$12.00 per section of test. with TSTC. $15.00 per section of test. TSI minimum scores required: Writing 363 / 4 Reading 351 Math 350

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1 Dear Future Fire Academy Applicant: Thank you for your interest in the Cisco College Fall 2014 Fire Academy. Cisco College and TSTC are partners in providing the Fire Academy training. In view of the partnership, if selected, you will be registering for classes at both Cisco College and TSTC. Class will begin in late August at Cisco College and at TSTC. DEADLINE FOR FORMAL APPLICATION AND TESTING IS JUNE 2, 2014 All required items for consideration of acceptance to the Cisco College Academy are to be submitted to Cisco College no later than the deadline date that is outlined in the Application Process. APPLICATION PROCESS: 1. Complete the online Applications for Admissions for both Cisco College and TSTC. Cisco College: Click on Admissions Fill out entire application Select the following options: Classification Unclassified Program Fire Science Technology Educational Intent Certificate Campus Abilene 2. Submit TSI Scores for the Reading Comprehension, Writing, Math and Sentence Skills to Cisco College. The TSI may be taken at Cisco College or TSTC. - Please sign up at the information desk on campus at Cisco College. $12.00 per section of test. - Please contact Susan Hash at to schedule a testing time with TSTC. $15.00 per section of test. - TSI minimum scores required: Writing 363 / 4 Reading 351 Math Complete the FAFSA Financial Aid is only an option for the courses at Cisco College for the Fire Academy. You will not be eligible for Financial Aid at TSTC. 4. All the following information is required and must be submitted to Cisco College by JUNE 2, 2014:

2 a. Copy of TSI test scores b. Official transcripts High School and other colleges attended (Official copies need to be sent to Cisco College and TSTC) c. Signed Essential Functions Form and Cisco College Required Information Form d. Copy of Drivers License e. Physician Release Form (form included) f. Copy of EMT Certification (if current) g. Copy of personal Health Insurance Coverage (Available at TSTC, contact TSTC) h. CPR certification (MUST BE AHA Healthcare Provider CPR) i. Copy of current immunization records which includes: i. TB Skin Test (within past year) ii. Tetanus/Diphtheria (within past 10 years) iii. MMR (Measles, Mumps, Rubella) iv. Varicella (Chicken Pox) 2 immunizations or proof of having had chicken pox v. Bacterial Meningitis Vaccination vi. Hepatitis B Series (3 part series can take 6 months) vii. Flu Shot (yearly) 5. TSTC: Click on apply Fill out entire application Select the following options: Education Intent Certificate Campus Abilene Program 4EMS MSA BAS 6. Interview If selected for an interview you will be contacted with your date and time. 7. Agility Test To be held at the Abilene Fire Department Training Facility after all interviews. 8. Information to be completed and submitted AFTER you are accepted into the program: a. Drug Test (information at TSTC) b. Criminal History Check (information at TSTC) Cost: All expenses are the responsibility of the prospective applicant. Cisco College - Tuition cost is subject to change Courses: Spring 2014 FIRS 1301, FIRS 1407 and FIRS 1313 Summer 2014 FIRS 1319, FIRS 1323, FIRS 1329 and FIRS 1433 Estimated Cost: Spring 2014 $ subject to change Summer 2014 $ subject to change ***You will be required to rent Bunker Gear before the Spring semester begins. You will do this with your class. Estimated cost is $ per student. This is not covered by Financial Aid and will be required in the month of December/January. Other expenses will include uniforms, supplies, books, etc. Payment plan information is available. For information please check with the Cisco College Business Office in person or by calling Financial Aid is available at Cisco College for those who qualify. 2

3 TSTC - Tuition cost is subject to change Courses: Fall 2013 EMSP 2237, EMSP 1501, and EMSP 1261 Estimated Cost: Fall 2013 $ subject to change Financial Aid is not available for TSTC courses. Please speak with the TSTC Business Office to arrange your payments. Other expenses will include uniforms, supplies, books, insurance, etc. ***A laptop will be required for a portion of the EMT program. Information regarding Laptop Initiative is at CPR certification is required. It must be American Heart Association HEALTHCARE PROVIDER CPR certification. A list of providers located in Abilene is attached. You must have your CPR certification to be accepted into the Fire Academy. POLICY - Bacterial Meningitis Vaccination will be required for students entering or transferring to Cisco College, under the age of 30, attending a class or classes on campus on or after January 1, IMPORTANT INFORMATION Please read carefully Twenty (20) students will be chosen for the Fire Academy. Five (5) students will be chosen as alternates. Being an alternate does not mean you are in the program. As an alternate you will be asked to take the place of a student if they must drop the program before it begins. Students will be selected based on Accuplacer test scores, an interview and an agility test. If selected for an interview, you will be notified of your interview time after all deadlines have expired for turning in application information. After the interview process an Agility Test will be held at the Abilene Fire Department Training Facility where you will be required to complete a set of tasks within a certain time frame. Cisco College and the Fire Academy Coordinator will then determine the Fire Academy class based on Accuplacer scores, your interview and the agility test results. The first semester (Fall) will be the EMT courses at TSTC. If you do not pass any portion of the Fall semester you will be dropped from the program. The second semester (Spring) will be Fire Academy Classes that will be taught at Cisco College and the Abilene Fire Department Training Facility. The third semester (Summer) will be Fire Academy classes that will be taught at Cisco College and at the Abilene Fire Department Training Facility. Contact Information: Cisco College TSTC Charlotte Speegle Georgan Hausenfluke 717 E. Industrial Blvd. 650 E. HWY 80 Abilene, TX Abilene, TX Charlotte.Speegle@cisco.edu Georgan.Hausenfluke@abilene.tstc.edu Cisco College does not discriminate on the base of race, creed, color, national origin, gender, age or disability. 3

