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California Institute of Emergency Medical Training Enrollment agreement

2669 Myrtle Ave. #201-203
Long Beach, CA 90755

This course enables EMT-Basic certified students to obtain 24 hours or more of continuing education and to take the practical skill exam required by the County of Los Angeles EMS Agency and the State of California for renewal of EMT-Basic certification. The course objective is to refresh didactic knowledge and practical skills the EMT-Basic student learned in their initial certification course. Equipment required for the course of study such as stethoscopes, blood pressure cuffs, splitting devices and spinal boards will be provided by the school at no cost to the student.

The course of instruction fee is thirty dollars per six hour block of course content. Students needing continuing education are not required to take a full twenty four (24) hours of CE. Students are required to attend seven (7) hours minimum at one time to receive seven (7) hours worth of CE. If the student requires a practical skills exam the fee is eighty-five dollars and includes one re-test if necessary.

Cancellation and refund policy: BUYERS RIGHT TO CANCEL

Students who require CE hours or a practical skills exam must pay in full at the time of registration. Cancellation of a registered CE class or practical skills exam can be made anytime up until twenty four (24) hours before the first class or course with a full refund. If cancellation is less then twenty four hours before the registered start date of the CE hours class or practical skills exam the payment is considered non-refundable. The student has the option to use the payment as a credit for future CE hours or a practical skills exam. (Matt Goodman, CIEMT Program Director, 562-989-1520, MG@CIEMT.COM)

Student Services:

Student services at the CIEMT consist of both a reference library and online web access at the school to broaden student research options. If necessary, academic counseling will be provided at no cost to the student.

 

My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that the institution’s cancellation and refund policies have been clearly explained to me.

The full amount is due as a lump sum and must be paid to CIEMT no later then the beginning of the first day of instruction of the course. Please indicate how many hours you require and check the box next to skill testing fee if you need a skill exam.

EMT-Basic Refresher/Continuing Education $30.00 per 7 hrs of CE

Practical Skills Testing Fee $85.00

TOTAL COURSE CHARGE

YOU ARE RESPONSIBLE FOR THIS AMOUNT. IF YOU GET A STUDENT LOAN,
YOU ARE RESPONSIBLE FOR REPAYING THE LOAN AMOUNT PLUS ANY INTEREST.

 

 

 

STUDENT SIGNATURE________________________DATE____________

This agreement is a legally binding instrument when signed by the student and accepted by the school.

You must pay the state-imposed fee for the Student Tuition Recovery fund (STRF) if all of the following applies to you:

1. You are a student, who is a California resident and prepays all or part of your tuition either in cash, guarantee student loans, or personal loans, and
2. Your total charges are not paid by any third party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party.

You are not eligible for protection from the STRF and you are not required to pay the STRF fee, if either of the following applies:

1. You are not a California resident.
2. Your total charges are paid for by a third party, such as an employer, government program or other payer unless you have a separate agreement to repay the third party.

If you have any complaints, questions or problems which you cannot work out with the school, write or call: Bureau for Private Postsecondary and Vocational Education at 1825 North Market Blvd. Suite S-202 Sacramento California 95834 (916) 574-7783.

Download Enrollment Agreement

California Institute of Emergency Medical Training Enrollment agreement

WILSON CAMPUS
13933 Crenshaw Blvd. #201
Hawthorne CA, 90250

This course enables EMT-Basic certified students to obtain the 24 hours of continuing education and to take the practical skill exam required by the County of Los Angeles EMS Agency, the State of California and the NREMT for renewal of EMT-Basic certification. The course objective is to refresh didactic knowledge and practical skills the EMT-Basic student learned in their initial certification course. Equipment required for the course of study such as stethoscopes, blood pressure cuffs, splitting devices and spinal boards will be provided by the school at no cost to the student.

