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ST. ANTHONY HOSPITAL* INSTITUTE OF EMERGENCY MEDICAL TRAINING
PARAMEDIC ACADEMY
Cycle #93/ January 2012
Application Deadline Monday November 19, 2012
Application Testing Tuesday November 27th at 0900 or Thursday November 29th at 1700
All information included on this form is subject to change
COURSE COMPLETION/LENGTH: COURSE CLASS SIZE: 12 Minimum
The course is divided into three sections:
Section I Beginning of Didactic Hours to Midpoint
Section II Midpoint to Final Examination 512 – 600 hours
Section III Hospital Clinical Rotations 184 – 230 hours
Field Internship 500 hours
Total Course 1,196 – 1330 hours (without A&P)**
Students are allowed up to 16 weeks from the final examination to complete all sections of the course and finish the
Academy in ten months or they have the option of completing Sections II & III concurrently to finish in six months.
*Note: Anatomy & Physiology is included in the St. Anthony Paramedic Program.
Those applicants who have successfully completed A&P 201 & 202
will not be required to attend class on the days A&P are taught within the Paramedic Academy.
**Additional classroom hours for A&P will be added to total course hours (for those students requiring it)
COST/FEES:
$ 50 Processing & testing fee to be returned with application (non-refundable)
$ Tuition $6,050 paid directly to St. Anthony PreHospital Services (subject to change)
ADDITIONAL COSTS NOT INCLUDED IN THE TUITION
Books are approximately $650-800 (available through Red Rocks Community College Bookstore)
Uniforms approximate cost $200
GENERAL INFORMATION
The Paramedic Academy is presented by St. Anthony Hospital PreHospital Services. The Paramedic Program
Administrative staff includes Gerald Estep, MD, FACEP, Scott Phillips, BS, NREMT-P and Tracy Collins, RN, BSN,
NREMT-P and Marilyn Bourn, RN, MS, NREMT-P. Principal faculty for the Paramedic Academy includes emergency
physicians, registered nurses and paramedics. Adjunct faculty is comprised of professionals from other inter-related fields.
The Paramedic Academy is accredited by the Commission on Accreditation of Allied Health Education Programs in
cooperation with the Joint Review Committee on Educational Programs for EMT-Paramedic. The Colorado Community
College and Occupational Education Systems also recognize Paramedic Academy for 49 college semester credits.
The course content prepares the student for advanced emergency medical care under the direct radio/telephone
communication of an emergency physician or within the protocols set forth by their physician advisor. Field/clinical
experience is provided to our students. These clinical hours are in specialized critical care areas. Additional field
experience is provided through affiliated EMS agencies. Successful course completion includes certification in Advanced
Cardiac Life Support, Pediatric Advanced Life Support, Pediatric Education for Pre-Hospital Providers and International
Trauma Life Support. Graduates of the Paramedic Academy are eligible to apply for certification with the National
Registry of EMT-Paramedics and the State of Colorado.
The course is approved for Montgomery G.I. Veteran Benefits and Workforce Grants. Other government and private
scholarship funds may be available. For more information contact Jami Cavos at 720-321-8972 or jamicavos@centura.org.
STUDENT ELIGIBILITY
Step I - Prerequisites: Documentation of the following MUST be submitted with your application to the St. Anthony
PreHospital Services Office in order to be considered for the Paramedic Academy. All documents must be
Current EMT-Basic or EMT-Intermediate certification
Current Healthcare Provider - CPR Certification
High school diploma, GED, unofficial college transcript or college diploma.
Proof of 10 grade reading level or above. May be any of the following: 1) Unofficial College Transcript
th
2) Copy of College Degree 3) College Placement Testing (i.e. Accuplacer, Compass, ACT/SAT Scores)
OR 4) Workforce Development assessment testing (see bottom of this page for test locations)
IV/MAST course completion certification (if applicant is an EMT-Basic)
Basic EKG course completion documentation within the last 3 years (if applicant is an EMT-Basic)
Four (4) Recommendation letters (All letters must be original, on letterhead and signed. E-mails not
accepted) Examples include but are not limited to:
o Primary EMS Agency
o Current Employer (non-EMS)
o Primary Agency Physician Advisor
o Professional letters of reference (Non-EMS work related letters are acceptable)
o Personal letters of reference
*Note: Anatomy & Physiology (BIO 201 & 202) is not a requirement for admission to the program.
Anatomy & Physiology (BIO 106) is included in the program.
Step II Submit application to the St. Anthony’s PreHospital Office by Monday November 19, 2012
Incomplete applications, missing any documentation, essay questions, or processing fees, will be returned.
Step III Applicants meeting the eligibility requirements
Required: EMT-Basic Knowledge/Assessment Test (must be passed with an 80% or greater). Test will be
given on November 27th at 0900 or 29th at 1700 hours at St. Anthony EMS Building.
Step IV: Successful Applicants
Will be notified by the EMS Office. Please do not telephone for results.
Step V: Upon acceptance into the Paramedic Academy and no later than the first day of class, students must provide
the following to the PreHospital Services Office:
PreCheck, Inc back ground Investigation with national healthcare provider clearance approval verification.
CBI/FBI fingerprint-based criminal history record check is NOT acceptable as substitute.
