CENTER FOR ALLIED HEALTH Mailing Address: P.O. Box 8, Wye Mills, MD 21679

Actual Location: Second floor of Memorial Hospital at Easton (410) 770-3511 or 827-5917 or Extension 5917 at 822-5400, 758-1537, or 228-4360

Dear Prospective Student: Thank you for your interest in our Nationally Registered Paramedic (NRP) Program. The field of EMS is a rapidly growing, fast paced and exciting profession for both the volunteer and career provider. The NRP Program is a 28-credit certificate program that meets once a week and about four Sundays each semester. The curriculum follows the National Emergency Medical Services Education Standards and prepares the EMT-Intermediate or CRT licensed individual to acquire the skills necessary to take the national certification and state protocol examinations for paramedics. It is anticipated that the fall 2015 classes will be held in the new Health Professions and Athletics Center (HPAC) on the main campus. The certificate may be applied to the requirements for an Associate of Applied Science degree in Emergency Medical Services. If you have a current Maryland CRT/EMT-I license and want to apply to our NRP Program please review the attached information and return the application and other required information in the enclosed envelope to the Chesapeake College Center for Allied Health. You may also visit www.chesapeake.edu/alliedhealth/ems for more information. Included in this packet is an "Application Check List" and detailed directions for taking the College Placement Exams. The application deadline is March 31st. A sample schedule of program tuition and fees are enclosed. Please call the Business Office if you need assistance. To see if you qualify for financial aid, please call the Financial Aid Office at 410-822-5400, ext. 2252. If you are not an EMS provider but are interested, please contact me. I can share information on how to get started in this exciting field. I may be reached by calling (410) 822-5400, extension 2724. Sincerely, Mr. Jon Longest, M.Ed., B.S., NRP EMS Program Director Rev. 9/2014 Field work, clinical placements, and certification/licensure will involve drug testing and /or background checks performed at the student’s expense.

Rev: 10/8/2014 12:19 PM

CENTER FOR ALLIED HEALTH P.O. Box 8, Wye Mills, MD 21679

(410) 770-3511 or 827-5917 or extension 5917 at any one of these numbers: (410) 822-5400, 758-1537, 228-4360

Application Check-List

Nationally Registered Paramedic Program (516) This checklist has been created to assist applicants in completing the admissions requirements. Admission to the NRP Program is limited, therefore, selection is competitive. Visit our website at www.chesapeake.edu/alliedhealth/ems for more information. Complete applications are the responsibility of the applicant and necessary for consideration for admission to the program. Please contact Mr. Jon Longest at jlongest@chesapeake.edu or at 410-822-5400 ext. 2724 if you have any questions.

All required information must be received by March 31 to be considered by the Admissions Committee

Please mail your application and all supporting documents to:

Chesapeake College/EMS Program P.O. Box 8

Wye Mills, MD 21679

All of the following must be completed in order for your application to be complete: Copy of high school diploma or GED cer tificate An official copy of your high school transcript is acceptable An official copy of your college transcript is acceptable if you have a degree

If you graduated from the CRT program at Chesapeake this information is already on file Copy of cur r ent CPR card Copy of cur r ent Maryland CRT-I card or National Registry EMT-I card/letter

Complete the college placement exams in English, reading and arithmetic. Please refer to “College Placement Exam Directions” that is included with this mailing for more details.

If you have taken the CRT program at Chesapeake you do not have to retake the placement exams. Apply to Chesapeake College

Admissions information can be found at http://chesapeake.edu/admissions/apply.asp. Applications can also be picked up at the Wye Mills and Cambridge campuses

If you took CRT the year immediately prior to applying for the paramedic course, you will need to submit another college application. (Required due to changing the major code)

Complete the pr ogr am specific application

It can be downloaded from the Chesapeake College website if the general college application has been completed and accepted.