The student may attend a four (4) day 24 hr. Refresher Course given on Fri (6pm-10pm) Sat (8am-6pm) Sun (8am-6pm) Mon (5pm-10pm) at the end of every month. Each student will receive a refresher guidebook designed by the CIEMT. The students will be required to take a 150 question written exam and practical skills test at the end of the course to complete the County of Los Angeles EMS Agency and State of California requirements for re-certification. This course includes the American Heart Association CPR/AED certification. (The 150 question written and skills exams are given on the last Monday of the four (4) day 24 hr. Refresher Course starting at 8:00am) Course fee is $180.00

Refresher Course Hrs.

Didactic 16.0 Hrs

Practical Skills 9.0 Hrs

Total Course Hrs 25.0 Hrs

Practical Skills Testing 1.5 Hrs each student

Written Exam 2.5 Hrs

Cancellation and refund policy: BUYERS RIGHT TO CANCEL

Students who require the EMT-Basic Refresher Course must pay in full at the time of registration. Cancellation of a registered EMT-Basic Refresher Course can be made anytime up until twenty four (24) hours before the course with a full refund. If cancellation is less then twenty four hours (24) before the registered start date of the EMT-Basic Refresher Course the payment is considered non-refundable. The student has the option to use the payment as a credit for future EMT-Basic Refresher Course. (Matt Goodman, CIEMT Program Director, 562-989-1520, MG@CIEMT.COM)

Student Services:

Student services at the CIEMT consist of both a reference library and online web access at the school, to broaden student research options. If necessary, academic counseling will be provided at no cost to the student.

 

My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that the institution’s cancellation and refund policies have been clearly explained to me.

EMT-Basic Refresher 4 day Course $180.00

YOU ARE RESPONSIBLE FOR THIS AMOUNT. IF YOU GET A STUDENT LOAN, YOU ARE RESPONSIBLE FOR REPAYING THE LOAN AMOUNT PLUS ANY INTEREST.

 

 

 

STUDENT SIGNATURE________________________DATE____________

This agreement is a legally binding instrument when signed by the student and accepted by the school.

You must pay the state-imposed fee for the Student Tuition Recovery fund (STRF) if all of the following applies to you:

1. You are a student, who is a California resident and prepays all or part of your tuition either in cash, guarantee student loans, or personal loans, and
2. Your total charges are not paid by any third party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party.

You are not eligible for protection from the STRF and you are not required to pay the STRF fee, if either of the following applies:

1. You are not a California resident.
2. Your total charges are paid for by a third party, such as an employer, government program or other payer unless you have a separate agreement to repay the third party.

If you have any complaints, questions or problems which you cannot work out with the school, write or call: Bureau for Private Postsecondary and Vocational Education at 1825 North Market Blvd. Suite S-202 Sacramento California 95834 (916) 574-7783.

Download Enrollment Agreement

HYBRID COURSE INFORMATION

Welcome to the CIEMT hybrid EMT course.

BELOW IS IMPORTANT INFORMATION YOU WILL NEED TO KNOW ABOUT THIS COURSE.

 

PLEASE READ THIS ENTIRE DOCUMENT AND FOLLOW THE DIRECTIONS.

 

This course consists of Online work (both reading and doing assignments in an online EMT manual or “E-Text”), as well as weekly “Live” Classroom sessions, and on site Skill Days spaced throughout the course. The “Live Classroom Sessions” will be “live streamed” on the GoToTraining platform so you will need to have internet access, a microphone, and an internet camera to participate in these sessions. The weekend before the course begins you will be emailing the information needed to attend the Monday “Live” E Classroom sessions.

 

During your first Monday “Live” E classroom you receive a link and be given your program COURSE CODE so that you can purchase the E-Text and start the on line course work. You will be buying this manual directly from the publisher. The cost of this E-book is NOT included in your tuition.

 

In addition to the E-book and the Live Classroom Sessions there will also be a total of 5 Skill Days where you will have to travel to one of our campuses for skill training and testing. Your online coursework, live classroom sessions, and Skill Days work closely together and are “paced” meaning that to succeed you will need to keep up with assigned course work, attend the live sessions, AND attend the Skill Days.

 

Prerequisites

 

HIGH SCHOOL DIPLOMA OR EQUIVALENT

The state bureau of post-secondary schools (one of our regulatory bodies) requires that all students have a High School Diploma or its equivalent in order to be enrolled in one of our EMT programs.  Please obtain and print out a copy for your file. (More information will be provided on the first Live On-line Session.) A copy of your college degree is also sufficient to meet this requirement.

