Application Deadline: Friday, April 8, 2016 at 12:00pm. Will only accept application in-person or by mail postmarked by April 8 th.

Transcription

1 Application Deadline: Friday, April 8, 2016 at 12:00pm. Will only accept application in-person or by mail postmarked by April 8 th. Sierra College Fire Technology Programs Roseville Gateway Campus 333 Sunrise Avenue (916) or (916) Mailing address: 5000 Rocklin Road Rocklin, CA Fall 2016

2 Application Packet Application Packet Fall 2016 READ EVERYTHING! Academy Announcement Directions to Applicant for Completing this Packet... 7 (Applications not submitted in proper order will not be accepted.) Instructor s Verification.. 8 (For students currently enrolled in Fire Protection Organization (Fire Tech 1) and/or EMT 1 (Health Science 2) Statement of Applicant. 9 Academy Application 10 Fire Academy Standards & Learning Assistant Program Supplemental Questionnaire Task Completion Checklist 14 Sierra College Fire Technology Programs Roseville Gateway Campus 333 Sunrise Avenue (916) or (916) Mailing address: 5000 Rocklin Road Rocklin, CA Fall 2016

3 Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will be conducted in the Fall Semester of 2016 by the Regional Fire Academy at Sierra College, in partnership with Roseville Fire Department and the Fire Chiefs Associations of Placer and Nevada Counties. Location: FT 100 will be conducted at the Roseville Fire Training Center, 2030 Hilltop Circle, Roseville, CA. Dates: FT 100 will begin July 19th, and conclude with Graduation on December 10, Mandatory orientation meetings for Candidates will be at the Roseville Fire Training Center and conducted on: Tuesday, May 24, 2016 (FT 100 & PE 200), will begin at 1800 hours. Friday, May 27, 2016 (Evals.net, SCBA Fit test and PPE), will begin at 1400 hours. Corequisite: Prerequisites: PE 200: Students in FT 100 must also register in Fire Academy Physical Training, which begins July 18th, Registration details will be included in the Acceptance materials. Completion of Fire Protection Organization (Fire Tech 1) and a current California Emergency Medical Service Authority EMT-Basic, EMT-Intermediate or Paramedic certificate. or In Progress Prerequisite Courses: Applicants currently enrolled (Spring 2016 semester) in Fire Protection Organization and/or Health Science 2 (EMT 1) must provide verification of successful progress toward a passing grade of C or better by submitting an Instructor s Verification form (included with this packet). Emergency Medical Technician Basic: Applicants must provide documentation of a valid certification issued by a California Emergency Medical Services Authority. The EMT certification must remain current throughout the duration of the academy. Proof of recertification, if necessary, must be provided by the first session of the Academy. 3 Fall 2016

4 Prerequisites, Continued: Students with an EMT-1 course in progress at the time of application to the Academy must register for and pass the exam for the National Registry of EMTs (NREMT) and must then apply to be certified with a California EMS Agency. Valid certification must be presented by Tuesday, June 21, 2016 at 12pm. Candidate Selection and Registration: Applications will be available on March 28, 2016 at Completed applications will be accepted from March 28 through April 8, 2016 at 12:00pm. Applicants with a cumulative GPA of less than 2.0 or applicants on Academic or Progress Probation are not guaranteed acceptance; circumstances will be reviewed by the Fire Technology Program Coordinator and a Counselor. Applicants submitting proof of all completed prerequisites will be accepted into the Academy on a first-come, first-served basis. A letter of acceptance, medical evaluation forms, and registration materials will be mailed to selected candidates on or about Friday, April 22, DO NOT CALL the Fire Technology Program Office for materials unless you have not received a letter by April 29, Applicants with prerequisites in progress will be accepted into remaining available spots pending proof of completion of prerequisites by June 21, 2016 also on a first-come, first-served basis. A letter of acceptance, medical evaluation forms, and registration materials will be provided to selected candidates. Applicants not selected will be mailed notification on or about April 22, You must notify the Fire Technology Program Office of any address change, as returned mail will not be forwarded. Schedule: This will be a challenging and time consuming class, using an extended scheduling format. Classes will be conducted on most weeknights and weekend days. The required 80% academic standard for the Firefighter I Academy is rigorous. Candidates need to be aware at the outset that this will place extraordinary demands on their time and resources. Schedule of Course Meetings will be as follows: PE 200: Monday & Wednesday hours (location varies). FT 100: Tuesdays, Thursday s hours, and Saturdays hours, plus additional Fridays and Sundays. A complete calendar will be distributed at the orientation. Units: FT 100 curriculum hours are Hours in length, and the Units of college credit 16. PE 200 is 80 hours, for 2.5 Units, for a combined total of 18.5 Units. While enrolled in FT 100 and PE 200, students will not be allowed to register at Sierra College for any additional units. 4 Fall 2016