Complete the "EMS Applicant Evaluation Form" Two company level supervisors will complete this form and forward it to Mr. Longest

Rev: 10/8/2014 12:18 PM

CENTER FOR ALLIED HEALTH P.O. Box 8, Wye Mills, MD 21679

(410) 770-3511 or 827-5917 or extension 5917 at any one of these numbers: (410) 822-5400, 758-1537, 228-4360

College Placement Exam Directions

This document will give additional directions and information about the college placement exams (CPE) that are required for the Cardiac Rescue Technician and Nationally Registered Paramedic Programs. The CRT and NRP Programs require that applicants take the college placement exams in reading, sentences, and arithmetic.

The passing score for arithmetic is 65 or higher. The passing score for sentences is 55 or higher. The passing score for reading is 79 or higher.

The following people are exempt from taking the CPE: ▪ Paramedic applicants that were admitted to the Chesapeake College CRT Program do not need to retake these exams. ▪ Applicants with a college degree An official college transcript must be sent to the college with your application. If the degree is from Chesapeake an official transcript is not required. ▪ Applicants who have completed ENG 094 and MAT 023 or higher level An official college transcript is required to verify and document a grade of "C" or better in each course. If the courses were taken at Chesapeake, an official transcript is not required. Procedures ▪ Prepare for the Assessment by accessing sample questions at

http://www.chesapeake.edu/testing/samplequestions.asp and complete exercises at www.math.com. SAT prep books can also provide a review before assessment.

▪ Schedule an assessment by calling the Testing Center at 410-822-5400 or 410-758-1537 or 410-228-4360, ext. 2344 or access www.chesapeake.edu/testing/testing.asp for hours of operation. ▪ Present photo ID ▪ Arrive at least two hours before closing time to take the assessment

▪ Request a printed copy of your results and attach them to your program specific application

▪ If retesting is necessary you must wait two weeks and complete a self-study before taking the test again. Only the first test is free of charge.

▪ If a passing score on these tests cannot be obtained, it will be necessary for the applicant to take the

appropriate English and/or a math course(s).

CHESAPEAKE COLLEGE

Academic Skills Assessment/*Reassessment Request

Date: ____________________________________________________________

Student: ____________________________________________________________

Program: Nationally Registered Paramedic

Assessment/Reassessment for: *Reading Comprehension: __X__ First _____ Second _____ Charge _____

*Sentence Skills: __X__ First _____ Second _____ Charge _____

*Arithmetic: __X__ First _____ Second _____ Charge _____

*Elementary Algebra: _____ First _____ Second _____ Charge _____

*College Algebra: _____ First _____ Second _____ Charge _____

Advisor’s Signature: Jonathan Longest

WIB Counselor (if applicable) _______________________________________________

*Reassessment only after 2 weeks and self-study has passed since the initial test.

Chesapeake College is Regional Community College and an Equal Opportunity Institution

1. Prepare for the Assessment by accessing sample questions at http://www.chesapeake.edu/testing/samplequestions.asp and complete exercises at www.math.com. SAT prep books also provide a review before Assessment.

2. Schedule an assessment by calling the Testing Center at 410-822-5400 or 410-758-1537 or 410-228-4360, ext. 2344 or access www.chesapeake.edu/testing/testing.asp for hours of operation.

3. Present a photo ID 4. Arrive at least two hours before closing time to take the assessment.

/ Cric

Chesapeake College Applicant Evaluation Form

EMS Program

Directions: This form is used by the college as an evaluation tool to assist in the admission process. Section one provides statistical and general information to assess EMS experience. Section two contains two evaluations that need to be completed by two separate supervisors or officers. If you have any questions about this form please call Mr. Jon Longest at 410-822-5400 ext.

2724 or email at jlongest@chespeake.edu. Please mail the completed form to: Mr. Jon Longest

Chesapeake College 219 Washington St. Easton, MD 21601

Thank you for taking the time to support your member and the Chesapeake College EMS Program.

Section One

Can be completed by company statistician

Additional Comments:

EMT/CRT Experience Date of initial EMT/CRT certification (month/year)

Number of EMS calls this year to date

Number of EMS calls last year

Total number of EMS calls with your company

Any additional EMS duties/positions

Applicant's Name:_____________________________

2

Evaluation 1

5 4 3 2 1

Communication Skills: Interacts with patients and other members of the EMS

Department in an appropriate manner. Performs and reports patient assessments, completely and proficiently.