 

CPR FOR HEALTHCARE PROFESSIONALS

CPR for “Healthcare Providers,” or “Professional Rescuers” is a PREREQUISITE for this course. You need to obtain this certification prior to the beginning of the course. Our Main Campus can provide this training for you at a discounted rate if you do not already have it. Contact them at admin@ciemt.com for more information and to arrange training.

 

NOTE:

A packet will be emailed to you containing documents that we will go over with you on the first night of class. Please PRINT THE DOCUMENTS OUT and be ready to go over when we begin our first “Live Classroom Online Session” which is the “Start Date” for the class you are enrolled in.

 

THE FIRST LIVE ONLINE SESSION WILL BE AT 6pm WEST COAST TIME ON THE START DATE OF YOUR CLASS. BE PREPARED TO LOG IN ABOUT 15 MINUTES EARLY TO MAKE SURE YOU CAN CONNECT.

 

SEE YOU THEN!

 

California Institute of Emergency Medical Training – Hybrid Enrollment Agreement

Skills instruction will be provided at these locations:

2669 Myrtle Ave. # 201-203 Long Beach, CA 90755 (Main Campus)

13933 Crenshaw Blvd Hawthorne CA 90250 (Satellite Campus)

 

This program consists of a combination of Online work and classroom sessions (for practical skill training,  skill testing and final written testing) and is designed to give the student the skill and knowledge needed to function as a working Emergency Medical Technician and to facilitate passing the National Registry Exam. All equipment required for the practical skills such as stethoscopes, blood pressure cuffs, splinting devices and spinal boards will be provided by the school at no cost to the student.  The program is intended for those who want to gain employment as a firefighter, emergency care technician at a hospital, as an ambulance driver or attendant. It is also for those individuals who are planning on attempting to obtain a higher level of medical training such as RN, PA or MD as an enhancement for the competitive application process for those professions.

 

Initial Certification Program for Emergency Medical Technician (EMT):

Course Work E-book on JB-Learning                                                                                                               133Hrs

Live online Meetings                                                                                                                                            22Hrs

On Site Practical Skills Training                                                                                                                        28Hrs

Clinical                                                                                                                                                                     24Hrs

Total Class                                                                                                                                                             207 Hrs

 

Cancellation and refund policy: STUDENT’S RIGHT TO CANCEL

Students are required to submit a two hundred dollar ($200.00) registration fee as a condition of registration for the Hybrid for EMT Program. Cancellation will provide the student a full refund only if cancellation is made before the first lesson and material are received. If cancellation is made after the first lesion and materials are received for the course, the registration fee ($200.00) is considered non-refundable. Cancellation is effective on the date written notice of cancellation is sent. You may send a date verifiable e-mail to the CIEMT course program directors e-mail address. If the provisions of cancellation described herein are not met the registration fee is considered non-refundable. (Matthew Goodman CIEMT Program Director, 562 989-1520, Admin@CIEMT.COM)

 

The first lesson and any materials will be transmitted to any student within seven days after the institution accepts the student for admission. The institution shall transmit all lessons and materials to the student if the student has fully paid for the educational program. If the institution transmits the balance of the materials as the student requests, the institution shall remain obligated to provide the other educational services it agreed to provide, but shall not be obligated to pay any refund after all of the lessons and materials are transmitted.

 

Student Services:

If necessary, academic counseling will be provided at no cost to the student at the start of the second week and third week of the Initial Certification Program for the Hybrid Emergency Medical Technician course. The need for counseling and subsequent tutorial recommendations will be determined by a thorough review of both academic grades on daily quizzes and practical skills performance evaluation. Tutoring will be available for a nominal fee by qualified CIEMT instructors, approved and designated by the program director. It is the student’s responsibility to seek assistance and or tutoring when he/she feels it may be needed.

 

The CIEMT refund policy for the Hybrid EMT Program: Students who withdraw from the Hybrid EMT Program prior to the 60 percent point (prior to the start of Skills Session # 2) of the course will receive a prorated refund calculated as follows.

