PDF business day of the deadline. PARAMEDIC APPLICATION

PALM BEACH STATE COLLEGE

PARAMEDIC APPLICATION

FALL 2017 B & C SHIFTS

Fall 2017 (2018-1)

DEADLINE: June 28, 2017

An Equal Opportunity Institution

Paramedic Program Information

PROGRAM BEGINS:

B Shift ? August 24, 2017

C Shift ? August 25, 2017

Submit completed Limited Access application to any Palm Beach State College Campus Admissions Office prior to the close of the business day of the deadline.

For locations and hours of the Admissions Office: palmbeachstate.edu/studentservices/default.aspx

EMERGENCY MEDICAL SERVICES Web Site and prerequisites to the program:

palmbeachstate.edu/programs/ems (561) 868-3355.

Application Questions: admissions@palmbeachstate.edu

Web Site: palmbeachstate.edu/programs/ems

Your acceptance for selection MUST be viewed at 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 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 1,200 hours; 3 semesters (excluding college observed holidays)

PROGRAM LOCATIONS Classes and labs will be held at the Public Safety Complex on the Lake Worth campus located at 4200 Congress Avenue, Lake Worth, Florida 33461. Clinical sites will be designated per the Clinical Coordinator and are subject to change throughout the program.

PROGRAM COSTS Tuition and fees (FL resident) $ 5,600.00 (These costs are approximate and subject to change).

Fees include: web component access, lab materials, certificates (BLS, ACLS, PHTLS, PALS), the Access fee - which includes a parking decal, Medical Accident Insurance and Liability Insurance - assessed each Fall semester, and the FISDAP (online skills tracking) one-time fee paid by each student.

Does not include textbooks, uniforms, and pre-screening costs ? drug/alcohol screening, medical exam & criminal background.

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Paramedic Program Information

FINANCIAL AID is available for this program and it is recommended that you apply early. A FASFA form is required . In addition, there are a limited number of scholarships through the Palm Beach State College Foundation . Our institution code is 001512.

INFORMATION SESSION (recommended) All students are encouraged to attend one of the following information sessions:

Information Sessions

Tuesday,

Tuesday,

May 9, 2017

OR

May 30, 2017

PSD 108

PSD 108

6 p.m. ? 8 p.m.

1 p.m. ? 3 p.m.

MANDATORY ORIENTATION All accepted students are required to attend one of the following Mandatory Orientations:

Paramedic Mandatory Orientation

Wednesday,

Friday,

July 19, 2017

OR

July 21, 2017

PSD 108

PSD 108

6 p.m. ? 8 p.m.

1 p.m. ? 3 p.m.

PROGRAM SCHEDULE The Paramedic Program follows the Palm Beach County Fire Rescue (PBCFR) shift schedule. The PBCFR shift schedule can be viewed at: .

B SHIFT

Section Lecture/Lab Clinical

Schedule B Shift (except Sundays and College holidays) A or C Shift (except Sundays and College holidays)

Hours 8:30am ? 5:00pm* 7:30am ? 3:30pm*

C SHIFT

Section Lecture/Lab Clinical

Schedule C Shift (except Sundays and College holidays) A or B Shift (except Sundays and College holidays)

Hours 8:30am ? 5:00pm* 7:30am ? 3:30pm*

*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.

or Consideration for Selection

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Requirements for Consideration for Selection

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 submitted to any Palm Beach State College Campus Admissions Office prior to the close of the business day on June 28, 2017.

The following are the MANDATORY requirements:

1. COLLEGE APPLICATION & LIMITED ACCESS EMT PROGRAM APPLICATION

First-time Palm Beach State College Students: Submit a completed Palm Beach State general credit application at palmbeachstate.edu/Admissions , click "apply now" 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, and be 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 Limited Access EMT program application contained in this packet and submit it to the Admissions office. Returning Palm Beach State College Students: Students who have not enrolled in the last three terms must reapply to the College prior to submitting this Limited Access application. Those students who are reapplying and wish to declare Florida residency, must do so upon submitting their online application. If you forgot to submit Florida documents in the web application, the Florida Residency Declaration for Tuition Purposes form can be found at palmbeachstate.edu/Admissions under "forms" and you may bring the form to any campus admissions office.

