Lone Star College-Montgomery Fire Academy

Registration Procedure

1. New Students-Complete the admissions process at

http://www.lonestar.edu/admissions.htm

Current Students - Proceed to Step 2

2. Submit Unofficial Transcript

• Email Angela Martin (Angela.R.MartinPlonestaredu) or Rachel Trackey

(Rachel.L.Trackey@lonestar.edu ) with your student id OR full name and birth date

to request that your Unofficial Transcript be submitted to Chief Griffin, Program

Director. All academic prerequisites must be met before registration to the

academy will be approved.

3. Complete the Registration Packet forms (Background Check, Health History, and

Physical Examination).

4. Preliminary Visit

• Schedule an appointment with Chief David Griffin (David.K.Griffin@lonestar.edu ) to

submit your completed packet forms.

• Once Chief Griffin confirms that you meet the qualifications for the program, he will

provide you with a signed Registration Form.

5. Registration

• Make an appointment with Angela Martin, Rachel Trackey, Mallory Snodgrass

(Mallory.SnodgrassPlonestaredu) or meet with any advisor in Building C to

complete registration.

• You must have your signed Registration Form to complete the process.

• There is no separate application process for the academy. Courses are filled on a

first come first serve basis. Registration for the Fall/Spring Academy will begin on

April 10th. Enrollment is limited to 24 students per academy. There is one day

academy and one night academy. Please remember there are a limited number of

spots available.

• To maintain academy enrollment, please be sure to submit payment by the

deadline to avoid being dropped from the courses. If you are dropped for

nonpayment, there is no guarantee that you will be able to re-register. For more

information regarding financial assistance, please contact:

o Valerie Shepherd (Veterans' Advisor) valerie.b.shepherd@lonestar.edu

o Financial Aid LSC-Montgomery Building C (Student Loans, Grants, and

Scholarships)

o Business Office LSC-Montgomery Building E (Tuition Waivers)

Packet last updated 5/2012

Fire Academy Facts The Woodlands Emergency Training Center

Fire Certification Course - Fall/Spring August 2013- May 2014

ONE STAR COLLEGE

MONTGOMERY

Lone Star-Montgomery's Fire Academy trains recruits for fire departments throughout Montgomery and surrounding counties.

Located at the Woodlands Emergency Training Center, the recruits have access to cutting edge equipment and experienced faculty. The program prepares students for service in urban, rural and suburban settings. In addition to firefighting skills, the program works with students to develop professional skills. Students graduating from the LSC-M Fire Academy are prepared to take the Firefighter Certification Exam through the Texas Commission on Fire Protection.

Come join our team. Become a Firefighter.

Prerequisites • Completion of MATH 0306 • Completion of ENGL 0305 and ENGL 0307 or ENGL 0309 • Or satisfactory scores on placement exams

Notes Your scores must be approved by the division counselor before you register.

English and Math requirements must be met before you begin any of your Fire Certification Courses. If your scores are not within the acceptable range, you can take courses to meet the requirements.

Fire Certification Course Program of Studies

Lone Star College-Montgomery Fire Academy will begin on August 26, 2013 and will end in mid May 2014. This is a two semester course load, approximately nine months.

Fall Semester Course Number Title Credit

FIRS 1301 Firefighter Certification I 3 FIRS 1407 Firefighter Certification II 4 FIRS 1313 Firefighter Certification III 3 FIRS 1319 Firefighter Certification IV 3 FIRT 1171 Firefighter Agility and Fitness Prep I 1

Day Academy M -TH 8:00am -3:00pm Physical Training TWTH 3:30pm-4:30pm

Night Academy (Hybrid-Online) Most course work will be completed online and skills will be performed at The Woodlands Emergency Training Center during the times listed below. Required time on campus will vary each week Cadets will receive a full schedule of on campus times at the cadet orientation. Fire Academy M-TH evenings 5:30pm - 10:30 pm, Sat 8:30am-3pm Physical Training Sat 7:00am-8:30am

Spring Semester Number Title Credit

FIRS 1423 Firefighter Certification V 4 FIRS 1329 Firefighter Certification VI 3

FIRS 1433 Firefighter Certification VII 4 FIRT 2171 Firefighter Agility and Fitness Prep II 1

FIRT***

FIRT***

1327

2380

Building Construction in the Fire Service

Cooperative Education

3

3 *** The above listed courses are to be taken for the cadet seeking the Lone Star College-Montgomery Firefighter Certificate. (This certificate is separate from the TCFP firefighter certification.)

