Health Sciences Admission


Health Sciences programs have separate admission requirements. General admission to the college does not guarantee admission to selective Health Sciences programs. Selective admission is required due to the limited number of clinical facilities available and program accreditation standards. All Health Sciences applicants will be placed in the General Studies program with pending acceptance into a specific Health Science program. Applicants are responsible for assembling and submitting all required application materials by the deadlines listed for each Health Sciences program. The Department of Health Sciences requires all students admitted to a Health Sciences program receive clearance on criminal background checks before final acceptance is offered into a program within the College. Students must submit an application for admission and all required materials by Jan 5.

Health Sciences Admission Deadlines: January 5

Admission to the Health Science Programs is competitive and completion of minimum requirements does not guarantee acceptance to a program. The Health Science departments reserve the right to select the most qualified applicants and change the curriculum as deemed necessary at any time for preparation to new and emerging roles in society.

Credits for Microbiology, Anatomy and Physiology I and II and Developmental Psychology will be accepted in transfer to a Health Science Program only if they are completed within 5 years of entry. All required science courses must be 4 credits and have a lab component. A grade of C or better is also required. Anatomy and Physiology I and II must be completed at the same college for acceptance.

See each Health Sciences admission information for requirements and application materials.

NursingLPN-RNDental HygieneExpanded Functions Dental Assisting

Respiratory TherapySurgical TechnologyMedical AssistantEMS/ALS-Paramedic


Health Sciences Background Checks & Clearances

Due to the mandated regulations by area clinical agencies, in which LCCC Health Science students participate in clinical rotations, acceptance into the Health Science Programs is conditional-based until all background checks and screenings have been successfully completed, submitted and approved. All background check forms and instructions are provided to the student from the Health Services Department in their acceptance letter or at program orientation. Some items will be required for submission at an earlier date.

Regarding Background Clearances, the student is required to submit all paperwork that may accompany their background clearance results for review. If any report indicates a positive criminal history or a student incurs a positive criminal history while enrolled, the student will be prohibited from entrance into the Health Science's Program or will be immediately dismissed, if currently enrolled. While enrolled in a Health Science's Program, most items need to be updated annually.

Background Checks & Requirements

  • FBI Criminal Background Check (Fingerprinting) - official, blue result page is required.
  • PA State Police Criminal Record Check
  • PA Child Abuse Clearance
  • 3 Year DMV History - must be completed on official state DMV website; if student does not have license, they will need to acquire an official state photo ID to complete this item.
  • 10PAN Drug Screening
  • Liability Insurance
  • Basic Life Support CPR certification
  • Physical Exam
    • Must be a physician-completed physical. Must document that the student is in good physical and mental health, free from all communicable diseases, and is physically and mentally capable of fulfilling all duties as required by each Health Science Program.
  • 2 Step TB Skin Screening or Clear Chest X-Ray within 3 years

Immunization Requirements

  • Hepatitis B - proof of 3 dose series or positive Hepatitis B surface Antibody (HBsAb) quantitative titer (greater than 10 mIU/ml). Note - if the student does not have an adequate HBsAb after the second series of the hepatitis B vaccine, the student is considered a non-responder and further medical assessment will be required.
  • Varicella - 2 dose series or a positive IgG titer. An affidavit of having the disease is not accepted.
  • Tdap (tetanus, diphtheria, and pertussis) within 10 years
  • Measles/Mumps/Rubella - 2 MMR doses or positive IgG titers for each individual item
  • Influenza vaccine is required of Health Science students to participate in clinical. This will be submitted once the new flu season begins each year. If waived, most student will wear a mask while participating in the clinical area.
  • COVID-19 vaccination- 2 doses (proof of boosters, if available) OR 1 dose J&J (proof of boosters, if available). Form of proof may be a copy of vaccination card or patient immunization record printout from physician or pharmacy.