1. A registration fee of $200 dollars will be deducted from the total tuition.
2. An electronic textbook fee of $157.17 is non-refundable if the access code has been used. The code, once used, belongs to the student and is valid for 12 months on the JBL platform (not course).
3. The remaining figure will be divided by the number of expected hours spent in the program. Each “Section” of the Hybrid EMT Program will be assigned a number of hours based upon estimated time needed to complete each section. The course consists of 183 hours of instruction over a 10-week period. You will spend on average 18.3 hours per week or 2.61 hours per day.
4. The sum arrived at through the calculation of #2 is the cost per hour for the training.
5. The amount owed by the student is derived by multiplying the total expected hours spent in the Hybrid program by the hourly charge for instruction plus the amount of the registration fee and materials fee.
6. The refund shall be any amount in excess of the figure derived in #4.
7. The student must exercise his or her right to cancel or withdraw before 60% of the Hybrid EMT Program is completed.
8. The student must exercise his or her right to cancel or withdraw before attending skills day 2. For your EMT program the date will be __________________20

Example: A student withdraws from the CIEMT HYBRID EMT course on Friday of Week 5 in the course. This is day 33 of the course or 86.1 hours into the course. The refund of tuition would be calculated as follows:

Example: A student withdraws from the CIEMT HYBRID EMT course on Friday of Week 5 in the course. This is day 33 of the course or 86.1 hours into the course. The refund of tuition would be calculated as follows:

1. $1158.53 Course Fee – $200.00 Registration Fee =$958.53
2. $958.53 divided by the number of hours in the program 179 Hrs. = $5.35 per hour.
3. The amount owed by the student would be 86.1 hours X the hourly rate of $5.35 = $460.35 plus the registration fee of $200.00 equaling a student owed amount of $660.35
4. The amount in excess and refund to the student would be tuition amount $1158.53 – $660.35 the amount owed by the student, which would equal a refund amount paid to the student of $498.18

Note: Students that reach the 60 percent point (by the start of Skill Session #2) in the Hybrid EMT Program will receive no refund. To officially withdraw from the course the student MUST send date verifiable e-mail to the CIEMT course program directors e-mail address admin@ciemt.com.

 

Student Tuition Recovery Fund

“The State of California established the Student Tuition Recovery Fund (STRF) to relieve or mitigate economic loss suffered by a student in an educational program at a qualifying institution, who is or was a California resident while enrolled, or was enrolled in a residency program, if the student enrolled in the institution, prepaid tuition, and suffered an economic loss. Unless relieved of the obligation to do so, you must pay the state-imposed assessment for the STRF, or it must be paid on your behalf, if you are a student in an educational program, who is a California resident, or are enrolled in a residency program, and prepay all or part of your tuition.

You are not eligible for protection from the STRF and you are not required to pay the STRF assessment, if you are not a California resident, or are not enrolled in a residency program.”

(b) In addition to the statement required under subdivision (a) of this section, a qualifying institution shall include the following statement in its school catalog: “It is important that you keep copies of your enrollment agreement, financial aid documents, receipts, or any other information that documents the amount paid to the school. Questions regarding the STRF may be directed to the Bureau for Private Postsecondary Education, 2535 Capitol Oaks Drive, Suite 400, Sacramento, CA 95833, (916) 431-6959 or (888) 370-7589.

To be eligible for STRF, you must be a California resident or are enrolled in a residency program, prepaid tuition, paid or deemed to have paid the STRF assessment, and suffered an economic loss as a result of any of the following:

