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1 Spring 2020 Firefighter 1 Academy Spring 2020 Fire Application Application Deadline: Friday, October 11, 2019 at 1200 hours. Will only accept application in-person or by mail postmarked by October 11 th . Sierra College Fire Technology Programs Roseville Center 316 Vernon St., Roseville (916) 781-6255 or (916) 781-6251 Mailing address: 5100 Sierra College Blvd. Rocklin, CA 95677

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Page 1: Firefighter 1 Academy Spring 2020 Fire Application · Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will

1 Spring 2020

Firefighter 1 Academy

Spring 2020 Fire Application

Application Deadline: Friday, October 11, 2019 at 1200 hours. Will only accept application in-person or by mail postmarked

by October 11th.

Sierra College Fire Technology Programs • Roseville Center • 316 Vernon St., Roseville (916) 781-6255 or (916) 781-6251

Mailing address: 5100 Sierra College Blvd. • Rocklin, CA 95677

Page 2: Firefighter 1 Academy Spring 2020 Fire Application · Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will

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Academy Announcement …………………………………………………………………………….. 3-6 Directions to Applicant for Completing this Packet ………………………………………………... 7

(Applications not submitted in proper order will not be accepted.)

Instructor’s Verification ……………………………………………………………………………….. 8 Statement of Applicant ………………………………………………………………………………. 9 Academy Application ………………………………………………………………………………… 10 Fire Academy Standards & Learning Assistant Program ………………………………………... 11 Supplemental Questionnaire ………………………………………………………………………… 12-13 Task Completion Checklist …………………………………………………………………………… 14

Sierra College Fire Technology Programs • Roseville Center • 316 Vernon St., Roseville (916) 781-6255 or (916) 781-6251

Mailing address: 5100 Sierra College Blvd. • Rocklin, CA 95677

Application Packet

(For students currently enrolled in Fire Protection Organization (Fire Tech 1) and/or EMT 1 (Health Science 2)

READ EVERYTHING!

Spring 2020

Application Packet Application Packet

Page 3: Firefighter 1 Academy Spring 2020 Fire Application · Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will

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Sierra College Firefighter I Academy

Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will be conducted in the Spring Semester of 2020 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 and Nevada County Public Safety Training Center, 213 Sierra College Drive, Grass Valley, CA

Dates: Roseville 20-1 Fire Academy will begin January 14, 2020, and conclude with

Graduation on May 24, 2020. Mandatory orientation meetings for Candidates will be conducted on: Monday, November 18, 2019 (FT 100 & KIN 97), will begin at 1800 hours. Thursday, November 21, 2019 (Evals.net, SCBA Fit test and PPE), will begin at 1400 hours. NCC 20-2 Fire Academy will begin January 27, 2020, and conclude with Graduation on May 8, 2020. Mandatory orientation meetings for Candidates will be conducted on: Tuesday, November 19, 2019 (FT 100 & KIN 97), will begin at 1800 hours. Friday, November 22, 2019 (Evals.net, SCBA Fit test and PPE), will begin at 1400 hours.

Corequisite: KIN 97: Students in FT 100 must also register in “Fire Academy Physical

Training,” 19-1 will begin January 13, 2020 and 19-2 will begin January 27, 2020. Registration details will be included in the Acceptance materials.

Prerequisites: Completion of Fire Protection Organization (Fire Tech 1) with a "C" or better and

a current California Emergency Medical Service Authority EMT-Basic, EMT-Intermediate or Paramedic certificate.

or

In Progress Prerequisite Courses: Applicants currently enrolled (Fall 2019 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).

Prerequisites,

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Continued: 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.

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 Wednesday, January 8, 2020 at 12pm.

Candidate Selection and Registration: Applications will be available on September 30, 2019 at 0800. Completed

applications will be accepted from September 30 through October 11, 2019 at 1200 hours.

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 e-mailed to selected candidates on or about Tuesday, October 29, 2019. DO NOT CALL the Fire Technology Program Office for materials unless you have not received an e-mail by November 1st, 2019.

Applicants with prerequisites in progress will be accepted into remaining

available spots pending proof of completion of prerequisites. An e-mail of acceptance, medical evaluation forms, and registration materials will be provided to selected candidates.

Applicants not selected will be e-mailed notification on or about October 29th, 2019.

Schedule: This will be a challenging and time consuming class, using an “extended” and

“full-time” scheduling format. Roseville 19-1 classes will be conducted on most weeknights and weekend days. NCC 19-2 classes will be conducted Monday through Friday with a couple of Saturdays. 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: Roseville 19-1 KIN 97: Monday & Wednesday 1800-2000 hours (location

varies). NCC 19-2 KIN 97: Week before the Academy Mon-Fri 0800-1200 hours.

When the Academy starts Monday & Wednesday 1800-2000 hours (location varies).

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Roseville 19-1 FT 100: Tuesdays, Thursday’s, & Friday’s 1800-2230 hours, and Saturdays and Sunday’s 0800-1800. A complete calendar will be distributed at the orientation. NCC 19-2 FT 100: Monday - Friday 0800-1700 hours. A complete calendar will be distributed at the orientation.

Units: FT 100 curriculum hours are 546.5 Hours in length, and the Units of

college credit 16. KIN 97 is 80 hours, for 2.5 Units, for a combined total of 18.5 Units. While enrolled in FT 100 and KIN 97, students will not be allowed to register at Sierra College for any additional units.