ADDITIONAL COMMENTS:

5 4 3 2 1

Leadership Skills and Abilities: Ability to successfully lead the EMS team during while providing patient care. ADDITIONAL COMMENTS:

DATE OF EVALUATION: EVALUATOR:

Please rate the applicant in the following categories

GRADING SCALE

5 Very Good

4 Good

3 Needs minor improvement

2 Needs major improvement

1 Unacceptable

(CIRCLE) APPLICANT EVALUATION

5 4 3 2 1

Professionalism / Attitude: The applicant's behavior demonstrates integrity,

empathy, self motivation, self-confidence, team work, diplomacy, respect, patient advocacy, careful delivery of service, appropriate appearance and personal hygiene.

ADDITIONAL COMMENTS:

5 4 3 2 1

Learner Characteristics: Accepts constructive criticism, takes personal responsibility

for self-improvement. ADDITIONAL COMMENTS:

5 4 3 2 1

Medical Knowledge: Does the applicant provide excellent patient care and

demonstrates proper Basic Life Support patient management.

ADDITIONAL COMMENTS:

3

Signature:

Title:

Date:

What are the applicant's strengths as an EMS Provider:

What are area(s) the applicant need to improve upon:

4

Evaluation 2

5 4 3 2 1

Communication Skills: Interacts with patients and other members of the EMS

Department in an appropriate manner. Performs and reports patient assessments, completely and proficiently.

ADDITIONAL COMMENTS:

5 4 3 2 1

Leadership Skills and Abilities: Ability to successfully lead the EMS team during while providing patient care. ADDITIONAL COMMENTS:

DATE OF EVALUATION: EVALUATOR:

Please rate the applicant in the following categories

GRADING SCALE

5 Very Good

4 Good

3 Needs minor improvement

2 Needs major improvement

1 Unacceptable

(CIRCLE) APPLICANT EVALUATION

5 4 3 2 1

Professionalism / Attitude: The applicant's behavior demonstrates integrity,

empathy, self motivation, self-confidence, team work, diplomacy, respect, patient advocacy, careful delivery of service, appropriate appearance and personal hygiene.

ADDITIONAL COMMENTS:

5 4 3 2 1

Learner Characteristics: Accepts constructive criticism, takes personal responsibility

for self-improvement. ADDITIONAL COMMENTS:

5 4 3 2 1

Medical Knowledge: Does the applicant provide excellent patient care and

demonstrates proper Basic Life Support patient management.

ADDITIONAL COMMENTS:

5

Signature:

Title:

Date:

What are the applicant's strengths as an EMS Provider:

What are area(s) the applicant need to improve upon:

# of REGISTRATION CONSOLIDATED CAPITAL # ofHours TUITION FEE FEE IMPR. FEE TOTAL Hours

(PER CREDIT)

1 $110.00 $10.00 $32.00 $15.00 $167.00 12 $220.00 $10.00 $64.00 $15.00 $309.00 23 $330.00 $10.00 $96.00 $15.00 $451.00 34 $440.00 $10.00 $128.00 $15.00 $593.00 45 $550.00 $10.00 $160.00 $15.00 $735.00 56 $660.00 $10.00 $192.00 $15.00 $877.00 67 $770.00 $10.00 $224.00 $15.00 $1,019.00 78 $880.00 $10.00 $256.00 $15.00 $1,161.00 89 $990.00 $10.00 $288.00 $15.00 $1,303.00 9

10 $1,100.00 $10.00 $320.00 $15.00 $1,445.00 1011 $1,210.00 $10.00 $352.00 $15.00 $1,587.00 1112 $1,320.00 $10.00 $384.00 $15.00 $1,729.00 1213 $1,430.00 $10.00 $416.00 $15.00 $1,871.00 1314 $1,540.00 $10.00 $448.00 $15.00 $2,013.00 1415 $1,650.00 $10.00 $480.00 $15.00 $2,155.00 1516 $1,760.00 $10.00 $512.00 $15.00 $2,297.00 1617 $1,870.00 $10.00 $544.00 $15.00 $2,439.00 1718 $1,980.00 $10.00 $576.00 $15.00 $2,581.00 18

Special course delivery charges are also not included in the above.