Day Academy

TWTH 8:00am - 3:00pm Physical Training TWTH 3:30pin-4:30pm

Night Academy (Hybrid-Online) Most course work will be completed online and skills will be performed at The Woodlands Emergency Training Center during the times listed below. Required time on campus will vary each week. Cadet will receive a full schedule of on campus times at the cadet orientation. Fire Academy TWTH evenings 5:30pm - 10:30pm Sat., 8:30am-3:00pm

Physical Training Sat 7:00am-8:30am

Please remember there are a limited number of spots available.

General Physical Fitness Requirements • Must be able to run 1.5 miles under 13:07 minutes. • Must be able to lift heavy objects - approximately 150 lbs. • Must fully participate in a required physical agility course while attending the

academy. • Must be in good general health. • Your weight must be in proportion to your height.

Fire Certification Course Cost - Fall/Spring Academy Costs*

Tuition (In-District) $1,700 Tuition (Out-of-District) $3,500 Books $250 Uniform $325 Fire Fighter Gear (new)** $1,200 Fire Fighter Gear Rental (9 months)** $695 /+$200 returnable deposit

*All costs are approximate. A list of vendors is included in this packet. It will be up to the cadet as to where he/she wishes to purchase the required equipment. More information on tuition is available on the Lone Star College website. ** Proof of inspection must be provided.

Mandatory Orientation Prior to the beginning of the Fire Academy all students will be required to attend a mandatory orientation. Course materials will be covered, and program expectations will be reviewed. Orientation dates will be July 23, 2013 and July 24, 2013. Orientation time will start at 7:00pm at The Woodlands Emergency Training Center. You must attend one of the orientation dates. The program director must be notified by the student if he/she is unable to make orientation. A scheduled meeting with the director will have to be made prior to the start of the semester if orientation is missed.

Required Textbooks (As required by TCFP)

• Essentials of Fire Fighting and Fire Department Operations (5in ed.) (2007). Stillwater, OK: Fire Protection Publications. International Fire Service Training Association (IFSTA).

• Firefighter's Handbook: Essentials of Firefighting and Emergency Response (3rd ed.) (2008). Clifton Park NY: Thomson Delmar Learning.

• Fundamentals of Fire Fighter Skills (2nd ed.) (2008). Sudbury, MA: Jones and Bartlett Publishers, Inc.

Contacts • Program Director Chief David Griffin: (281) 210-5831 david.k.griffin@lonestar.edu • Rachel Trackey (Counselor): (936) 271-6157 rachel.l.trackey@lonestar.edu • Angela Martin (Counselor): (936) 273-7070 angela.r.martinPlonestar.edu • Mallory Snodgrass (Staff Assistant) mallory.snodgrassOlonestar.edu • Valerie Shepherd, Veterans Assistance valerie.b.shepherdPlonestar.edu • Financial Aid LSC-Montgomery Building C (Student loans, grants, and scholarships) • Tuition exemption waiver information, Business Office Building E

'7"1141.---LONE STAR

MONTGOMERY

Instructions for Background Check Process Emergency Medical Services Professions Program

Students who have been conditionally accepted must complete a criminal background check. Students are responsible for completing the background application process, paying all fees and ensuring that a copy is submitted to the appropriate program director. Additional background checks may be required, if a student is convicted of a felony or misdemeanor while enrolled in a LSCS healthcare program.

The decision to allow a student to perform clinicals is the sole discretion of the facility or service where the student is assigned for their clinical experience. The college holds no responsibility for finding a student with a positive background check a facility or service willing to accept them. Students must be aware that Texas Department of Health and Human Services conducts background checks on all applicants for certification and failure to disclose information can result in permanent prevention of certification by the State.

CERTIFIED BACKGROUND

Standard Student Package Code: LF25bg Price: $40.00* (Please note the package code consists of the letters L, F, b, g and the numbers 2, 5).

• Those students having a maiden name or alias found through our research, will be incurred an additional $15.00 charge to search that name for criminal records.

Access application online at http://www.certifiedbackground.com Applicants complete the release information form and select payment type—a password is then generated and the applicant shares it with the program director to view the reported results.

*2itc;.11EIS;TAGErk.

HEALTH HISTORY (This Page To Be Completed By Student)

Name .

Date

Addr att.

Age

Sex

DOB

CrtyrState/Zip.

