Office of the Registrar.COPIES of all transcripts (unofficial) must be included in application packet and submitted to the EMS office. Transcripts must include successful completion of 4-credit hour Anatomy and Physiology course with a lab or documentation of currently enrolled in an approved course.Verification of field experience – completed and signedRecommendation Forms (3) – completed and signed. Applicant can submit recommendation forms with packet, if document is in a sealed envelope with signature of author written across seal. Student is responsible to verify receipt of those recommendations mailed in.Personal Statement Form Program Entrance Exam:I would like to request the following testing dates for the Paramedic Entrance Exam:1st choice ________________________ 2nd choice ________________________ email address / phone # to send testing date confirmation ________________________________________________________________College Placement Testing:I do not need to take COMPASS exams because I have submitted transcripts with ENG 101/102, ACT composite score of 19 or greater (within 2 years), or acceptable COMPASS scores within 1 year. sign____________________________ -OR- I will take COMPASS on (date) ______________ sign ____________________________________Enclosed a current clean copy of your: IDPH EMT-B License; CPR Healthcare Provider Card; and Driver’s License or State ID Application checklist – completed and signed with requests for testing datesPlease return all completed application paperwork to:Malcolm X CollegeEMS Program Office – Paramedic Program Room 26211900 W. Van Buren StreetChicago, IL 60612 ................
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