2. ACADEMIC HIGH SCHOOL DIPLOMA OR GED

Official high school 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 hand-delivered 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, however, the high school transcript may be waived for admissions purposes if a student has earned an Associate, Bachelor, or higher degree from a regionally accredited institution. You may download the transcript request form from our website at - palmbeachstate.edu/Admissions/Transcriptrequest.aspx Students who received a Florida GED can request their scores online, by visiting . Transcripts, scores must be on file at the College Admissions Office in Lake Worth on or prior to the deadline date.

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Paramedic Program Application

Requirements for Selection Consideration (continued from previous page)

3. COLLEGE TRANSCRIPTS

Official college transcripts must be submitted from ALL attended post-secondary institutions (transcripts are considered official if sent directly to Palm Beach State College Admissions Office from the previous institution(s) or hand-delivered in an envelope sealed by each issuing institution). You may download the transcript request form from our website at palmbeachstate.edu/Admissions/Transcript-request.aspx. The high school transcript may be waived for admissions purposes if a student has earned an Associate, Bachelor, or higher degree from a regionally accredited institution. All post-secondary records from out of the country must be submitted with a foreign credentials (course by course) evaluation. Commercial evaluation of foreign transcripts must be conducted by approved evaluators listed at

4. 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** Students who are providing only the NREMT (National Registry certification) and have not applied to the Florida

Department of Health (DOH) to obtain their Florida EMT license: please note that your application will be considered only after all licensed Florida EMT spots have been filled, so the application be posted as "incomplete". If, however, you are submitting your NREMT, and have ALREADY submitted your EMT application to the Florida Department of Health (DOH), you MUST attach a screenshot from the FL DOH online portal showing either:

Screenshot from the FL DOH online portal (your online account) showing that your application is NOT expired and that you have an OPEN status: OR

Screenshot from the FL DOH online license verification website showing that your license is CLEAR/ACTIVE:

5. AMERICAN HEART ASSOCIATION BLS PROVIDER CPR CERTIFICATION

All applicants must provide documentation of completion of a current American Heart Association BLS Provider course. PLEASE NOTE: No other CPR certifications will be deemed acceptable. Palm Beach State College offers the course for this certification. You may search for the next available class (CPR Course ID# is AHO0123) by clicking: . For additional questions about this course, or for CPR classes held at Palm Beach State College, you may call the Public Safety Corporate Continuing Education office at 561-868-3775 or go on Panther Web at: palmbeachstate.edu/CCE (CPR Course ID# is AHO0123).

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Paramedic Program Application Requirements for Selection Consideration (continued from previous page)

6. PLACEMENT TEST 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 considered for selection. The NFSI is offered at the College Testing Centers located on the Lake Worth, Boca Raton, Belle Glade or Palm Beach Gardens Campuses. Study guides may be purchased at the Lake Worth College Bookstore. For additional information on taking the NFSI at a College Testing Center go to: palmbeachstate.edu/testing. For additional information on the NFSI go to: . Note: ALL applicants are required to take the NFSI ? regardless of having an A.A., A.S., A.A.S. or higher degree from a regionally accredited institution OR having already met the minimum cut scores, within the past two years, on the Postsecondary Education Readiness Test (PERT), SAT1 or ACT-E exams. The applicant's scores on the NFSI will serve as the tie-breaker should applicants have an equal number of points for determining acceptance into the program. Applicants who wish to retake the NFSI in an effort to improve their score, may do so as long as they have not taken the exam within the Past 30 days. ACCEPTED STUDENTS WILL NEED A CLEAR CRIMINAL HISTORY BACKGROUND, DRUG

AND ALCOHOL SCREENING AND ACCEPTABLE MEDICAL EXAM, COMPLETED AT THEIR OWN EXPENSE, PRIOR TO STARTING THE PARAMEDIC PROGRAM.

Details and deadlines regarding this procedure will be discussed at the mandatory orientation.