It should be noted that LCCC does not mandate Flu and Covid-19 vaccinations. Waivers are accepted for general, on-campus classroom settings. However, all Health Science Programs must follow the current mandates and regulations of the attending clinical sites due to existing contracts. Acceptance of Waiver and/or Medical/Religious Exemption depends on approval from the clinical site. If the student registers for a clinical site mandating either of the vaccinations, accommodations for clinical site placement cannot be provided.

Health Sciences Admission Deferral Requests
If you have been offered admission to a health sciences program, you may request to defer your admission for up to one year.

Deferral Policies

  • Deferred admission may be granted to admitted students who have submitted their Deferral Request Form and non-refundable enrollment deposit.
  • Nursing Deferral requests must be submitted no later than the enrollment deposit deadline date.
  • Deferred admission may be requested up to one year from the term of your admission.
  • Deferred students can remain enrolled at LCCC and must maintain all admission requirements which pertain to each Health Sciences program to remain eligible for deferment.
  • Students planning to enroll at another college or university are not eligible for deferral.
  • Financial aid offers cannot be deferred. Students awarded financial aid must reapply for aid. Existing student loan payments are not eligible for deferment. Student loans can be deferred once a student starts their health sciences program.
  • Deferral requests are reviewed on a case-by-case basis by the Health Sciences Selection Committee. Supporting documentation must be provided with the application of deferment when necessary.

Nursing Admissions Information

To be considered for the Nursing Program, applicants must:
Complete a separate Health Sciences application for admission to the Nursing Program
Submit official transcript(s):
• Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
• Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.
Complete all prerequisite coursework:
• Applicants must provide evidence of final grade "C" or higher in high school or college level algebra, biology and chemistry courses.
Score a minimum proficient level in total score on the TEAS Exam (Proficient Level Score Range is 58.7% to 77.3%)
• Applicants who have taken the TEAS at another location other than LCCC must have their scores officially transferred to LCCC before established application deadline.
• TEAS scores are valid for two years.
• Retest Policy: There is a minimum of 30 days between attempts.

Recommendations

  • Complete all General Education courses in the Nursing curriculum. These courses are not required for admission. However, additional points can be obtained in the nursing admission ranking system for completing these courses.
  • Students are encouraged to meet with an Academic Advisor for assistance with selecting a plan of study and course selection.

Learn more about the LCCC Nursing Program

TEAS Info

Nursing Program Selection Criteria

Admission to the Nursing Program is competitive and based on a point system. Completion of minimum requirements does not guarantee acceptance to the Nursing program. All admission materials are required to be received by the Office of Admissions no later than the application deadline for consideration for admission.

Required Admissions Documents

  • Application for Admission to the Nursing Program
  • Official high school transcripts or GED
  • Official transcripts from previously attended colleges/universities
  • TEAS exam scores - scores are valid for two years
  • Nursing Declaration Form

Once all the application requirements have been met, admission to the Nursing Program is based on the following criteria:

Nursing Admissions Criteria

CUMULATIVE GPA
Required for admission. Minimum 2.75 cumulative college GPA. High school GPA will be factored into the evaluation without completed college coursework and/or less than 12 college credits. Minimum 2.0 cumulative high school GPA without college credits.

SCORING: Cumulative GPA = points.

3.8-4.00 = 73.0-3.19 = 3
3.6-3.79 = 62.8-2.99 = 2
3.4-3.59 = 52.75-2.79 = 1
3.2-3.39 = 4

PRE-REQUISITE COURSE
Required for admission. High School or College coursework with a final grade "C" or higher.
SCORING: No points awarded for prerequisite courses

AlgebraBiologyChemistry

TEAS
Required for admission. The minimum passing score on the TEAS is a proficient level in the total score (Proficient Score Range = 58.7% - 77.3%). TEAS scores are valid for two years. Applicants who have taken the TEAS at another location other than LCCC must have their scores officially transferred to LCCC before established application deadline. There is a minimum of 30 days between attempts.
SCORING: No points awarded for TEAS