1. The institution, a location of the institution, or an educational program offered by the institution was closed or discontinued, and you did not choose to participate in a teach-out plan approved by the Bureau or did not complete a chosen teach-out plan approved by the Bureau.
2. You were enrolled at an institution or a location of the institution within the 120 day period before the closure of the institution or location of the institution, or were enrolled in an educational program within the 120 day period before the program was discontinued.
3. You were enrolled at an institution or a location of the institution more than 120 days before the closure of the institution or location of the institution, in an educational program offered by the institution as to which the Bureau determined there was a significant decline in the quality or value of the program more than 120 days before closure.
4. The institution has been ordered to pay a refund by the Bureau but has failed to do so.
5. The institution has failed to pay or reimburse loan proceeds under a federal student loan program as required by law, or has failed to pay or reimburse proceeds received by the institution in excess of tuition and other costs.
6. You have been awarded restitution, a refund, or other monetary award by an arbitrator or court, based on a violation of this chapter by an institution or representative of an institution, but have been unable to collect the award from the institution.
7. You sought legal counsel that resulted in the cancellation of one or more of your student loans and have an invoice for services rendered and evidence of the cancellation of the student loan or loans.
   To qualify for STRF reimbursement, the application must be received within four (4) years from the date of the action or event that made the student eligible for recovery from STRF.

A student whose loan is revived by a loan holder or debt collector after a period of noncollection may, at any time, file a written application for recovery from STRF for the debt that would have otherwise been eligible for recovery.

If it has been more than four (4) years since the action or event that made the student eligible, the student must have filed a written application for recovery within the original four (4) year period, unless the period has been extended by another act of law.

However, no claim can be paid to any student without a social security number or a taxpayer identification number.”

If the Student has received federal student financial aid funds, the student is entitled to a refund of moneys not paid from federal student financial aid program funds. Cancellation or withdraw from the program is defined as ether directly speaking to the CIEMT course program director or sending a date verifiable e-mail to the CIEMT course program directors e-mail address. If the provisions of cancellation described herein are not met the deposit is considered non-refundable. (Matt Goodman, CIEMT Program Director, 562 989-1520, ADNIN@CIEMT.COM)

If the student is eligible for a student loan and the student defaults on a federal or state loan, both of the following may occur: The federal or state government or loan guarantee agency may take action against the student, including applying any income tax refund to which the person is entitled to reduce the balance owed on the loan. The student may not be eligible for any other federal student financial aid at another institution or other government assistance until the loan is repaid. If the student obtains a loan to pay for an educational program, the student will have the responsibility to repay the full amount of the loan plus interest, less the amount any refund.

 

NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS EARNED AT OUR INSTITUTION

The transferability of credits you earn at CIEMT is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the completion certificate you earn in the CIEMT EMT-Basic program is also at the complete discretion of the institution to which you may seek to transfer. If the completion certificate that you earn at this institution is not accepted at the institution to which you seek to transfer, you may be required to repeat some or all of your course work at the institution. For this reason you should make certain that your attendance at this institution meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending CIEMT to determine if your completion certificate will transfer.

CIEMT is a private school and has not entered into an articulation or transfer of credit agreement with any college or university. The course does not provide the student with any collage credits towards any degree. This includes any credit for prior “experiential learning”.

Prior to signing this enrollment agreement, you must be given a catalog or brochure and a School Performance Fact Sheet, which you are encouraged to review prior to signing this agreement. These documents contain important policies and performance data for this institution. This institution is required to have you sign and date the information included in the School Performance Fact Sheet relating to completion rates, placement rates, certification exam passage rates, and salaries or wages, and the most recent three year cohort default rate, if applicable, prior to signing this agreement.

 

Student’s initials________________ I certify that I have received/obtained the catalog, School Performance Fact Sheet and information regarding completion rates, placement rates, certification exam passage rates, and salaries or wages information, and the most recent three year cohort default rate, if applicable, included in the School Performance Fact Sheet, and have signed, initialed, and dated the information provided in the School Performance Fact Sheet. Downloadable from our web site at ciemt.staging.wpengine.com. Complaints: A student or any member of the public may file a complaint about this institution with the Bureau for Private Postsecondary Education by calling 1 (888) 370-7589 or by completing a complaint form, which can be obtained on the bureau’s internet Web site at www.bppe.ca.gov

 

THE FULL AMOUNT OF $1295 (TWELVE HUNDRED AND NINETY FIVE DOLLARS) IS THE TOTAL CHARGE TO ATTEND THE INITIAL CERTIFICATION PROGRAM FOR EMT AND IS DUE IN FULL NO LATER THEN THE FIRST DAY OF INSTRUCTION OF THE COURSE.

