Please contact me at x2922 or dial direct at if you have any questions. I look forward to reviewing your application!

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1 Dear Prospective Paramedic Student, Thank you for your interest in the Paramedic Education Program being offered at Colorado Mountain College (CMC), Edwards Campus. The need for higher education and credentials is crucial for the success of any career EMT. It is a competitive business to become employed as an EMS professional today. Our program is unique in that we offer you the opportunity to receive a Paramedic Certificate or to obtain an Associate in Applied Science Degree in Paramedicine. We also recognize that the majority of our students work during the school year and therefore offer the flexibility of a hybrid format of curriculum delivery. The year-long program, starting in January of each year and ending in December, consists of three full-time semesters totaling over 1000 hours of classroom and clinical and field instruction. This hybrid program offers the option of completing lecture hours via face to face or distance learning with required lab days on the Edwards campus. The enclosed application materials should be completely filled out and returned to our office for processing. The application timeline for the paramedic program is outlined below: Complete & return all application materials enclosed by October 31, 2016 (see enclosed applicant checklist). A personal interview with the Program Director, instructor, clinical coordinator, and medical director will be scheduled after completed application materials are received. You may not register for paramedic classes until you have been admitted to the paramedic program and have a signature from the Program Director. Please contact me at x2922 or dial direct at if you have any questions. I look forward to reviewing your application! Sincerely, Michael Trujillo, MPH, EMT-P Director of Health Science & Public Safety Programs Colorado Mountain College

2 Expense Cost Sheet for Paramedic Certificate *Tuition estimate is based on CMC s rates and is subject to change. Tuition classification is determined by completing the Tuition Classification section on the CMC Admissions Application. Please see application enclosed. In-District ($62/Credit) In-State ($127/Credit) Out-of-State ($429/Credit) CMC Service Area ($123/Credit) Tuition (45 Credits)* $2, $5, $19, $5, Personal Stethoscope $ $ $ $ $ $ $ $ Vaccinations (if needed)- 2 MMR or titer, Hepatitis-B, Tetanus, Varicella, Flu Varies Varies Varies Varies TB Screen Varies Varies Varies Varies Uniform Pants (if needed) $ $ $ $ No Skid Black Shoes or Boots $60.00 $60.00 $60.00 $60.00 Criminal Background Check* $ CO Residents $ CO Residents $ CO Residents $ CO Residents Drug Screen Varies Varies Varies Varies Required Textbooks $ $ $ $ Other Optional $45.00 $45.00 $45.00 $45.00 Textbooks ACLS/PALS/PHTLS Practical $ $ $ $ Cadaver Lab $30.00 $30.00 $30.00 $30.00 Program Fees (divided between spring and summer semesters)* Laptop or Tablet Computer (Tablet recommended)* Out of State Internship Costs (Optional) Total Cost Estimate (excluding varied costs) $1, $1, $1, $1, Varies Varies Varies Varies $2, approx. $2, approx. $2, approx. $2, approx. $8, $10, $24, $10, *all tuition and fees are subject to change and are not guaranteed. *a laptop or tablet computer is required for the paramedic program. *Specific clinical and internship sites have particular background check requirements. Please be aware that there may be some additional charges depending upon the sites you choose to attend. Listed above are the approximate costs for the paramedic program at CMC not including field internship, varies charges, and other fees. These figures are not concrete and are only provided as an estimate figure to assist students in planning their finances. Students are required to have their own health care insurance. Students will be responsible for their own transportation to clinical and field sites.

