Fillable 2020 PARAMEDIC PROGRAM APPLICATION CBC -EMERGENCY SERVICES DEPARTMENT (Columbia Basin College)

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2020 PARAMEDIC PROGRAM APPLICATION CBC -EMERGENCY SERVICES DEPARTMENT (Columbia Basin College)

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2020 PARAMEDIC PROGRAM APPLICATION
CBC -EMERGENCY SERVICES DEPARTMENT
1
Thank you for applying to the Paramedic Program at Columbia Basin College.
A CAAHEP Accredited Paramedic program that follows the National EMS Education Standards for Paramedics. The
course includes approximately 450 hours of academic learning along with 1,500 – 2,000 hours of concurrent hospital
and field internship experience. During your paramedic education, you will become certified in (AHA) Advanced
Cardiac Life Support, (AHA) Pediatric Advanced Life Support and (NAEMT) Prehospital Trauma Life Support. Upon
successful completion of your paramedic training, you will be eligible to take the National Registry of EMT’s Paramedic
Exam. The program is designed to last a continuous 18 months or 6 quarters.
A paramedic program will start in January and June of each calendar year. Applications for the January cohort will be
due in October, while applications for the June cohort will be due in March.
This application is only valid for the June 2020 Program and will be due in March 2020
Minimum Application Requirements Include:
1. The applicant must be a current student at CBC or apply for admission. If you are not currently a student at
CBC you may apply on the CBC website by going to www.columbiabasin.edu/apply.
2. The applicant must be at least 18 years old by the beginning of the course.
3. Provide evidence of a high school diploma or equivalency.
4. The Columbia Basin College Paramedic program is limited to only emergency medical personnel who can
verify certification of one-year EMT or equivalent as per WAC 246-976- 0471.
5. Proof of completion of one of the following options for an anatomy and physiology course (s), prior to the
start of the program. You may be enrolled in a course during the application period as long as the course is
completed prior to the start of the program. If a course is not complete before the application deadline, a
written explanation of when you expect to be complete must be provided, as well as a current course grade at
the time of application.
• Option #1: Completion of the corexcel A&P online course with a grade of 2.0 or better. This course
meets the minimum requirements for A&P entry into the paramedic certificate program only. It will not
provide college level credit towards the AAS degree and should only be taken if you are applying for
the paramedic certificate program.
• Option #2: Completion of BIO 241 with lab, and BIO 242 with lab at Columbia Basin College or an
equivalent from another accredited institution. If seeking equivalent, a minimum of 10 credits of
Anatomy & Physiology must be transferrable to CBC with a 2.0 GPA or greater. A copy of your
unofficial transcript must be submitted with this application. The actual transfer of the credits does not
have to be completed until full acceptance has been granted.
6. English:
• There is not a prerequisite for English 101 to gain entry into the certificate or the AAS Paramedicine
program, however, completion of ENG 101 is strongly encouraged.
7. Math:
• At minimum, completion of Math 50 (previously known as Math 94, Math 95, or Math 98) with a 2.0 or
greater. If you have completed a higher level of math, that would be acceptable. Or, if you have
completed an AAS or BS degree that included a math course, that would be acceptable.
8. Attendance of a mandatory paramedic information session.
Application Review:
After review of applications, eligible candidates will be notified via email as to where and
when to report for the entrance exam. There will be a $25.00 fee to register for the entrance exam, do not send a fee
with the application; instructions will be included in the notification email.
2020 PARAMEDIC PROGRAM APPLICATION
CBC -EMERGENCY SERVICES DEPARTMENT
2
Entrance Exam and Affective Interview Tool:
You may choose to prepare for the entrance exam; the entrance exam will measure the following:
Cognitive mastery of the following topics:
1. Anatomy – EMT level questions ranging from basic to challenging
2. Physiology – EMT level questions ranging from basic to challenging
3. Math – decimals, division, fractions, multiplication
4. EMT content to include: airway, cardiac, medical emergencies, OB-GYN, pediatrics, operations, trauma
5. Reading comprehension
Help in preparing for the entrance exam:
The entrance exam will reflect pre-requisite learning material. A&P review from previous course work is expected. The
prerequisite math course should be adequate, however a review using https://www.khanacademy.org
has been helpful
for some. In addition, EMT preparation using
http://www.fisdap.net/what_we_make/marketplace#studytools has also been helpful. Be sure to use the EMT student
tools, not the Paramedic. This is EMT content on the exam.