Please note: Selected course fees for FSM, NUR, PTA, RSR and WEL are NOT included in the above chart as the fees differ by course.

FY15 IN-COUNTY TUITION CHARTEFFECTIVE SUMMER 2014

# of REGISTRATION CONSOLIDATED CAPITAL # ofHours TUITION FEE FEE IMPR. FEE TOTAL Hours

(PER CREDIT)1 $255.00 $10.00 $32.00 $30.00 $327.00 12 $510.00 $10.00 $64.00 $30.00 $614.00 23 $765.00 $10.00 $96.00 $30.00 $901.00 34 $1,020.00 $10.00 $128.00 $30.00 $1,188.00 45 $1,275.00 $10.00 $160.00 $30.00 $1,475.00 56 $1,530.00 $10.00 $192.00 $30.00 $1,762.00 67 $1,785.00 $10.00 $224.00 $30.00 $2,049.00 78 $2,040.00 $10.00 $256.00 $30.00 $2,336.00 89 $2,295.00 $10.00 $288.00 $30.00 $2,623.00 9

10 $2,550.00 $10.00 $320.00 $30.00 $2,910.00 1011 $2,805.00 $10.00 $352.00 $30.00 $3,197.00 1112 $3,060.00 $10.00 $384.00 $30.00 $3,484.00 1213 $3,315.00 $10.00 $416.00 $30.00 $3,771.00 1314 $3,570.00 $10.00 $448.00 $30.00 $4,058.00 1415 $3,825.00 $10.00 $480.00 $30.00 $4,345.00 1516 $4,080.00 $10.00 $512.00 $30.00 $4,632.00 1617 $4,335.00 $10.00 $544.00 $30.00 $4,919.00 1718 $4,590.00 $10.00 $576.00 $30.00 $5,206.00 18

Special course delivery charges are also not included in the above.

Please note: Selected course fees for FSM, NUR, PTA,RSR and WEL are NOT included in the above chart as the fees differ by course.

FY15 OUT-OF-STATE TUITION CHARTEFFECTIVE SUMMER 2014

# of REGISTRATION CONSOLIDATED CAPITAL # ofHours TUITION FEE FEE IMPR. FEE TOTAL Hours

(PER CREDIT)1 $178.00 $10.00 $32.00 $30.00 $250.00 12 $356.00 $10.00 $64.00 $30.00 $460.00 23 $534.00 $10.00 $96.00 $30.00 $670.00 34 $712.00 $10.00 $128.00 $30.00 $880.00 45 $890.00 $10.00 $160.00 $30.00 $1,090.00 56 $1,068.00 $10.00 $192.00 $30.00 $1,300.00 67 $1,246.00 $10.00 $224.00 $30.00 $1,510.00 78 $1,424.00 $10.00 $256.00 $30.00 $1,720.00 89 $1,602.00 $10.00 $288.00 $30.00 $1,930.00 9

10 $1,780.00 $10.00 $320.00 $30.00 $2,140.00 1011 $1,958.00 $10.00 $352.00 $30.00 $2,350.00 1112 $2,136.00 $10.00 $384.00 $30.00 $2,560.00 1213 $2,314.00 $10.00 $416.00 $30.00 $2,770.00 1314 $2,492.00 $10.00 $448.00 $30.00 $2,980.00 1415 $2,670.00 $10.00 $480.00 $30.00 $3,190.00 1516 $2,848.00 $10.00 $512.00 $30.00 $3,400.00 1617 $3,026.00 $10.00 $544.00 $30.00 $3,610.00 1718 $3,204.00 $10.00 $576.00 $30.00 $3,820.00 18

Special course delivery charges are also not included in the above.

Please note: Selected course fees for FSM, NUR, PTA, RSR and WEL are NOT included in the above chart as the fees differ by course.

FY15 OUT-OF-COUNTY TUITION CHARTEFFECTIVE SUMMER 2014