Cal-JAC Pre-Apprenticeship LA Paramedic Academy 24-1

2024 Los Angeles Paramedic Academy

Cal-JAC Pre-Apprenticeship
This program is designed to provide the opportunity to candidates to earn their paramedic course completion certificate through a pre-apprenticeship program. In addition to obtaining the skills required of a nationally registered paramedic, those cadets who have not already taken the Candidate Physical Ability Test (CPAT), or the Firefighter Entry-Level Written Exam, will have the opportunity to physically train for the (CPAT), receive preparatory instruction for the Firefighter Written Exam, and complete both tests as part of the course. All graduating cadets will be added to the Firefighter Candidate Testing Center’s Statewide Eligibility List, which is used by fire departments throughout California that are looking to hire.

Applications will be reviewed on a rolling basis with a hard deadline of Sunday April 28th, 2024 at 11:59 PM. (Late submissions will not be accepted.)
LOCATION

LA County Fire Department Headquarters
1320 North Eastern Avenue, Los Angeles, CA 90063

DATES

Classes will start June 28, 2024

SCHEDULE

Tuesday, Friday and Saturdays 8:00AM - 5:00PM

ACADEMY APPLICATION REQUIREMENTS*

18 Years or Older on or Before June 28, 2024

High School Diploma, GED or College Degree

Valid Drivers License

Current EMT Certification

Current American Heart Assocation CPR card

Minimum 6 Months EMT Experience**

*Priority will be given to individuals with financial need. If you have financial need and want to receive priority, you will need to show proof of financial status
**911 experience preferred
Academy Application

This application must be completed in full, including all required documents, to be considered for the Cal-JAC Pre-Apprenticeship Academy. Incomplete information could disqualify you from further consideration. If you are not able to upload all documents with the first submission be sure to hit the "Save and Continue Later" button at the bottom of the form and enter your email address to continue your application.
Preferred First Name*
Legal Full Name*

First NameMiddle NameLast Name
Gender Pronouns*

She/Her/HersHe/Him/HisThey/Them/TheirsDecline to StateNot Listed
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Application Questions*

	YES	NO
Will you be at least 18 years or older on or before 06/28/2024.
Do you have a high school diploma or equivalent?
Are you legally eligible to be employed in the United States?
Have you ever been a licensed paramedic?

Driver's License Number *
Issuing State*
Date of Birth Date*
Are you currently a certified EMT?*

YesNo
EMT Card Certification #*
EMT Card Expiration Date Date*
How many months of work experience do you have as a certified EMT? (Document in the work experience section below.)*

0 - 6 Months6 - 12 Months12 - 23 Months2 Years or More
Have you ever taken a paramedic course?*

YesNo
Did you receive a course completion certification?*

YesNo
Paramedic Course Completion Date*

MonthDayYear
Date
Do you have a CPAT card that was received within the past 6 months?**

YesNo
*The CPAT is not a requirement for entry into the program. Individuals who have not passed the CPAT will complete an Academy Physical Ability Review through Cal-JAC as part of the application review process.
Are you Active-Duty Military?*

YesNo
If yes, when is your date of separation?*

MonthDayYear
Date
List any languages spoken other than English
How did you learn about this opportunity?*
How did you learn about this opportunity: Social Media
How did you learn about this opportunity: School
How did you learn about this opportunity: Other
How did you learn about this opportunity: Fire Service Representative
Fire Department or Organization
How do you prefer to be contacted?*

Cell PhoneEmailBoth
Opt-In

I agree to receive informational and/or promotional messages regarding the Cal-JAC Academy and announcements via autodialer. This agreement is not a condition of any purchase. I also agree to the Terms of Service and Privacy Policy found on the Cal-JAC Academy website.

Education*

	Name of School	Location	Area of Study or Major	Degree Achieved
High School or Equivalent
Vocational Training
College/Other

Do you have 6 months EMT experience?*

YesNo

Work Experience*

	Employer or Organization	Employer Address & Phone	Job Title	Dates of Employment	Reason for Leaving	911 Experience (Yes/No)
Work Experience 1
Work Experience 2
Work Experience 3
Work Experience 4

Please provide a detailed explanation of your EMT experience, noting which jobs include 911 experience.*
Have you ever been terminated from employment or asked to resign?

YesNo
If yes, please provide company name and details:

References*

	Full Name	Years Known	Professional or Personal	Job Title & Place of Business OR Relationship	Phone	Email
Reference 1
Reference 2

Supplemental Questionnaire

Please answer the following questions in the space provided.
What motivates you to work in the fire service? (50-150 word limit) *

0/150
What role do you think a Paramedic Firefighter should have when engaging with underserved communities? E.g., Black, African American, Latina/o/x, Hispanic, Indigenous, low-income and/or those experiencing homelessness? (50-150 word limit) *

0/150
Application Prerequisite Documents
Proof of High School Diploma, GED or College Degree*

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Current EMT Certificate*

Cancelof
Current CPR Card*

Cancelof
Copy of Valid Drivers License*

Cancelof
Proof of Financial Status

Not required, however individuals who identify as low-income and submit proof will be given priority. Option 1: Proof of any of the following. Aid to Families with Dependent Children (AFDC),CalWORKS, CalFRESH, Unemployment Insurance (UI), Temporary Assistance to Needy Families(TANF), Supplemental Security Income (SSI). OR Option 2: Federal 1040 Tax Form or 2023 Tax Return. APPLICANTS CAN BLOCK OUT THEIR SSN OR ITIN NUMBER WHEN UPLOADING DOCUMENTS.
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Total Gross Household Income
As shown on tax form.
Family Household Size (Include Yourself)
Please include any additional information you would like to share with us and/or additional context regarding your financial situation.
Demographic Questionnaire

The Cal-JAC Pre-Apprenticeship Paramedic Academy does not discriminate on the basis of race, color, religion, national origin, sex, disability status, protected veteran status, age, or any other characteristic protected by law. Your responses to the following questions will not be used to determine acceptance into the program.
Race and/or Ethnicity*

American Indian, Alaska Native, and/or IndigenousBlack and/or African AmericanEast AsianHispanic and/or Latina/o/xMiddle Eastern and/or North AfricanNative Hawaiian and/or Pacific IslanderSouth AsianSoutheast AsianWhite non-HispanicPrefer to not respondSelf Identify
Gender*

WomanManNon-BinaryPrefer Not to RespondSelf Identify
Are you a veteran that has served on active duty (other than reserve status) in the U.S. Armed forces?*

YesNoPrefer not to Respond
I declare that the information and documents submitted in conjunction with this application are true and correct to the best of my knowledge and that I composed my Supplemental Questionnaire and Supplemental Essay by myself. I acknowledge that it is my responsibility to notify the California Firefighter Joint Apprenticeship Committee of any changes regarding the information that I have provided.
Signature*

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2024 Los Angeles Paramedic Academy

Academy Application

Supplemental Questionnaire

Application Prerequisite Documents

Demographic Questionnaire