Telephone:

Program Applyng For too. one)

Physic:um

Rad Tech Pnarre lath OTAJPTA

Hospital of Choice

ETA S Nursing Surg Tech

Should any condition change during enrollment. It It your responsibility to notify the department. All3WOf seal of the following Wellborn. inlihfuSr l•ificetion of Information win 111.1Al Mi dismissai,

Have you now, or aver had: Yw No

Frequent 114nctschea/MIgrainif

Eye. Ese, Noss. Throat Trouble .., Doiliculty SI Hearn Weer Contacts/Olas se s Shun ii Coldreqt, s Mew anflioulty areettN. Lung TrcerbitsPrieurnorile Chard Pains Rheumatic Fever Heart Disease/ lAumiur Hopetilia/Jeundk:e

--111rig from Outs Thyroid Disease Ust AN Medications T aken Regulai4

'please Specify Any Drug Merl ns:

Nava you now or aver had: Yes No Venoms Vans

,adder Trouble ...rietttral Trouble Foot Trouble Spnaned/Strained Back/R1.411unsd Disc Artritill/Painfulawolen Joests Beck Trouble/Inlury/Unable to ell SO lbs Epilepsyfflts/Setzures Friesont .placirtesaNairrOng tienieue Sri alsdownrilAern Loss

lade 47:liveorder Biood 141antitatedas

Take any Prescribed Medication Regularly •Mergies■Reactions to MedicationsJOiugs

Do you have any seNtatts rinuashnit)ri not listed +lbw', or do you nave any present cancan pertaining lo your health which may intarfera with activities of tit health care program to which you are applying? Yos No (If yes, please explain)

In Case of Emergency, Please racily .

Home

Work Phone

Nana

Relationship

I certify that all of the above inforrnatIorria true and correct to the but of my knowledge.

Date: Signature

[41.8tt SETGAEFk

Lone Star College System Physical Examination

Name Date Age

BrP Pulse Haight

Vision R 20/

Weight

L 2W Corroded Yes He Pupas

Normal Abnormal Findings Initials

-J

in >-

_J

0-

0

Carcliopulrnonaa

Pulses

Heart

Lungs

Skin Abdominal

Genital'a

MUSCUloskeletal

Neck

Shoulders

Elbow Wrist

Hand

Back Knee Ankle

Foot

Other Clearance: A. ❑ Cleared

B. ❑ Cleared after completing evaluation/rehabilitation IN

C. Not cleared for

❑ Biting I Tronsferno Carrying 25 lba ❑ Reaching / Stretching I Bet tdirg ❑ Pustorig 100Ibe StanclIngMaDung for 8-12 hours

Due to:

Recornmendabon I ceorty that 1 have examined this indmdusl and have fnund no condrbon(s) that would appear to prevent tern/her from patopasog i1 a.l activilles of the Program

Further, I have found no ,:ondgioe, tshit ) might rcprment a potential hoard to the health o f other atudalLa ta to that of ctieots/entploycri In cl mica! tuill uc%

Phony IP Phystian itioalLre

PRiPft RAJAEOF PHYS1CAN and *.CORE SS

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EMERGENCY CONTACT INFORMATION: 11.414ems Male Male

Ursa Adams

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Lone Star College-Montgomery Emergency StrViCt3 Education Center

16135 111-45 South Conroe, Texas 71365

Work; 936.321-2113 Eton 936-311-2114

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STUDENT CONTACT INFORMATION: UM Mot la& WY IDL bed bakim Die

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Iguanas: Delo: _ _

mop& TrAZA,S11: 1 sclaonriedec sad woica to rbc uu of ay image by LSC.4' wisolgenery se caparrod by pholograpky, videotape or dished format is Any 20,1 .11 ribacaticas rotiudias but rot tixnitui to piss, Wares, Waco or deal publindes. mol wing, eel riirkb o aimpcoutioo io try bra. The Districtib Pot topuired to obtaLl may peraisaira to mice cc republish this Elmer it the hewer

Sigranat:

Lone Star College-Montgomery

Fire Academy Resources

Additional course cost* *fees may vary

Background check 50 TCFP Application fee (end of academy) 85

TCFP finger print fee (end of academy) 45

Structural fire fighting gear

for purchase

Casco Industries Contact Bob Yancy 281-442-1800, byancy@cascoindustries.com

Dooley Tackaberry Contact David Johnson 713-427-3951, davidj@dtihome.com

Ferrara Contact Rex West 225-305-4067, rex.west@ferrarafire.com

Fuego Contact Reid Riggins 281-796-7556, reidriggins@yahoo.com

for rent

Turnout Rental www.turnoutrental.com , use school code MONTGOMERY to receive 10% discount

Contact Joel Weiner, 866 887 6688 x102

911 Safety Equipment www.firegearrental.com

Contact Daniel Silvestri 610-279-6808 ext 109, dsilvestri@911se.com

PPE Care 1-888-773-1851

Uniform

Webbs Uniforms

Contact Johnny Webb 281-364-9553, johnny@webbsuniforms.conn