Oregon Department of Community Colleges
 and Workforce Development	Office of Educational Improvement & Innovation	
255 Capitol Street NE
Salem, OR  97310-0203	Phone: (503) 378-3600
FAX: (503) 378-5156	

	COMMUNITY COLLEGE PROGRAM AMENDMENT FORM
(For changes to State Approved Associate of Applied Science degree, AAS option 
and Certificate of Completion programs)	

This form should be completed electronically and the boxes will expand to accommodate text.
Current instructions, forms, handouts and other useful resources are located at 
http://www.ode.state.or.us/search/results/?id=231

College:
	Clackamas Community College	Date	03/28/17	

Career Learning Area	
	Ag, Food & Natural Resource Systems		Health Services	
	Arts, Information & Communications		Human Resources	
	Business & Management		Industrial & Engineering Systems	

Program Information	
APPROVED
Program Title

(For Official Program Title, refer to your directory at http://www.ode.state.or.us/search/results/?id=232)	APPROVED
CIP Code 
(Include 7th & 8th digits used for OCCURS reporting.)	APPROVED
Recognition Award	Current
Credits	
	6-digit CIP	7th digit	8th digit			
AAS Title:

	
		Associate of Applied Science (AAS) Degree	
	
Option Title**

	
		OPTION to AAS Degree	
	
Certificate Title: Within AAS Degree? √ Yes**	  No
Emergency Medical Technology	
51.0904	
	
	√	Certificate of Completion	
58	
  **Enter name of base degree in ‘AAS Title’ box

TYPE OF PROGRAM AMENDMENT
(Check ALL That Apply)	
	New Program++
	Title Change for Program	√	Curriculum Revision	√	Revision in Program Credits	
		Proposed Total Credits:	57	
Proposed AAS Title:		
Proposed OPTION Title:		
Proposed Certificate Title:		
	SUSPENSION of Program	Reason for Suspension:
	
Suspension Effective Date:			
++If new program is an additional award for an existing degree or certificate, complete ‘Program Information’ section for existing program.

CURRICULUM AMENDMENT 
[List in a Defined Sequence of Courses Format, e.g., Quarter-to-quarter mapping.
For a New Program, complete the Proposed Curriculum section only.]	
CURRENT CURRICULUM 2016-17
[List entire curriculum as last approved)	PROPOSED CURRICULUM 2017-18
[List only course(s) to be amended]	
Course Number	
Course Title	Clock
Hours	
Credits	Course Number	
Course Title	Clock
Hours	
Credits	
Fall Term	
BI-231	Human Anatomy & Physiology I	66	4					
COMM-111	Public Speaking	44	4					
EMT-101*	EMT Part I	77	5					
EMT-105	Introduction to Emergency Medical Services	33	3					
MTH-065	Algebra II	44	4					
Winter Term	
BI-232	Human Anatomy & Physiology II	66	4					
EMT-102	EMT Part II	77	5					
EMT-109	Emergency Response Communication/
Documentation	22	2					
MA-110	Medical Terminology	33	3					
WR-121	English Composition	44	4					
Spring Term	
BI-233	Human Anatomy & Physiology III	66	4					
CJA-203	Crisis Intervention	33	3					
CS-120	Survey of Computing	55	4					
EMT-107	EMT Rescue	49	3					
EMT-108	Emergency Response Patient Transportation	44	2					
SOC-205	Social Stratification & Social System	44	4		REMOVE			
				PSY-101	Human Relations	33	3	
*Instructor consent required					
Current Healthcare Provider level CPR (AHA or ASHI) are required; criminal history background check, proof of immunization, and students will be asked to take a drug test as arranged by the department					
TOTAL CURRENT CREDITS:	58	TOTAL PROPOSED CREDITS:	57	

College Contact	Zig Sawzak	Telephone No.	503-594-0696	
E-Mail Address	zigs@clackamas.edu	Fax No.		
Chief Academic Officer or PTE Dean Signature		Date