Interview:
1. Entrance exam affective interview tool
2. After taking the entrance exam and the interview tool, the candidate may be asked to return for a personal
interview.
Acceptance Criteria:
Maturity of judgment, sound moral character, and health status, which provide reasonable assurance that the applicant
will meet the physical and mental demands of the paramedic occupation, are important characteristics that will be
assessed in the acceptance procedure.
An admissions screening committee will review each applicant using the following criteria:
1. Written score on the entrance exam using a defined rubric (50% overall score)
2. Completion of the Affective interview tool Optional; as needed
3. In person interview (Interview process 50% overall score)
If, because of the entrance exam and interview process and review by the selection committee, two applicants scores
result in a tie, consideration to affiliation of the candidate will be considered. Preference will be awarded to the
applicant whose agency provides contracted internship opportunities for CBC students. Additionally, In the case of a
tie, the GPA from the similar A & P course (s) will be used, then overall GPA.
Conditional Acceptance:
All successful applicants will be provided a conditional acceptance letter with information regarding completion of the
background check and urine drug screen testing. Each applicant must then complete a satisfactory background check
and urine drug screen to be fully accepted and registered in the Paramedic program.
The background check & drug screen will be paid by the student via the college approved vendor.
Once fully accepted into the program, the successful applicant will need to have all academic transcripts from other
institutions transferred to CBC.
Immunizations/CPR and Course Costs:
Accepted applicants will be provided instructions for obtaining immunizations prior to the start of the program. Please
contact Kathy Hayes at khayes@columbiabasin.edu
if you have questions about immunizations prior to acceptance.
2020 PARAMEDIC PROGRAM APPLICATION
CBC -EMERGENCY SERVICES DEPARTMENT
3
Accepted applicants are required to have an American Heart Association BLS Provider CPR certification. The course will
be arranged for accepted students to attend prior to the start of the program. The cost of the BLS provider CPR course
will be paid by the applicant at the time of registration for the CPR course.
Program costs at this time are estimated $11,200 for a WA State resident not including room and board. This cost
includes the following, over the length of the program:
• Tuition/Student fees/malpractice insurance for 6 quarters
• Entrance exam /immunizations/background check/urine drug screening
• Uniforms
• Books/lap top computer
• Subscription testing services
• CPR/ACLS/PALS/PHTLS course fees
• Certification testing fees
Application Deadline:
Program applications must be received via email by noon on March 12, 2020, for consideration to the June 2020
cohort.
Program Start
Applications available
Applications Due
Entrance Exam
Program Finish
June 29, 2020
January 6, 2020 or earlier
March 12, 2020
April 2, 2020
December 8, 2021
Applicants
must submit the following documentation with the application. NO APPLICATION WILL BE ACCEPTED OR
CONSIDERED UNLESS ALL APPLICATION MATERIALS ARE ON FILE. You may use the following as a checklist.
A completed program application.
A photocopy of valid driver’s license.
EMT Card or equivalency credential (proof of previous or current EMT certification).
Copy of high school diploma/transcript or equivalent (GED).
Copies of unofficial transcripts showing A & P and math courses.
An essay, 3-5 pages which should include all of the following components:
1. Describe how have you prepared yourself and family (if applicable) to meet the time demands
of the program and the profession.
2. Why do you want to become a paramedic?
3. What are your expectations of the field of pre-hospital medicine?
4. Discuss your personal strengths and weaknesses and how those can be an asset to EMS.
5. What are your career plans after paramedic school, long-term goals?
Three letters of recommendation, each from a different person with the following perspective of you:
• Personal character reference
• Employer reference from a previous supervisor or co-worker
• EMS related reference from a peer, instructor, or supervisor
Completed
applications and all supporting documentation should be emailed to
emsapplications@columbiabasin.edu
as a single .pdf document. The subject line should include your name and the program for which you are applying ie.