3 Paramedic Application Checklist THE FOLLOW ING DOCUMENTATION IS REQUIRED TO CONSIDER THE APPLICATION COMPLETE. Colorado Mountain College Admissions Application (included in this application packet) EMS Application Form (included in this application packet) Resume Proof of college level reading, writing, and math (college transcripts, ACT or SAT scores within the past 5 years, or Accuplacer scores) Functional Paramedic Statement (included in this application packet) Official college, High School Diploma or GED transcript, whichever is applicable Documentation verifying a passing grade in Anatomy and Physiology I and II (BIO-201 and BIO-202) Copy of IV Therapy and Basic EKG Interpretation certifications (highly recommended) A photocopy of your current EMT certificates and current Healthcare Provider CPR card o (Students must have Colorado state EMT certification or be able to attain it before the program begins.) Proof of 2 MMR vaccinations or proof of immunization (titer) Proof of 3 Hepatitis B vaccinations or declination statement Proof of 2 Tuberculosis (TB) test results (one of which was done within the last 6 months) Proof of current season flu shot Proof of 2 varicella (chickenpox) immunizations (or documentation of having the chickenpox) Proof of current tetanus vaccination (within the last 10 years) Letter of recommendation from your present EMS employer (If applicable) Letter of recommendation from your physician advisor (If applicable) Please return the application and supporting documentation by October 31, 2016 to: Colorado Mountain College Michael Trujillo 150 Miller Ranch Road Edwards, CO A personal interview will be scheduled upon receipt of COMPLETED application. If you have any questions, please call the CMC EMS Department (970)

4 Please print or type all sections neatly SECTION 1 CMC PARAMEDIC PROGRAM APPLICATION NAME: Last First MI HOME ADDRESS: Street City State Zip MAILING ADDRESS: Street City State Zip TELEPHONE: Home: Work: SSN: OCCUPATION: FULL TIME: PART TIME: EMPLOYER: ADDRESS: PHONE: SECTION 2 EMS AFFILIATION: ADDRESS: LENGTH OF ACTIVE EMS INVOLVEMENT: NAME OF PHYSICIAN ADVISOR: EMT CERTIFICATE NUMBER AND STATE _ DATE ISSUED: EXPIRATION DATE: NATIONAL REGISTRY NUMBER: EXPIRATION DATE:

5 SECTION 3 EDUCATION HISTORY: NAME OF SCHOOL FROM TO AREA OF STUDY WORK HISTORY: NAME OF EMPLOYER FROM TO AREA OF WORK SECTION 4 HAVE YOU EVER BEEN CONVICTED OF A FELONY? YES NO DO YOU HAVE AN ADDICTION TO OR DEPENDENCY UPON ALCOHOL, BARBITURATES, AMPHETAMINES, HALLUCINOGENS, OR OTHER DRUGS OR SUBSTANCES HAVING A SIMILAR EFFECT? YES NO SECTION 5 LIST THREE REFERENCES NOT RELATED TO YOU: 1 NAME ADDRESS PHONE 2 NAME ADDRESS PHONE 3 NAME ADDRESS PHONE

6 SECTION 6 ADMISSION ESSAY (1-page) Please answer the following questions by attaching an additional sheet. Why are you considering Paramedic school? Describe the EMS system you are involved with. Include volunteer or paid, BLS or ALS, number of calls per year, etc. SECTION 7 I DO HEREBY CERTIFY THAT: 1. I understand the EMS Program prerequisites and meet those prerequisites, unless identified previously, and that my application is not complete until all of the documentation required has been provided. 2. I understand that upon acceptance and enrollment, the tuition fee is due to CMC. 3. I understand that entrance to the program does not guarantee EMT State certification. 4. I understand that acceptance of this application does not constitute an offer or promise of training, nor an offer or promise of employment following training, nor does it obligate Colorado Mountain College. 5. I understand that all information in this application is subject to verification. If falsification of this document is demonstrated, my application shall be considered unacceptable for admission to the Colorado Mountain College EMS Program, or if I have begun the training, I may be subject to immediate expulsion. 6. I have read the above statements and declare that all information provided is true to the best of my knowledge. APPLICANT S SIGNATURE: DATE:

7 Functional Position Description Emergency Medical Technician Introduction We are providing the following general position description of Emergency Medical Technician EMT, EMT-Intermediate (EMT-I) and EMT-Paramedic (EMT-P). This should guide you when giving advice to anyone who is interested in understanding what qualifications, competencies and tasks are expected of the EMT/EMT-I/EMT-P. It is the ultimate responsibility of the employer to define specific job descriptions within each EMS entity. Qualifications Successfully complete an EMS Division approved course. Achievement of a passing score on written and practical certification examinations. Must be at least 18 years of age. Generally, the knowledge and skills required show the need for a high school education or equivalent. Ability to communicate verbally; via telephone and radio equipment; ability to lift, carry and balance up to 125 pounds (250 with assistance); ability to interpret written, oral and diagnostic form instructions; ability to use good judgment and remain calm in high-stress situations; ability to work effectively in an environment with loud noises and flashing lights; ability to function efficiently throughout an entire work shift; ability to calculate weight and volumes ratios and read small print, both under threatening time constraints; ability to read and understand English language manuals and road maps; accurately discern street signs and address numbers; ability to interview patient, family members, and bystanders: ability to document, in writing, all relevant information in prescribed format in light of legal ramifications of such; ability to converse in English with coworkers and hospital staff as to status of patient. Good manual dexterity, with ability to perform all tasks related to highest quality patient care. Ability to bend, stoop, and crawl on uneven terrain; and the ability to withstand varied environmental conditions such as extreme heat, cold, and moisture. Ability to work in low light, confined spaces and other dangerous environments. Competency Areas EMT Must demonstrate competency handling emergencies utilizing all Basic Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT curriculum. Automated external defibrillation and intravenous access are optional skills and curriculum. EMT-Intermediate Must demonstrate competency handling emergencies utilizing all Basic and Advanced Life Support equipment and skills in accordance with all behavioral objectives in the Colorado EMT-Intermediate curriculum. EMT-Paramedic Must demonstrate competency handling emergencies utilizing all Basic and Advanced Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT-Paramedic curriculum. The EMT-P has reached the highest level of certification.

8 Description of Tasks Receives call from dispatcher, responds verbally to emergency calls, reads maps, may drive ambulance to emergency site, uses most expeditious route, and observes traffic ordinances and regulations. Determines nature and extent of illness or injury, takes pulse, blood pressure, visually observes changes in skin color, auscultates breath sounds, makes determination regarding patient status, establishes priority for emergency care, renders appropriate emergency care (based on competency level); may administer intravenous drugs or fluid replacement as directed by physician. May use equipment (based on competency level) such as but not limited to, defibrillator, electrocardiograph, performs endotracheal intubation to open airways and ventilate patient, inflates pneumatic anti-shock garment to improve patient's blood circulation. Assists in lifting, carrying, and transporting patient to ambulance and onto a medical facility. Reassures patients and bystanders, avoids mishandling patient and undue haste, searches for medical identification emblem to aid in care. Extricates patient from entrapment, assesses extent of injury, uses prescribed techniques and appliances, radios dispatcher for additional assistance or services, provides light rescue service if required, provides additional emergency care following established protocols. Complies with regulations in handling deceased, notifies authorities, arranges for protection of property and evidence at scene. Determines appropriate facility to which patient will be transported, report nature and extent of injuries or illness to the facility, asks for direction from hospital physician or emergency department. Observes patient en route and administers care as directed by physician or emergency department or according to published protocol. Identifies diagnostic signs that require communication with facility. Assist in removing patient from ambulance and into emergency facility. Report verbally and in writing observations about and care of patient at the scene and in-route to facility, provides assistance to emergency staff as required. Replaces supplies, sends used supplies for sterilization, checks all equipment for future readiness, maintains ambulance in operable condition, ensures ambulance cleanliness and orderliness of equipment and supplies, decontaminates vehicle interior, determines vehicle readiness by checking oil, gas, water in battery and radiator, and tire pressure, maintains familiarity with all specialized equipment. I,, have read a copy of this EMT functional position statement. Signed: Date:

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