5 Certification: Upon successful completion of the Academy, students will meet the training requirements for the California State Fire Marshal Firefighter I. Students will then be able to apply for the Certification after successful competition of the task book and experience requirement, one year as a Volunteer or Reserve firefighter or six months as an Intern/full time paid firefighter with a California fire department. The California State Fire Marshal s Office is currently working towards National accredited certification, which is approved by the International Fire Service Accreditation Congress (IFSAC) and the National Board on Fire Service Professional Qualifications (Pro Board). Students completing the Academy will be eligible to apply for these additional certifications in the future. Students will also receive the following State Fire Training certificates: Introduction to the Incident Command System IS 100, National Incident Management System (NIMS) IS 700a, Confined Space Awareness, Hazardous Materials First Responder - Operational, Fire Control 3B, Firefighter Survival, Vehicle Extrication, CAL FIRE Basic Wildland Firefighter, S-130 Basic Wildland Firefighter, S-190 Beginning Fire Behavior, L-180 Human Factors in the Wildland Fire Service, and S-134 LCES. Material & Uniform Costs: Note: Some Personal Protective Equipment will be provided by the Academy, with the exception of footwear, hoods, and gloves (for health reasons). Students must also provide their own uniforms. Specifications and sources for these items will be provided upon being accepted for enrollment in the course. Financial Aid: Some students may be eligible to receive financial aid. Both Board of Governor s Fee Waivers and Federal Financial Assistance may be viable options for students seeking assistance. For further information, call the Sierra College Financial Aid Office at the Rocklin Campus in Winstead Center, (916) Books: FT 100 books will be available for purchase online and at the Sierra College Bookstore. Details will be made available in the Acceptance Letter. Fees: Enrollment fees for the Fall 2016 semester, as set by the California State Legislature, are $46.00 per unit and are subject to change. Students will be responsible for the difference in enrollment fees if such changes are enacted by the Legislature. 5 Fall 2016

6 Course Fees: Medical Evaluation and Spirometry Enrollment Fee Following are estimated expenses to participate in the Academy. Varies; Evaluations are available at the Sierra College Health Center, Rocklin; call for an appointment. $50 $46.00 per unit x 18.5 units (Fire units & PE units) $851 Health Fee payable once per semester $18 Student Center Fee payable once per semester $5 Certification Fees FSTEP $135 Certificate Cover $5 This is the program that will allow students to study and review practical and hands on skills from anywhere including home. a) Level A: $100- Provides student with access to all materials for the length of two consecutive semesters beginning with the semester of initial registration as long as Client is in good standing with Pinnacle and is current with all applicable contractual fees. b) Level B: $119- Provides student with access to all materials Evals.net for the length of two calendar years as long as Client is in good standing with Pinnacle and is current with all applicable contractual fees. $100-$119 Course Materials: Textbook/Test Prep- Jones & Bartlett Additional Textbooks From approved vendors Details provided in registration packet. $0.00 Textbook, Student Workbook, Navigate EFOLIO, Companion Website, Course Manager, Navigate Test Prep. All in one complete price. $156 Wildland FF Fundamentals, NFES 1077 Incident Response Guide, NFES 2710 New Gen Fire Shelter, and ICS Field Operations Guide. Purchased at Sierra College Bookstore $40 Binders One 5" Clearview, White $20 SCBA $385 Structure gloves $55 Turnout rental $285 Turnout "Bunker" boots $119 Rope, Webbing & 2- Wood Wedges $22 Helmet $235 Structure hood $22 Trousers (min. 2) $50 Station boots $150 Shirts (two) $40 T-shirts (min. 3) $40 Belt $15 Baseball cap Class Option $15 Physical training uniform Shoes, shorts, sweatshirt, sweatpants $150 Miscellaneous Pens, Paper, Computer Ink, Page protectors, and etc. $150 TOTAL (approximate) Course Fees + Course Materials $3,113-3,132 For additional information, contact Sierra College Fire Technology / EMT Programs at (916) or Fall 2016