 

STUDENT TUITION RECOVERY FUND FEE          $0 (non-refundable)

INITIAL CERTIFICATION PROGRAM FOR EMT   $958.53 +

REGISTRATION FEE                                                   $200.00 (non-refundable within 10 working days of course)

E-TEXTBOOK FEE FROM JONES & BARTLETT   $136.47 (non-refundable if opened)

 

TOTAL COURSE CHARGE                                        $1295.00_____________________________

YOU ARE RESPONSIBLE FOR THIS AMOUNT. IF YOU GET A STUDENT LOAN, YOU ARE RESPONSIBLE FOR REPAYING THE LOAN AMOUNT PLUS ANY INTEREST.

TOTAL CHARGES FOR THE CURRENT PERIOD OF ATTENDANCE: __________                     $1295.00

ESTIMATED TOTAL CHARGES FOR THE ENTIRE EDUCATIONAL PROGRAM: __________ $1295.00

THE TOTAL CHARGES THE STUDENT IS OBLIGATED TO PAY UPON ENROLLMENT:____$1295.00

OPTIONAL TUTORING                                                                                                                                    $15.00/Hr

PREREQUISITE: AHA BLS COURSE FEE——————————-CIEMT STUDENT $40—–OTHER ENTITY——– $60-$70

I understand that this is a legally binding contract. My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that the institution’s cancellation and refund policies have been clearly explained to me.

STUDENT SIGNATURE________________________DATE_________________

This agreement is a legally binding instrument when signed by the student and accepted by the school.

CIEMT PROGRAM DIRECTOR SIGNATURE____________________________________

CIEMT does not provide services or documents for English as-a-second-language students

The name of your program is_______________________. Period covered by this enrollment agreement   Your Program Start Date_____________2019      Your Program End Date_____________2019

An enrollment agreement shall be written in language that is easily understood.  If English is not the student’s primary language, and the student is unable to understand the terms and conditions of the enrollment agreement, the student shall have the right to obtain a clear explanation of the terms and conditions and all cancellation and refund policies in his or her primary language.

 

 

STUDENT INTERN AGREEMENT

 

This agreement is entered into on_______________,20____, between (“The Student”)___________________________who lives

 

at________________________________________________________ and CIEMT(“Agency”).

 

 

Student is enrolled in a course of study at the California Institute of Emergency Medical Training designed to enable the Student to gain eligibility to become a licensed/certified Emergency Medical Technician-Basic. As part of the curriculum, Student has enrolled in the Clinical Experience, which is offered through the School with Agency’s assistance.  The Clinical Experience involves: 1) Student’s performing acquired pre-hospital skills alongside Agency’s personnel; and, 2) accompanying and observing the Agency’s personnel providing emergency and non-emergency ambulance transport, care and related services.

Student has asked to participate in Clinical Experience knowing that participation will require Student to accompany Agency personnel in dangerous and potentially life threatening situations.  Student realizes that Agency could not, and would not, allow Student to accompany its personnel without his/her agreement to: (1) release the Agency from any and all claims for injury or death which may result from Student’s participation in the program: (ii) assume the risk of death or injury associated with the Clinical Experience: (iii) agree to read, understand and follow Agency’s policies, procedures and guidelines; (iv) act in a professional and respectable manner at all times; and follow the instruction/direction of Agency personnel with respect to patient care, demeanor, safety, use of personal protective devices, scene control, etc.

 

Student understands that he or she is exposing himself or herself to certain risks inherent in the activities associated with the Clinical Experience.  Student hereby represents that he or she AGREES TO ASSUME THE RISKS INHERENT IN THE ACTIVITY.  These risks include, but are not limited to, being hurt or injured: (1) by broken glass (or other scene hazards) including various cuts about the head, face, eye, hands, legs, and torso; (2) by exposure to tetanus or contagious diseases such as the Hepatitis B virus and the Human Immunodeficiency Virus (“HIV”); (3) injury due to gurney lifts and or drops; (4) injury from slip and fall type incidents; (5) various strains and/or sprains to one and/or all muscle groups; (6) risks associated with “Code 3” or emergency driving; and (7) risks at the scene of emergencies including assault and battery.