Completed and signed SAC Health form of verification of good health including:
o Measles, Mumps and Rubella record
o Hepatitis B vaccination series started
o Seasonal Flu vaccination (based upon State of Colorado recommendation)
o Tuberculosis Testing (PPD) current with in the last six months (NOTE: Student MUST maintain current
TB testing throughout the duration of the Paramedic Academy
Tuition paid in full or documentation of tuition guarantee (i.e. agency sponsorships, VA, Workforce or student
loan approval, etc). Students leaving the Paramedic Academy early will be eligible for a prorated refund based
upon length of attendance and less a $300 seat fee.
Mail completed applications with all required documentation to:
St. Anthony PreHospital Services
34 Van Gordon Street, 2nd Floor Suite 200
Lakewood, Colorado 80228
720-321-8972
APPLICATIONS MISSING ANY DOCUMENTATION or
INCOMPLETE APPLICATIONS (INCLUDING ESSAY QUESTIONS) WILL BE RETURNED.
APPLICATION DEADLINE IS MONDAY - NOVEMBER 19, 2012
Compass or Accuplacer Test College Assessment Centers
Red Rocks Community College Lakewood Campus - 303.914.6720 or www.rrcc.cccoes.edu/assessment
Colorado Mountain College/Breckenridge - 970-453-6757 ex 2619 or www.coloradomtn.edu
Pueblo Community College – contact Assessment Center @719-549-3382 to schedule
or Contact other Community College Assessment/Testing Centers near you for possible testing
Adams County Workforce & Business Center 303-453-8653 or wiainfo@co.adams.co.us
ST. ANTHONY HOSPITALS - PARAMEDIC ACADEMY
PARAMEDIC SCHOOL APPLICATION
NOTE: Check for $50 to St. Anthony Hospital (processing & testing fees) must accompany this application, or your
application will not be considered and will be returned. These fees are non-refundable and non-transferable.
PLEASE PRINT
Name (last) _____________________________ (first) ________________ (middle) __
Address _______________________________________________
city ____________________ state __________ zip code ___________
home phone _____________________________ work phone _____________________ e-mail _____________________
date of birth _______________ social security # _________________
Primary EMS agency affiliation _____________________________ years with agency ________________________
Secondary EMS agency affiliation _____________________________ years with agency ________________________
Does your primary EMS agency /Physician Advisor support your decision to attend Paramedic training? Yes No
PHOTOCOPIES OF ALL DIPLOMAS, CERTIFICATES and COLLEGE TRANSCRIPTS
MUST ACCOMPANY THIS APPLICATION
CERTIFICATIONS
CPR Healthcare Provider Certification issued by ________________- expiration date ______________
EMT-Basic Certification issued by the state of _________________- expiration date ________________
EMT-Intermediate Certification issued by the state of ________________- expiration date ______________
National Registry * Level _________ number ________________________ expiration date ________________
EDUCATION
Initial EMT-Basic school ________________________ Dates _________ to _________
Initial EMT-Intermediate school ________________________ Dates _________ to _________
IV/MAST Approval Course school ________________________ Dates _________ to _________
EKG Course school ________________________ Dates _________ to _________
Anatomy & Physiology I College ______________________ Dates _________ to _________
Anatomy & Physiology II College _____________________ Dates _________ to _________
High School ______________________ Dates _________ to _________ diploma GED
College _______________________ Dates _________ to _________ degree ________
Additional Education (list) _________________________________________________________________________________
WORK EXPERIENCE (list your last 3 jobs starting with current employer)
1 company ________________ city/state________________ phone ____________ dates employed ______ to________
2 company ________________ city/state________________ phone ____________ dates employed ______ to________
3 company ________________ city/state________________ phone ____________ dates employed ______ to________
List two friends or relatives who may be contacted in an emergency.
1 name _________________________ phone ________________ relationship ________________
2 name _________________________ phone ________________ relationship ________________
Have you ever been convicted of a felony? yes no
If yes, please explain
I have previously attended courses at St. Anthony yes no
ESSAY QUESTIONS
Please answer the following questions. Each response MUST be typed, on SEPARATE sheets, and returned
with your application.
1. Describe an incident in which you assisted another person to resolve a difficult situation.
2. How do you see your past experiences and knowledge contributing to a career in Paramedicine and
Emergency Medical Services.
3. Describe your short and long-range professional goals.
STUDENT AGREEMENT: I understand that should I fail to comply with any of the specified requirements of
this application, or if I have made any misrepresentations in the information contained herein, that I could be
dismissed or my certificate of completion withheld, without refund of tuition and/or fees paid. I further
understand that acceptance into any course is left to the discretion of the Institute and available space. I also
understand that submission of an application does not guarantee acceptance into the Paramedic Academy.
In addition, I understand that I am responsible for payment of all fees and tuition IN FULL, the first day of
class, unless other arrangements for payment have been made in advance. I further understand that I am
responsible for providing my class uniform, books, and other personal items needed for successful course
completion.
By signing below, I authorize the St. Anthony Institute of Emergency Medical Training to conduct appropriate
background, employment and credit investigations as needed to process this application.
______________________________________________________ ______________________________________
applicant's signature date
print name _____________________________________________________
This Institute does not discriminate on the basis of race, color, national origin, ancestry, martial status, sex, sexual
orientation, religion, age, disability, or veteran’s status. We reserve the right to cancel any program that does not meet the
minimum number for student enrollment.