7 Directions to Applicant For Completing the Application Packet Dear Applicant: Thank you for your interest in the Sierra College Firefighter I Academy, Fire Technology 100 and Physical Education 200! To confirm that you meet Academy requirements, complete the following items in this application packet: Provide proof of meeting the prerequisites. A) Attach a copy of your transcript (unofficial transcript is acceptable) indicating completion of Fire Protection Organization from any California Community College (FT1 at Sierra College), or if currently enrolled, use the Instructor s Verification form provided in this packet to show satisfactory progress towards the completion of the course, with an expected passing grade of C or higher. B) Attach proof of EMT 1 Certification issued by a California EMS Agency, or if you are currently enrolled in an EMT-1 course (Health Science 2 at Sierra College), use the Instructor s Verification form provided in this packet to show satisfactory progress towards the completion of the course, with an expected passing grade of C or higher. If you are currently certified, the certification must be current throughout the duration of the Academy. Complete Academy Application Read and Sign Fire Academy Standards and Learning Assistant Program Complete Supplemental Questionnaire Return the completed packet with the documents sorted in the order shown on the Task Completion Checklist Deadline: April 8, 12:00 pm. Return the completed application packet and checklist in-person or by mail to the Fire Technology Programs Office in Room 205 at the Roseville Gateway site. Return ONLY those items required in the preceding instructions. If you have any questions about completing these requirements, contact the Fire/Health Sciences/EMT Programs office at (916) or Once your completed packet has been submitted, the Fire Technology Programs staff will verify your eligibility. The individuals selected who meet the requirements set forth in the application will be mailed a letter of acceptance packet on or about April 22, Applicants selected for a wait list and all others will be notified by mail as well. Do not call the Fire/EMT Program Office unless you have not received a letter of notification of your status by April 29, Fall 2016

8 Instructor s Verification For students Currently Enrolled in Fire Protection Organization or EMT Basic Fire Protection Organization This is to verify that is currently enrolled in a core -required Fire Tech/Science course entitled Fire Protection Organization. He / She is performing satisfactorily, and I anticipate the student will earn a final grade of C or above. Instructor Name (Please Print) Instructor Signature Date College / Institution Phone Number Emergency Medical Technician This is to verify that is currently enrolled in an Emergency Medical Student Name Technician Basic course. He / She is performing satisfactorily, and I anticipate the student will earn a final grade of C or above. Instructor Name (Please Print) Instructor Signature Date College / Institution Phone Number 8 Fall 2016

9 Statement of Applicant It is my intention to enroll in the Sierra College Firefighter I Academy, Fire Technology 100, and Physical Education 200. I have read and understand the following: I must attend Two mandatory orientation meetings at the Roseville Fire Training Center, 2030 Hilltop Circle, Roseville, on: 1. Tuesday, May 24, 2016 (FT 100 & PE 200), will begin at 1800 hours. 2. Friday, May 27, 2016 (Evals.net, SCBA Fit test and PPE), will begin at 1400 hours. If I am not in my seat promptly at 1800 hours, I risk forfeiting my position in the Academy to someone on the waiting list. I may not be eligible to participate if I am on academic or progress probation, pending review and determination by Sierra College. To receive a Firefighter I Academy Course Completion Certificate, I must successfully complete both F.T. 100 and P.E I understand my EMT and CPR certifications must remain current through the duration of the Academy. The Academy will be a physically and academically challenging course for some. It will be a time consuming commitment and may place extraordinary demands on my time and resources. The academic standard is rigorous, requiring an 80% or greater on all quizzes and examinations. The manipulative test standard will be task completion on all skills and evolutions, according to the standards established by the State Fire Marshal s Office and Sierra College Regional Fire Academy. My attendance is required at all sessions, unless excused by the Fire Academy Director. I understand that some classes are mandatory, and if I miss any of them there is no make-up. This would prevent me from successfully completing the Academy. Punctuality, attitude and participation are components of the course grade. Problems in any of these areas could result in my being administratively dropped from enrollment. I am responsible for obtaining uniforms, equipment, and other supplies according to Academy requirements and specifications. Signature Date Print Name 9 Fall 2016