GENERAL EDUCATION COURSES
Not required for admission. Additional ranking points can be obtained for completed general courses.
SCORING (Final grade=points): A=4, B+=3, B=2, C+/C=1

ENG-101ENG-102PSY-103PSY-217
SPE-210SOC-101MAT-101 or higherNUR-220

SCIENCE COURSES
Not required for admission. Additional ranking points can be obtained for completed courses.
SCORING (Final grade=points): A=8, B+=6, B=4, C+=2, C=1

BIO-135BIO-136BIO-251

REAPPLYING STUDENTS
Applied last year to Nursing and met the minimum requirements but not accepted into the program.
SCORING= 3 points

These guidelines are subject to change without notification.

LPN-RN Admissions Information

To be considered for the LPN-RN Program, applicants must:
Complete a separate Health Sciences application for admission to the LPN-RN Program
Submit official transcript(s):
• Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
• Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.
Complete all prerequisite coursework:
• Applicants must provide evidence of final grade "C" or higher in high school or college level algebra, biology and chemistry courses.
Score a minimum proficient level in total score on the TEAS Exam (Proficient Level Score Range is 58.7% to 77.3%)
• Students who graduated and received their LPN from any of the following articulation schools are exempt from the taking the TEAS Exam:

  • Wilkes-Barre Area CTC
  • Hazleton Area Career Center
  • Lackawanna CTC
  • Central Susquehanna LPN Career Center
  • Schuylkill Technology Center
  • Susquehanna County CTC
  • Broome-Tioga BOCES Practical Nurse Program

• Applicants who have taken the TEAS at another location other than LCCC must have their scores officially transferred to LCCC before established application deadline.
• TEAS scores are valid for two years.
• Retest Policy: There is a minimum of 30 days between attempts.

NURSING-110 Challenge Exam
Once accepted into the LPN-RN Program, all LPN's may attempt to challenge the NUR-110: Nursing Concepts I (9 credits). A charge is associated with this challenge exam.

Recommendations

  • Complete all General Education courses in the Nursing curriculum. These courses are not required for admission. However, additional points can be obtained in the nursing admission ranking system for completing these courses.
  • Consider taking the NUR-110: Nursing Concepts I challenge exam upon admission.

LPN-RN Program Selection Criteria

  • Admission to the LPN-RN Program is competitive and based on a point system. Completion of minimum requirements does not guarantee acceptance to the LPN-RN Nursing program. All admission materials are required to be received by the Office of Admissions no later than the application deadline for consideration for admission.

Required Admissions Documents

  • Application for Admission to the LPN-RN Program
  • Official copy of LPN License
  • Official copy of LPN School transcripts
  • Official high school transcripts or GED
  • Official transcripts from previously attended colleges/universities
  • TEAS exam scores - only required for all non-articulation LPN school graduates

TEAS Info

Contact Maureen Ryneski at 570-740-0490 for more info.

Application for Admission to the LPN-RN Program

Once all the application requirements have been met, admission to the LPN-RN Nursing Program is based on the following criteria:

LPN-RN Criteria

CUMULATIVE GPA
Required for admission. Minimum 2.75 cumulative college GPA. High school GPA will be factored into the evaluation without completed college coursework and/or less than 12 college credits. Minimum 2.0 cumulative high school GPA without college credits.

SCORING: Cumulative GPA = points.

3.8-4.00 = 73.0-3.19 = 3
3.6-3.79 = 62.8-2.99 = 2
3.4-3.59 = 52.75-2.79 = 1
3.2-3.39 = 4

PRE-REQUISITE COURSE
Required for admission. High School or College coursework with a final grade "C" or higher.
SCORING: No points awarded for prerequisite courses

AlgebraBiologyChemistry

TEAS
Required only for all non-articulation LPN school graduates; The minimum passing score on the TEAS is a proficient level in the total score (Proficient Score Range = 58.7% - 77.3%). TEAS scores are valid for two years.
Applicants who have taken the TEAS at another location other than LCCC must have their scores officially transferred to LCCC before established application deadline. There is a minimum of 30 days between attempts.
SCORING: No points awarded for TEAS

