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Ventura College School of Prehospital and Emergency Medicine (Ventura College)

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Revised 5/9/20
19
Ventura College School of Prehospital and Emergency Medicine
Paramedic Studies
Application Check List – ***
Attach this form to your application.***
NOTE: ALL REQUIREMENTS SHOULD BE COMPLETED PRIOR TO APPLYING TO THE PROGRAM INCOMPLETE
APPLICATIONS WILL NOT BE CONSIDERED. Tentative acceptance may be granted for items in progress.
All Official transcripts, letters, and accompanying photocopies are due with the application. “Official” means
sealed and unopened from the institution of origin. It is best to have the official transcripts sent to you and then
include them with your application when it is submitted to avoid delayed processing. Electronic submissions can
be accepted by the Admissions and Records department (805) 289-6457
Please make sure that all items below are completed and all documentation is attached in the order requested.
First Steps
Complete
Apply for Admission to Ventura College
This will give you your 900# and your VC email address
Apply for Financial Aid
Pell Grant; CA College Promise Grant (formerly BOG); etc.…
Complete Paramedic Program Application
All areas must be completed
Copy of current EMT Certification
Enter expiration date and attach copy
Copy of CPR Card
Enter expiration date and attach copy
Copy of Driver’s License
Enter license number and attach copy
Send for transcripts
Official Transcripts:
Required for all coursework (sealed & unopened)
OR
Electronically submitted to Admissions and Records
High School/ G.E.D.
EMT
Anatomy with lab
Physiology with lab
Math
English
Request letter of employment
Employment/ Experience Documentation:
Prehospital Experience
Use Attachment A to inform your employer of requirements.
Attach
original letters on letterhead
from employers.
Final Step
Academic Counseling Appointment
Call: 805-289-6448
Have all official transcripts or proof of current
enrollment in required courses with you for this
meeting
OR
submit these items to Admissions and
Records and verify they are on record at the college
prior to the counseling appointment.
Schedule an appointment and meet with one of the
counselors that specialize in health care classes. (check one)
☐ Angelica Gonzales, MS
☐ Bea Herrera, MS
Counselor to complete
Applicant Qualification Worksheet
at time of advisement. Submit with application.
Date of
appointment
Once all items above have been completed, submit your application to the program.
Revised 5/9/2019
Ventura College School of Prehospital and Emergency Medicine
Application for Paramedic Studies Program
Refer to the Ventura College Course Catalog Paramedic Studies Program Description for clarification of all requirements.
PLEASE READ CAREFULLY AND ANSWER ALL QUESTIONS OF THIS APPLCIATION COMPLETELY. INCOMPLETE RESPONSES WILL
AFFECT YOUR EVALUATION AND ELIGIBILITY AND WILL CAUSE THIS APPLICATION TO BE RETURNED.
NOTE: Must provide proof of completion or current enrollment for all requirements prior to applying to the program.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. All documentation (necessary testing scores, all official transcripts
(including high school), employment verification, letters and accompanying photocopies) must be included with your
application.
Qualified applicants will be placed on the existing Ventura College Paramedic Studies waiting list and will be notified when an
opening becomes available.
Name
Telephone No. (preferred)
Previous Names
SSN#
900 #
Address
City Zip
EMT Certificate #
Expiration Date:
(attach copy)
CPR Expiration Date:
(attach copy)
Driver’s License #
Expiration Date:
(attach copy)
Enter email addresses (mandatory for admission):
VCCCD email:
Personal email:
Educational Requirements (OFFICIAL transcripts are required for each requirement 1-5)
Course
Grade
Year
Completed
1.
A. High School
___GPA
B. GED
2.
College Anatomy and
Physiology with Lab
3. EMT Course
4.
Math: Completion of
Elementary Algebra with
minimum grade of C
5.
English: Completion of
English composition with a
minimum grade of C
Select Desired Placement Track
☐ Professional Certification Only
☐ Professional Certification with Certificate of Achievement
☐ Professional Certification with Certificate of Achievement and Associate of Science degree
Revised 5/9/2019
Prehospital Care Experience
The student must have a minimum of 1000 hours field experience with a primary “911” responder as an EMT with emphasis
on patient care. Equivalent experience may be considered.
*Letter(s) from employer(s) must be attached to the application, on original letterhead and addressed to the Ventura College
Paramedic Program Director. Letter must include candidate’s name, date of hire, length of employment and job title with
description of duties. This letter must also include the total number of hours worked. Use attachment A to inform employer of
requirements.
*Field Care Provider
From
To
#OF HOURS
Duties and Responsibilities
If your current employer would like to provide your internship please attach a letter verifying this information.
PLEASE READ CAREFULLY AND SIGN BELOW
I certify to the accuracy and completeness of the preceding statements. I understand that my enrollment in the
paramedic studies program may be subject to termination if there has been willful misrepresentation of the
information submitted. I authorize the use of this information by appropriate Ventura College personnel for the
purpose of evaluating my qualifications for application to this program.
I understand that acceptance to the paramedic program does not constitute eligibility for a Certificate of
Achievement (CoA) or an Associate in Science Degree Paramedic Studies, and that eligibility is determined by a
Ventura College Academic Counselor. It is my responsibility to apply for a CoA or AS degree with a Counselor.
I understand that it is my responsibility to keep the Health Sciences office apprised of any change of address or
telephone number. Failure to do so may render my application ineligible if, for any reason, the college is unable to
contact me by mail.
I ALSO UNDERSTAND THAT FAILURE TO PROVIDE VENTURA COLLEGE WITH COPIES OF ANY OF THE REQUIRED
ITEMS WILL RESULT IN MY IMMEDIATE DISQUALIFICATION FROM THE PROGRAM.
Signature Date
Return Completed Application To:
Ventura College School of Prehospital and Emergency Medicine
Attention: Thomas O’Connor – Paramedic Studies
4667 Telegraph Road
Ventura, California 93003
The Ventura College Community College District and Ventura College are committed to providing an equal
opportunity for admission, student financing, student support facilities and activities, and employment, regardless
of race, color, religion, sex, or national origin.
The Ventura College Paramedic Studies Program is accredited by the Commission on Accreditation of Allied
Health Education Programs (www.caahep.org) upon the recommendation of the Committee on Accreditation of
Educational Programs for the Emergency Medical Services Professions (CoAEMSP).
Revised 5/9/2019
Attachment A
Dear EMS Provider,
One of your employees, _ is applying for admission to the
(Insert applicant’s name)
Ventura College School of Prehospital and Emergency Medicine – Paramedic Studies Program.
It is mandatory that all applicants have their EMT experience documented using the following guidelines:
•
Letter from employer must be written on company letterhead and addressed to the “Ventura College
Paramedic Program Director”.
•
Letter must include:
Date of letter
Candidate’s name
Date of hire
Date of termination (if applicable)
Job title with description of duties
Total number of hours worked including
Percentage of emergency calls
Percentage of non-emergency calls
Employer’s signature (or designee) and title
The signature of applicant permits employer to release the above information to the Ventura College
Paramedic Studies Program.
Signature of Applicant (employee) Date
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Completed 6 September 2020

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