10 Academy Application PLEASE TYPE OR PRINT IN BLACK INK ONLY NAME: LAST, FIRST, MIDDLE ADDRESS CITY SIERRA COLLEGE STUDENT I.D. NUMBER STATE ZIP HOME WORK / CELL PHONE PHON ( ) ( ) E EDUCATION: Total College Units: Cumulative GPA: (Completed Units Only) Date Completed: Major: School: Degree Completed: FIRE EXPERIENCE: Department: Department: Rank: Rank: Will you be sponsored by a Fire Department? Yes No What Dept.? Current EMT or EMT-P Expire: Current CPR Yes or No Expire: U.S. Military Experience: Were you in R.O.P? Yes No How many Years & What Fire Dept.? Have you applied to, or attended, this Fire Academy before? Yes No When? CERTIFICATES: Do Not Attach Do you have any medical condition, existing injury, or are you taking any medications for a chronic health problem that will affect total participation in the Academy? Yes No If YES, please explain: I understand that falsification of this application or any submitted materials can result in disqualification to attend this Academy and I understand that this application will not be kept on file or returned. Applicant s Signature Date 10 Fall 2016

11 Fire Academy Standards And Sierra College Learning Assistant Program Information SET YOURSELF UP TO SUCCEED! Academy Standards Our Fire Academy program is both academically and physically challenging. The standards for passing scores are high (80% on written tests and 100% on manipulative tests) and we adhere strictly to those standards. If your study habits and testing skills are not excellent, (college level), you will likely have difficulty achieving and maintaining passing scores throughout the Academy, which would result in your dismissal from the program. If you believe that you have a learning disability that might inhibit your chances for success in the Fire Academy, it is STRONGLY ADVISED that you take advantage of the program below. Learning Assistance Program The Fire Academy strongly supports the use of the college s Sierra College Learning Center for all Academy students who are eligible for that service. Our goal is to provide Sierra College students with the academic support they need in order to achieve success. This includes students who received Resource assistance in high school or any student who has an identified problem that effects reading, writing or test taking. Some of the college s most successful students use this service. BUT, it is very important that students who may need this service contact Learning Center before the Fire Academy program begins. The pace of our program is extremely fast and if support services are not in place right from the beginning the chances of success are much lower. We expect students who can benefit from this service, to contact the Learning Assistance office well before the Fire Academy program begins to arrange for support at (916) M-Th: 7:30am - 6:00pm. Learning Center records are completely confidential and free. You can see a tutor as many times as you need to during the semester. To find the drop-in schedule, go to: and select the link for the Fall 2016 schedule. You will need to bring your student I.D. with you when you drop in. I have read, and I understand, the Sierra College Fire Academy Standards and the Learning Assistance Program information. Print Name: Signature: 11 Fall 2016

12 Name: Date: Supplemental Questionnaire Tell Me About You These questions are for OUR information only! This will give us some insight into you prior to the Academy. 1) Why should we select you for the Sierra College Fire Academy? 2) Describe your personal fitness level. 3) Describe your personality. 4) What are your outstanding strength(s)? 12 Fall 2016

13 5) What are your greatest weaknesses? 6) What are your three biggest accomplishments in life thus far? 7) What final impression would you like us to remember you by? Thank you for taking the time to complete this, and for your interest in the Sierra College Fire Academy program. Sincerely, Mark Romer Academy Director Matt Jewett Drill Master/IC 13 Fall 2016

14 T Task Completion Checklist (Please PRINT clearly and follow directions below) This is the cover page when you turn you application in NAME: LAST, FIRST, MIDDLE SIERRA COLLEGE STUDENT I.D. NUMBER ADDRESS CITY STATE ZIP Date of Birth Age: Gender: Male Female County HOME PHONE WORK / CELL PHONE ( ) ( ) A COMPLETE APPLICATION PACKET SHOULD INCLUDE: Copy of college transcript (unofficial is acceptable), EMT 1 Certificate Card, or Instructor s Verification Form for Fire Protection Organization and/or EMT 1. Application Signed Fire Academy Standards and Sierra College Learning Assistance Program Information Page Supplemental Questionnaire (Tell Me About You) Signed Statement of Applicant For Office Use Only Proof of Prerequisites Copy of EMT 1 Certificate Card, Transcripts, OR Instructor s Verification Form for Fire Protection Organization and/or EMT 1. EMT EXPIRES: Fire Tech 1 EMT CA CERTIFICATION NUMBER 2. Application, Fire Academy Standards, Supplemental Questionnaire 3. Signed Statement of Applicant For Office Use Only Received By Date Time 14 Fall 2016