4 American Heart Association, Healthcare Provider CPR locations in Abilene: Hendrick Medical Center Education Dept Abilene Regional Med. Center Education Dept Joni Coons AHA Coordinator Healthcare Education Resources & Supply Seconds Count Ken

5 Cisco College Fire Academy Essential Functions Standards The following outlines the competitive selection process and the primary rating tools used to award admission to the Cisco College Fire Academy. TSI Test scores will be averaged and an Agility Test will be administered. An interview will also determine admission to the Fire Academy. Academic Ability Requirements I understand that I must meet or exceed the following minimum cut-off scores on the TSI (computerized placement test). All applicants must take the TSI. Reading or higher Writing /4 or higher MATH or higher NOTES: 1.) Minimum TSI Scores will be awarded to those having previously passed all sections of TASP or an approved alternative. Such applicants may choose to take the TSI for higher scores so that they can be more competitive in the selection process. 2.) These standards will be reviewed and revised as deemed necessary by the Cisco College personnel - Executive Dean of Workforce and Economic Development, Coordinator of Workforce and Economic Development, the Counselor for Technical Programs and TSTC personnel. Physical Capacity and other Requirements I understand that as a student in the Cisco College Fire Academy, I may be required to work under the following conditions or circumstances and meet or exceed the requirements of the physical conditions by providing a physicians statement indicating good health Physical Abilities** Hold a department-issued chainsaw overhead for thirty seconds. Fully open and close a typical Abilene fire hydrant (clockwise open/counter-clockwise close). Drag a dry 5 supply line approximately 150 feet. Carry an Abilene Fire Department high-rise hose pack and axe to the fifth floor or the drill tower. Drag a 170-pound dummy twenty feet. Move a heavy piece of furniture twenty feet. Hit a metal sled with a dead-blow sledgehammer (simulates chopping a hole with an axe). Carry an Abilene Fire Department smoke ejector approximately 100 feet. ** Note: Examinees must wear a fifty pound weighted vest while performing these tasks. Please check with your physician prior to registering if you have concerns about performing these tasks due to health related issues. Other Requirements Understand that the tasks used in the Physical Abilities are representative but not all-inclusive of the many varied tasks and conditions which may be encountered in training and work situations. Have the ability to maintain a rigorous and demanding schedule to include a minimum of 24 classroom/training hours per week. Understand that I will be asked to agree and sign to compliance with the Rules and Regulations of the Cisco College Fire Academy as presented during orientation. Comply with all other application requirements as stated in the Academy brochure and any State regulatory guidelines, policies and laws. I understand that the above physical standards and other requirements are required for admission to the Cisco College Fire Academy Program. I hereby certify that I possess these physical abilities and agree to abide by the other requirements. I understand that if I am later found to be limited in these areas of physical ability or if I have purposefully misrepresented my abilities to gain admission to the program, I may be dismissed from the Cisco College Fire Academy by decision of the Executive Dean of Workforce and Economic Development with the concurrence of the Provost of Cisco College and TSTC personnel. I understand that successful completion of the Cisco College Fire Academy does not guarantee me a position with any fire department. I must follow proper application procedures with that department. Prospective Student Signature Date Witness Signature Date Revised 1/31/12

6 TEXAS STATE TECHNICAL COLLEGE WEST TEXAS / CISCO COLLEGE Physical Examination Of Applicant For Emergency Medical Technology Program NAME:(LAST, FIRST, MI; MAIDEN NAME) DATE OF EXAM: STUDENT ID#: MAILING ADDRESS: CITY: PHONE NUMBER: STATE/ZIP: DATE OF BIRTH: AGE: HEIGHT: WEIGHT: MARITAL STATUS: MARRIED SINGLE DIVORCED SEPARATED PELVIC EXAM (OPTIONAL): EYES: UNCORRECTED CORRECTED EARS: CONDITION HEARING TEETH: TONSILS: NOSE: SINUSES: SKIN: THYROID: POSTURE: ORTHOPEDIC CONDITIONS: VARICOSE VEINS: FEET HEART: BLOOD PRESSURE: ABDOMEN: HERNIA: LUNGS: * T.B.TEST START DATE: DATE READ: FINDINGS: IMMUNIZATIONS *DIPHTHERIA-TETANUS: *VARICELLA VACCINE: *MEASLES, MUMPS, RUBELLA: *POLIO *HEPATITIS B SERIES: #1 DATE #2 DATE #3 DATE REMARKS AND RECOMMENDATIONS OF PHYSICIAN Potential Defects Found: Corrections Made or Recommended: In your opinion, is this individual in suitable physical and emotional condition for training in Emergency Medical Services? If not, why? Printed Name Physician: Physician Signature: Facility Name and Address: Facility/Physician Office Number: Revised 03/01/2011