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PARAMEDIC APPLICATION FALL 2018-1

DEADLINE: June 28, 2017

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 highest score on the NFSI test will be used to determine selection into the program.

All documentation must be submitted to any Palm Beach State College Campus Admissions Office prior to the close of the business day on June 28, 2017.

I.

STATUS (Maximum Points- 4):

State of Florida EMT ............................................................................................................1 The applicant must submit copy of their certification.

State of Florida Firefighter ...................................................................................................1 The applicant must submit copy of "certificate of compliance."

U.S. Veteran ..........................................................................................................................2 The applicant must submit copy of DD214 with honorable discharge.

II. 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

III. PALM BEACH STATE EDUCATIONAL POINTS (Maximum Points-3): Graduate of PALM BEACH STATE's EMT Program with a "B" or higher....................2 Graduate of PALM BEACH STATE's EMT Program............................................................1 Graduate of PALM BEACH STATE's Fire Academy.............................................................1

IV. AFFILIATION WITH A PBSC EMS PROGRAM COMMUNITY FIRE RESCUE PARTNER

The applicant must be a current member (four month minimum) of the organization, and provide proof of affiliation on official department letterhead.

Cadet, Explorer, Volunteer, Junior Firefighter............................................................ 2

Applicants may receive points from either section II OR section IV above, but not both.

MAXIMUM POINTS POSSIBLE ...................................................................... 10

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.

ALL communication will be sent to your my.palmbeachstate.edu e-mail account within 10 business days including all acceptance documentation.

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PARAMEDIC APPLICATION FALL 2018-1 DEADLINE: June 28, 2017

Your criteria for selection can be viewed at 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 Admissions Office on or before the Deadline. CREDIT PROGRAM CODE 6450

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

_______________________________________________________________

COUNTY (or PROVINCE)

_______________________________ City

_________________

STATE

_________

ZIP CODE

4. HOME TELEPHONE (

)______________________

5. CELL PHONE ( WORK PHONE (

)______________________ )______________________

6. EMAIL ADDRESS_______________________ @my.palmbeachstate.edu

7. DATE OF BIRTH _______/____/_______

Month Day Year

TRANSCRIPTSOfficial 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 cannot be older than 2 years)

Yes

No Exempt

11. Do you have your FLORIDA EMT certificate? If yes, you MUST attach a copy of your FL EMT certificate.

Yes

No ? EMT Graduation Date? ______________

12. VETERAN ? have you submitted a copy of your DD214 with honorable discharge?

Yes

No

13. Are you currently certified as a FLORIDA Firefighter? If yes, you MUST attach a copy of "certificate of compliance."

Yes

No

14. FIRE RESCUE AFFILIATION ? Have you provided proof of affiliation on official department letterhead?

Yes

No

15. AMERICAN HEART ASSOCIATION BLS Provider CPR CARD (submit copy with your application) PLEASE NOTE: No other CPR certifications will be deemed acceptable.

American Heart Association CPR Card "BLS Provider" level.

Expiration Date on card _____________

** Please specify which Shift class you prefer: B C EITHER ** I understand that falsification or omission of any information may result in my dismissal or rejection from the College.

SIGNATURE OF APPLICANT: _______________________________________________ DATE: ___________________

Employer _________________________________________________________________________

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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 any Palm Beach State College Campus Admissions Office by the deadline date: June 28, 2017 prior to the close of the business day.

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 (BLS Provider). No other CPR cards will be deemed acceptable. ATTEND A PROGRAM INFORMATION SESSION: All students are encouraged to attend one of the following information sessions:

May 9, 2017 6pm-8pm Room PSD 108 Or May 30, 2017 1pm-3pm Room PSD 108

PARAMEDIC APPLICATION SUBMITTED **Before 5:00 p.m. on June 28, 2017**

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 MUST attend one (1) of the following: July 19, 2017 6 pm ? 9 pm ? PSD 108 July 21, 2017 1 pm ? 4 pm ? PSD 108

Applicants who are selected will be notified within 10 days after the application deadline by email to their .....@my.palmbeachstate.edu account.

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