“Jack Hansen - June 2020 Paramedic”.
2020 PARAMEDIC PROGRAM APPLICATION
CBC -EMERGENCY SERVICES DEPARTMENT
4
Paramedic Program Application
Applicant Information
Full Name: Date:
Last First M.I.
Address:
Street Address Apartment/Unit #
City State ZIP Code
Mobile Phone Email
CBC Student ID #:
Are you over 18 years of age? yes no Ever been convicted of a felony? yes no
Are you currently an EMT? yes no How long an EMT?
Do you have previous health care experience? yes no Explain:
Where did you train as an EMT?
Education
High School:
From: To:
Address:
Did you graduate? yes no Diploma:
College: Address:
From: To: Did you graduate? yes no Diploma:
Other: Address:
From: To: Did you graduate? yes no Diploma:
2020 PARAMEDIC PROGRAM APPLICATION
CBC -EMERGENCY SERVICES DEPARTMENT
5
Ref
erences
Please list three professional references.
Full Name: Email:
Company: Phone:
Address:
Full Name: Email:
Company: Phone:
Address:
Full Name: Email:
Compan Phone: y:
Address:
EMS/Fire Department Affiliate Information-Emp
loyer/Sponsor
Affiliate Organization: Phone:
Address: Supervisor:
Job Title:
Responsibilities:
From: To: May we contact your supervisor for a reference? yes no
Signature of Supervisor: Date:
Signature of Chief Officer: Date:
Military Service (leave blank if NA)
Branch: From: To:
Rank at Discharge: Type of Discharge:
If other than honorable, explain:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release.
Signature: ate D :
2020 PARAMEDIC PROGRAM APPLICATION
CBC -EMERGENCY SERVICES DEPARTMENT
6
EMT Equivalent Information:
If applying for the Paramedic program and you do not have a current or past certification as an EMT or higher, you
may apply for an equivalency status if one of the following conditions are satisfied:
a) You are prior military and were in an MOS or AFSC, (i.e.: Navy Corpsman, Army Field Medic, etc.) in which you
received pre-hospital type training, but were never certified as an EMT or higher, or
b) Work in a medical position that has exposure to or is very familiar with pre-hospital type medicine;
1. ie.: ER Nurse, ER Physician, etc., or
c) Are from a country in which you were certified as a pre-hospital care provider, but are not certified in the
United States as an EMT.
If you meet one of the above criteria, please write a short statement identifying which of the above equivalences you
would like to receive credit and include that statement with your application.
In order to receive an equivalency status, you must accomplish the following tasks prior to taking the paramedic
entrance exam:
A. Take the CBC EMT Exam and obtain a passing grade of 75%.
B. Perform 3 skills identified in the EMT Curriculum, to be chosen by CBC staff.
C. Provide documentation validating your position in the US Military, other health occupation, or country.
Columbia Basin College complies with the spirit and letter of state and federal laws, regulations and executive orders pertaining to civil rights, Title IX, equal opportunity and affirmative action. CBC does not discriminate on the basis of race, color, creed, religion, national
or ethnic origin, parental status or families with children, marital status, sex (gender), sexual orientation, gender identity or expression, age, genetic information, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability,
or the use of a trained dog guide or service animal (allowed by law) by a person with a disability, or any other prohibited basis in its educational programs or employment. Questions or complaints may be referred to the Vice President for Human Resources & Legal
Affairs and CBC’s Title IX/EEO Coordinator at (509) 542-5548. Individuals with disabilities are encouraged to participate in all college sponsored events and programs. If you have a disability, and require an accommodation, please contact the CBC Resource Center at
(509) 542-4412 or the Washington Relay Service at 711 or 1-800-833-6384. This notice is available in alternative media by request.
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Completed 21 July 2020

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