GENERAL EDUCATION COURSES
Not required for admission. Additional ranking points can be obtained for completed general courses.
SCORING (Final grade=points): A=4, B+=3, B=2, C+/C=1

ENG-101ENG-102PSY-103PSY-217
SPE-210SOC-101MAT-101 or higherNUR-220

SCIENCE COURSES
Not required for admission. Additional ranking points can be obtained for completed courses.
SCORING (Final grade=points): A=8, B+=6, B=4, C+=2, C=1

BIO-135BIO-136BIO-251

REAPPLYING STUDENTS
Applied last year to Nursing and met the minimum requirements but not accepted into the program.
SCORING= 3 points

These guidelines are subject to change without notification.

Dental Hygiene Admissions Information

To be considered for the Dental Hygiene Program, applicants must:
Complete a separate Health Sciences application for admission to the Dental Hygiene Program
Submit official transcript(s):
• Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
• Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.
Complete all prerequisite coursework:
• Applicants must provide evidence of final grade "C" or higher in high school or college level algebra, biology and chemistry courses.

Recommendations

  • Complete all General Education courses in the Dental Hygiene curriculum. These courses are not required for admission. However, additional points can be obtained in the dental hygiene admission ranking system for completing these courses.
  • Students are encouraged to meet with an Academic Advisor for assistance with selecting a plan of study and course selection.

Learn more about the LCCC Dental Hygiene Program

Dental Hygiene Program Selection Criteria

Admission to the Dental Hygiene Program is competitive and based on a point system. Completion of minimum requirements does not guarantee acceptance to the Dental Hygiene program. All admission materials are required to be received by the Office of Admissions no later than the application deadline for consideration for admission.

Required Admissions Documents:

  • Application for Admission to the Dental Hygiene Program
  • Official high school transcripts or GED
  • Official transcripts from previously attended colleges/universities

Once all the application requirements have been met, admission to the Dental Hygiene Program is based on the following criteria:

Dental Hygiene Criteria

CUMULATIVE GPA:
Required for admission. Minimum 2.75 cumulative college GPA. High school GPA will be factored into the evaluation without completed college coursework and/or less than 12 college credits. Minimum 2.0 cumulative high school GPA without college credits.

SCORING: Cumulative GPA = points.

3.8-4.00 = 73.0-3.19 = 3
3.6-3.79 = 62.8-2.99 = 2
3.4-3.59 = 52.75-2.79 = 1
3.2-3.39 = 4

PRE-REQUISITE COURSE
Required for admission. High School or College coursework with a final grade "C" or higher.
SCORING: No points awarded for prerequisite courses

AlgebraBiologyChemistry

GENERAL EDUCATION COURSES
Not required for admission. Additional ranking points can be obtained for completed general courses.
SCORING (Final grade=points): A=4, B+=3, B=2, C+/C=1

ENG-101PSY-103SPE- 125 or 210SOC-101

SCIENCE COURSES
Not required for admission. Additional ranking points can be obtained for completed courses.
SCORING (Final grade=points): A=8, B+=6, B=4, C+=2, C=1

BIO-135BIO-136BIO-251

REAPPLYING STUDENTS
Applied last year to Dental Hygiene and met the minimum requirements but not accepted into the program.
SCORING= 3 points

These guidelines are subject to change without notification.

Expanded Functions Dental Assisting Admissions Information

To be considered for the Expanded Functions Dental Assisting Program, applicants must:

  • Complete a separate Health Sciences application for admission to the Expanded Functions Dental Assisting Program
  • Submit official transcript(s):
    • Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
    • Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.
  • DANB Radiation Health and Safety Certificate
  • CPR Certificate
  • At least one of the following:
    • Registered Dental Hygienist license
    • Diploma from an accredited Dental Assisting school
    • Letter from a Dentist stating you have worked a minimum of one year as a Dental Assistant (see 'Employer Statement' below)

Employer Statement

Learn more about the LCCC Expanded Functions Dental Assisting Program

Respiratory Therapy Admissions Information

To be considered for the Respiratory Therapy Program, applicants must:
Complete a separate Health Sciences application for admission to the Respiratory Therapy Program
Submit official transcript(s):
• Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
• Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.
Complete all prerequisite coursework:
• Applicants must provide evidence of final grade "C" or higher in high school or college level algebra, biology and chemistry courses.