In consideration of Agency’s agreement to provide the Clinical Experience to Student without cost, Student agrees to release and forever discharge Agency and its owners, officers, employees, and agents of and from all claims, demands, suits, injuries or damages of any kind arising in any way out of the Student’s participation in this program provided, however, that this indemnity is not intended to cover claims against agency arising solely out of Agency’s own negligence or intentional conduct.

 

Student further agrees to:(1) follow Agency’s policies, procedures and work rules;(ii) follow Agency’s instruction and direction with respect to patient care, safety, personal protection; and, abide by Agency rules and direction.  Student understands that failure to follow the Agency’s direction may result, in Agency’s sole discretion, in his/her expulsion from the Clinical Experience program.

 

Student certifies that he/she is at least eighteen (18) years old and is an adult with full legal authority to execute this release.

By Signing this Document You Acknowledge That You Have Been Advised That There Are Risks Inherent in this Type of Activity and Have Decided to Assume That Risk and Release the Agency of and from All Liability.  You Agree to Release the Agency from Any Claims Associated with the Event and That You, Not the Agency, Are Assuming Complete and Total Responsibility for and Any and All Injuries, Damages or Losses That You May Suffer as a Result of Participating in the Clinical Experience Program.

 

 

Dated: ________________________         _____________________________              __________________________

Signature of Student                                           Print name

 

 

California Institute of Emergency Medical Training

Attendance/Testing Standards/Rules and Regulations

 

 This is a Hybrid course and content is cumulative in nature. To succeed, students must keep up with the online course work and attend all assigned Skill Days and Online classroom sessions. While online work can be done at the students chosen time, attendance for all of the Skill Days and Online classroom sessions is MANDATORY! Students MUST ARRANGE THEIR SCHEDULE TO ATTEND THESE MANDATORY SESSIONS.

1. Missing any of the Skill Days will result in being dismissed from the course. Being more than 30 minutes late for a Skill Day is considered missing the entire day and will result in dismissal from the Hybrid EMT Program.
2. Use of cell phones or text messaging during class time is strictly prohibited. Using a cell phone during Instructional time on either the Skill Days (except at scheduled breaks) will result in you being dropped from the Hybrid EMT Program.
3. CIEMT is a no tolerance school when it comes to violence and sexual harassment. Any violence or documented sexual harassment directed toward instructors or students is cause for dismissal.

Leave-of-absence Policy: Because of the nature of the course, students are not allowed a leave-of –absence. If something occurs and the student is not able to complete the course they are enrolled in, they can drop the class and receive their pro-rated refund if they drop before the 60% point in the course. Under certain circumstances, and only at the discretion of the Program Director and the Hybrid EMT course Instructor, a student in the Hybrid EMT Course may be allowed to “roll out” of the class they are in and apply their refund to a future class (within 6 months of the course the student dropped) . They can then “enroll” in that future course restarting where they left off at the time they rolled out and receive credit for the time already spent in the prior course. Should a student choose this option there will be a $200.00 “Registration Fee” when they re-enroll. All skills session for the new course must be attended as part of this agreement.

Dismissal Policies: If a student is absent for one of the Skill Days they will be dismissed from the program. If the absence occurs prior to the 60% of the course the student will be issued a prorated refund. If the absence occurs after the refund cut off day, no refund will be issued. If the student is dismissed for using a cell phone during class time, documented violence and/or sexual harassment, the above refund policy will apply. An absence will be defined as being more than 30 minutes late for a Skill Day.

Grading Policy for the Hybrid EMT Course
Pass/Fail Standards on Quizzes: All students will be required to have at least an 80% quiz average in order to qualify to take the Final Written Exam. All quizzes are online in the Hybrid EMT Course and can be retaken multiple times in order to pass them. Section Tests are also online and only 1 retake is allowed on each Section Test.

Pass/Fail Standard on Final Written Test: All students will be required to score 80% or higher on the Final Written test (held at one of the CIEMT campuses) AND successfully pass the Final Practical exam to receive a Certificate of Completion for the Hybrid EMT Course.