Certification: Upon successful completion of the Academy, students will meet the training requirements for the California State Fire Marshal Firefighter I. Student 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 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). Student completing the Academy will be eligible to apply for these additional certifications. 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, Hazardous Materials First Responder – Decontamination, 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) 660-7310.

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.

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Fees: Enrollment fees for the Spring 2020 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.

Following are estimated expenses to participate in the Academy.

Course Fees: Medical Evaluation and Spirometry

Varies; Evaluations are available at the Sierra College Health Center, Rocklin; call 916-660-7490 for an appointment. $50

Enrollment Fee $46.00 per unit x 18.5 units (Fire 100 16.5 units & KIN 97 2.5 units) $851

Health Fee payable once per semester $18

Student Center Fee payable once per semester $5

Certification Fees FSTEP (6 x $20) $120

Certificate Cover $5

Evals.net

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 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:

From approved vendors Details provided in registration packet.

$0.00

Textbook/Test Prep- Jones & Bartlett

Textbook, Student Workbook, Navigate EFOLIO, Companion Website, Course Manager, Navigate Test Prep. All in one complete price. $156

Additional Textbooks

Firefighter Handbook on Wildland Firefighting, 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 and one 2” Clearview, Red $40

SCBA $385

Structure gloves $65

Turnout rental $285

Turnout "Bunker" boots $119

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 pen, paper, computer ink, page protectors, and etc. $150

TOTAL (approximate) Course Fees + Course Materials $3,450 - 3,469

For additional information, contact Sierra College Fire Technology / EMT Programs at (916) 781-6251 or 781-6255.

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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 Kinesiology

97! 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: October 11, 2019 @ 1200 hours. Return the completed application packet and checklist in-person or by mail to the Fire Technology Programs

Office in Room 220 at the Roseville Center. 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) 781-6251 or 781-6255. 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 e-mailed a letter of

acceptance packet on or about October 29, 2019. Applicants selected for a wait list and all others will be

notified by e-mail as well. Do not call the Fire/EMT Program Office unless you have not received a letter of

notification of your status by November 1, 2019

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Instructor’s Verification

For students Currently Enrolled in Fire Protection Organization or EMT Basic

Emergency Medical Technician This is to verify that ____________________________________ is currently enrolled in an Emergency Medical

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 ___________________

Student Name

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 ___________________

Page 9: Firefighter 1 Academy Spring 2020 Fire Application · Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will

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Statement of Applicant

It is my intention to enroll in the Sierra College Firefighter I Academy, Fire Technology 100, and Kinesiology 97. I have read and understand the following:

I must attend Two mandatory orientation meetings on: Roseville 19-1

1. Monday, November 18, 2019 (FT 100 & KIN 97), will begin at 1800 hours. 2. Thursday, November 21, 2019 (Evals.net, SCBA Fit test and PPE), will begin at

1400 hours. NCC 19-2

3. Tuesday, November 19, 2019 (FT 100 & KIN 97), will begin at 1800 hours. 4. Friday, November 22, 2019 (Evals.net, SCBA Fit test and PPE), will begin at 1400

hours.

If I am not in my seat promptly at 1800, 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 KIN 97

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_________________________________________

Page 10: Firefighter 1 Academy Spring 2020 Fire Application · Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will

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Academy Application

PLEASE TYPE OR PRINT IN BLACK INK ONLY

NAME: LAST, FIRST, MIDDLE

WORK/CELL PHONE

EDUCATION:

FIRE EXPERIENCE: ___________________

Department: _____________________________ 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: __________________________________ Did you take Fire 99, if so when? ___________

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 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______________________

Total College Units: (Completed Units Only)

Cumulative GPA: Degree Completed:

Date Completed:

Major: School:

SIERRA COLLEGE STUDENT I.D.

ADDRESS ZIP STATE CITY

HOME

PHON

E

E-MAIL

( ) ( )

Page 11: Firefighter 1 Academy Spring 2020 Fire Application · Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will

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Fire Academy Standards And Sierra College Learning Assistant Program Information

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) 660-7220 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: http://www.sierracollege.edu/student-services/academic-support/tutoring/index.php and select the link for the Fall 2019 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: _____________________________

Page 12: Firefighter 1 Academy Spring 2020 Fire Application · Sierra College Firefighter I Academy Extended Format/Fire Technology 100 Fire Technology 100, the Firefighter I Academy, will

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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)?

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Name: ________________________ Date: _________________

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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- Roseville Josh Sunde Academy Director- NCC

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First Choice: Roseville 20-1 or NCC 20-2 Second Choice: Roseville 20-1 or NCC 20-2

T

This is the cover page when you turn in your application

(Please PRINT clearly and follow directions below)

NAME: LAST, FIRST, MIDDLE

Date of Birth: Age: Gender: Male Female County

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

------------------------------------------------------------------------------------------------------------------------------------------------

1. Proof of Prerequisites

2. Application, Fire Academy Standards, Supplemental Questionnaire 3. Signed Statement of Applicant

FT 1 IN PROGRESS

EMT IN PROGRESS

CA CERTIFICATION NUMBER

For Office Use Only

EMT EXPIRES:

_______

Copy of EMT 1 Certificate Card, Transcripts, OR Instructor’s Verification Form for

Fire Protection Organization and/or EMT 1.

WORK / CELL PHONE

SIERRA COLLEGE STUDENT I.D. NUMBER

HOME PHONE E-MAIL

( ) ( )

ADDRESS ZIP STATE CITY

Task Completion Checklist

Received By___________________________ Date____________________ Time____________

For Office Use Only

NREMT:

__________

_

For Office Use Only