Recommendations

  • Complete all General Education courses in the Respiratory Therapy curriculum. These courses are not required for admission. However, additional points can be obtained in the respiratory therapy ranking system for completing these courses.
  • Students are encouraged to meet with an Academic Advisor for assistance with selecting a plan of study and course selection.

Learn more about the LCCC Respiratory Therapy Program

Respiratory Therapy Program Selection Criteria
Admission to the Respiratory Therapy Program is competitive and based on a point system. Completion of minimum requirements does not guarantee acceptance to the Respiratory Therapy program. All admission materials are required to be received by the Office of Admissions no later than the application deadline for consideration for admission.

Required Admissions Documents

  • Application for Admission to the Respiratory Therapy Program
  • Official high school transcripts or GED
  • Official transcripts from previously attended colleges/universities

Once all the application requirements have been met, admission to the Respiratory Therapy Program is based on the following criteria:

Respiratory Therapy Criteria

CUMULATIVE GPA:
Required for admission. Minimum 2.0 cumulative college GPA. High school GPA will be factored into evaluation without completed college coursework and/or less than 12 college credits. Minimum 2.0 cumulative high school GPA without college credits.

SCORING: Cumulative GPA = points.

3.8-4.00 = 73.0-3.19 = 3
3.6-3.79 = 62.8-2.99 = 2
3.4-3.59 = 52.0-2.79 = 1
3.2-3.39 = 4

PRE-REQUISITE COURSE
Required for admission. High School or College coursework with a final grade "C" or higher.
SCORING: No points awarded for prerequisite courses

AlgebraBiologyChemistry

GENERAL EDUCATION COURSES
Not required for admission. Additional ranking points can be obtained for completed general courses.
SCORING (Final grade=points): A=4, B+=3, B=2, C+/C=1

ENG-101PSY-103SPE- 125 or 210SOC-101
MathBIO-101CHE-131 or 151PHY-101 or 131

SCIENCE COURSES
Not required for admission. Additional ranking points can be obtained for completed courses.
SCORING (Final grade=points): A=8, B+=6, B=4, C+=2, C=1

BIO-135BIO-136BIO-251

REAPPLYING STUDENTS
Applied last year to Respiratory Therapy and met the minimum requirements but not accepted into the program.
SCORING= 3 points

These guidelines are subject to change without notification.

Surgical Technology Admissions Information

To be considered for the Surgical Technology Program, applicants must:
Complete a separate Health Sciences application for admission to the Surgical Technology Program
Submit official transcript(s)
• Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
• Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.
Complete all prerequisite coursework
• Applicants must provide evidence of final grade "C" or higher in high school or college level algebra, biology and chemistry courses.
Complete the TEAS Exam
• There is no minimum passing score for the TEAS exam to determine admission eligibility for the Surgical Technology Program.
• Applicants who have taken the TEAS at another location other than LCCC must have their scores officially transferred to LCCC before established application deadline.
• TEAS scores are valid for two years.
• Retest Policy: There is a minimum of 30 days between attempts.

Recommendations

  • Complete all General Education courses in the Surgical Technology curriculum. These courses are not required for admission. However, additional points can be obtained in the surgical technology ranking system for completing these courses.
  • Students are encouraged to meet with an Academic Advisor for assistance with selecting a plan of study and course selection.

Learn more about the LCCC Surgical Technology Program

TEAS Info

Surgical Technology Program Selection Criteria
Admission to the Surgical Technology Program is competitive and based on a point system. Completion of minimum requirements does not guarantee acceptance to the Surgical Technology program. All admission materials are required to be received by the Office of Admissions no later than the application deadline for consideration for admission.