Pass/Fail Standards on Skills Examinations:  All students will be required to pass the final skills examinations with 100% proficiency. The standard of 100% proficiency will be graded by evaluation and monitoring of skill time limits and critical criteria for each skill. The student will be allowed 10 minutes to successfully complete each skill. Critical criteria are a list of actions that must be performed in order for the student to pass his/her final skills exam. Critical criteria for each skill will be based on the critical criteria outlined in Los Angeles County EMS Skills evaluation sheets.

Makeup Procedures for Quizzes and Tests: All students will be allowed 1 (one) retake on the Final Written Exam. The makeup Final Written Exam will not be re-administered on the same day as the failed Final Written Exam. The Final Written Exam retake exam must however, be taken no later than 14 days after the date they failed the original Final Written Exam. There is a $75.00 Retake fee for the Final Written Exam.

I___________________________ (the student) understand and agree to the terms of the CIEMT attendance and grading policy.

 

Commonly Asked Criminal Background Questions

1. Which criminal offenses WILL exclude an applicant from being eligible for EMT Certification?

 

• Has been convicted of any sexually related offense specified under Section 290 of the Penal Code
• Has been convicted of murder, attempted murder, or murder for hire
• Has been convicted of two (2) or more felonies
• Is on parole or probation for any felony
• Has been convicted and released from incarceration for offenses during the preceding fifteen (15) years for the crime of manslaughter or involuntary manslaughter
• Has been convicted and released from incarceration during the preceding ten (10) years for any offense punishable as a felony
• Has been convicted of two (2) or more misdemeanors within the preceding five (5) years for any offense relating to the use, sales, possession, or transportation of narcotics or addictive or dangerous drugs.
• Has been convicted of two (2) or more misdemeanors within the preceding five (5) years for any offense relating to force, threat, violence, or intimidation
• Has been convicted within the preceding five (5) years of any theft related misdemeanor

 

2. Which criminal offenses MAY exclude an applicant from being eligible for EMT Certification?

• Has committed any act involving fraud, intentional dishonesty for personal gain within the preceding seven (7) years
• Is required to register pursuant to Section 11590 (Controlled Substance Offender) of the Health and Safety Code
• Conviction of one (1) misdemeanor within the last five (5) years for a related offense listed within the Health and Safety Code, Section 1798.200

 

 

 

 

 

Health and Safety Code Violations 1798.200

Any of the following actions shall be considered evidence of a threat to public health and safety and may result in denial, suspension, or revocation of a certificate or license, or in the placement on probation of a certificate or license holder under this division:

1. Fraud in the procurement of any certificate or license.
2. Gross negligence.
3. Repeated negligent acts.
4. Incompetence.
5. The commission of any fraudulent, dishonest, or corrupt act that is substantially related to the qualifications, functions, and duties of prehospital personnel.
6. Conviction of any crime that is substantially related to the qualifications, functions, and duties of prehospital personnel. The record of conviction or a certified copy of the record of conviction shall be considered conclusive evidence of the conviction.
7. Violating or attempting to violate, directly or indirectly, or assisting in or abetting the violation of, or conspiring to violate, any provision of this division or the regulations adopted by the authority pertaining to prehospital personnel.
8. Violating or attempting to violate any federal or state statute or regulation that regulates narcotics, dangerous drugs, or controlled substances.
9. Addiction to, the excessive use of, or the misuse of, alcoholic beverages, narcotics, dangerous drugs, or controlled substances.

10.Functioning outside the supervision of medical control in the field care system operating at the local level, except as authorized by any other license or certification.

11. Demonstration of irrational behavior or occurrence of a physical disability to the extent that a reasonable and prudent person would have reasonable cause to believe that the ability to perform the duties normally expected may be impaired

12.Unprofessional conduct exhibited by any of the followings:

o Mistreatment or physical abuse of any patient resulting from excess force in excess of what a reasonable and prudent person trained in a similar capacity would use

o Failure to maintain confidentiality

o The commission of any sexually related offense under Section 290 PC