Required Admissions Documents

  • Application for Admission to the Surgical Technology Program
  • Official high school transcripts or GED
  • Official transcripts from previously attended colleges/universities
  • TEAS exam scores- scores are valid for two years

Once all the application requirements have been met, admission to the Surgical Technology Program is based on the following criteria:

Surgical Technology Criteria

CUMULATIVE GPA:
Required for admission. Minimum 2.0 cumulative college GPA. High school GPA will be factored into evaluation without completed college coursework and/or less than 12 college credits. Minimum 2.0 cumulative high school GPA without college credits.

SCORING: Cumulative GPA = points.

3.8-4.00 = 73.0-3.19 = 3
3.6-3.79 = 62.8-2.99 = 2
3.4-3.59 = 52.0-2.79 = 1
3.2-3.39 = 4

PRE-REQUISITE COURSE
Required for admission. High School or College coursework with a final grade "C" or higher.
SCORING: No points awarded for prerequisite courses

AlgebraBiologyChemistry

TEAS
TEAS exam scores. There is no minimum passing score for the TEAS exam to determine admission eligibility for the Surgical Technology Program. TEAS scores are valid for two years. Applicants who have taken the TEAS at another location other than LCCC must have their scores officially transferred to LCCC before established application deadline. There is a minimum of 30 days between attempts.
SCORING: No points awarded for TEAS

GENERAL EDUCATION COURSES
Not required for admission. Additional ranking points can be obtained for completed general courses.
SCORING (Final grade=points): A=4, B+=3, B=2, C+/C=1

ENG-101PSY-103SPE- 125 or 210SOC-101
CIS-110BIO-101

SCIENCE COURSES
Not required for admission. Additional ranking points can be obtained for completed courses.
SCORING (Final grade=points): A=8, B+=6, B=4, C+=2, C=1

BIO-135BIO-136BIO-251

REAPPLYING STUDENTS
Applied last year to Surgical Technology and met the minimum requirements but not accepted into the program.
SCORING= 3 points

Medical Assistant Admissions Information

To be considered for the Medical Assistant Program, applicants must:
Complete a separate Health Sciences application for admission to the Medical Assistant Program
Submit official transcript(s):
• Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
• Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.





Recommendations

  • Students are encouraged to meet with an Academic Advisor for assistance with selecting a plan of study and course selection.

Learn more about the LCCC Medical Assistant Program

EMS/ALS-Paramedic Admissions Information

To be considered for the EMS/Paramedic Program, applicants must:
Complete a separate Health Sciences application for admission to the EMS/Paramedic Program - Indicate AAS.EMS or CS.ALS as your intended major.
Submit official transcript(s):
• Official high school transcripts or GED. If you previously attended LCCC and did not enroll within the previous two years you will need to resubmit your high school transcripts.
• Submit official transcripts from all previously attended colleges and universities. Student-issued or unofficial transcripts are not accepted for transfer evaluation credit. Submit college/university transcripts to the LCCC Registrar Office.
Complete pre-requisite courses:
• Applicants seeking Certificate of Specialization in Advanced Life Support-Paramedic (CS.ALS) must provide documentation of PA. Department of Health, Bureau of EMS, Emergency Medical Technician.

Notes

  • The application deadline for the EMS & ALS-Paramedic Programs is July 1
  • The EMS Program will notify perspective candidates of the admission process including personal interviews, program standards, guideline review, and Platinum Education EMS Entry Assessment. Acceptance to the Paramedic Program is conditional until all clearances and background checks have been verified through the LCCC Health Sciences Department. Applicants not accepted are required to reapply each year. The College reserves the right to exercise discretion to select the most qualified candidates based on employer recommendations, interview, and entry assessment scores.

Learn more about the LCCC Emergency Medical Services (EMS) Program

Learn more about the LCCC ALS-Paramedic Program