RECRUITMENT AND REFERRAL FORM WIOA ITA Program

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Original: Mod.: X Date: 11/17/16 NOTE: Pharmacy Tech no longer accepting new students. Only CURRENT registrants may continue Medical Assistant A.A.S. program A.A.S. campus based programs no longer accepting new or re-entry students; therefore, no longer available as of 2016-2017 Academic Year Tuition/fees rates for a WIOA or TAA student are billed to RRTC at the rates in effect when WIOA or TAA monies first began paying the student s RCC tuition and fees. (Therefore, Career Planners should be able to forecast RCC students costs based on the costs on the first voucher prepared for the student.) PROCESS RCC STUDENTS IN THE SAME MANNER AS ANY OTHER CUSTOMER. See Referral Procedures. RECRUITMENT AND REFERRAL FORM WIOA ITA Program Programs: (See list of approved programs included in this R&R.) Provider Rockford Career College FEIN: 300167257 Address: 1130 S. Alpine Road Telephone: 815-965-8616 Rockford, IL 61108 Fax: 815-965-0360 Training Site Address: same Contact Person: Admissions, 815-965-8616 Activity Name: Occ. Class. Training (Adult & DW) Program: Training Services Provider Code: 2004-522 Agreement Start Date: 4/29/05 CIP Code: See page 3 OES: Varies Session Dates or Open Entry-Open Exit: See schedule in RCC catalog Average Time to Complete Program/Certificate/Degree: Varies by program Last Day Program Will Accept Referrals: End of first week of classes Program Description: See RCC s catalog for a description of the program at website: www.rockfordcareercollege.edu Expected Outcome: Placement in jobs related to vocational training. Earning of certificate/degree as indicated on IEP Program Schedule: See website No. of Participants: -- Total: -- Per Session: --Age: -- Math Level: -- Reading Level: Other: High school diploma or HSE/GED. Applicant must test at college prior to enrollment and apply for Pell and other financial aid. College screens applicants, accepting only those they believe can succeed. Referral Procedures: Costs: See Attached Contact College Admissions office, 815-965-8616 (See more specific instructions on next page.) Authorization: Northern Illinois Workforce Alliance R&R prepared by Valerie Johnson, NIWA Planning & Quality Assurance Manager. Rock River Training Corporation (RRTC) is the fiscal agent for WIOA programming approved by the NIWA. PROGRAMS APPROVED FOR FUNDING AND COSTS 1

Programs Approved for Funding and Tuition and Fees and Other Required Expenses for Approved Programs RRTC will pay for required books and supplies for courses in approved programs. All programs are approved for both WIOA and TAA participants. Career Planners: Before you enroll a student in a program, ask him/her to bring you the handout (if applicable) with any special needed program requirements such as certain supplies, medical exam, drug tests, shots, background checks, testing fees, etc. (The items that WIOA will cover for Medical Assistant are listed in this R&R.) WIOA and TAA students will be processed in the same manner as any other customer. They will take individual responsibility for providing any necessary paperwork or documentation required to proceed through the funding process. (It will be TWC s decision whether or not to have a designated single person that all WIOA students will use as a contact person.) From TWC s standpoint, the final responsibility for providing all necessary information will rest with the WIOA.TAA student directly. Career Planners will NOT intercede and contact RCC personnel for needed information if it is not forthcoming from the student in a timely manner. This could result in a delay of funding to the student if he/she is not conscientious in this matter. Provider: ROCKFORD CAREER COLLEGE Programs/CIP Code/O*Net Code Tuition Costs and Fees See pages 4 & 5 PROGRAMS CERTIFIED UNTIL JUNE 26, 2017: CIP Code = Classified Instructional Program Code O*Net Code = Occupational Information Network Code Program - Credential CIP O*Net Code in IWDS Medical Assistant (A.A.S.) 510801 319092 Medical Assistants TUITION/FEES RATES FOR A WIOA OR TAA STUDENT ARE BILLED TO RRTC AT THE RATES IN EFFECT WHEN WIOA OR TAA MONIES FIRST BEGAN PAYING THE STUDENT S RCC TUITION AND FEES. (Therefore, Career Advisors and Career Counselors should be able to forecast RCC students costs based on the costs on the first voucher prepared for the student.) ROCKFORD CAREER COLLEGE TUITION AND FEES information received as of June 17, 2016 begins on the page 5 2

COSTS RELATED TO MEDICAL ASSISTANT-- WIOA/TAA will cover the costs of these items. FOR MEDICAL ASSISTANT: WIOA/TAA Staff: If a RCC Medical Assistant student applies for WIOA assistance, he/she must get a background check done (at his/her own expense unless already a WIOA/TAA participant) before you can enroll him/her as a Medical Assistant student in WIOA/TAA. (If the Medical Assistant student has a criminal background, do not enroll him/her in WIOA unless the person has a waiver.) Another criminal background check may be required before a participant begins an externship. Exam Fee: $125 (fee subject to change) Made payable to the AAMA (American Association of Medical Assistants), 7999 Eagle Way Chicago, IL 60678-1079. Use the nine-digit ZIP code. The test is given three times a year January, June, and October. Students who graduate in March or June are eligible for the June exam; students who graduate in September are eligible for the October exam; and students who graduate in December are eligible for the January exam. Forms check, and transcripts must be received by the AAMA not later than three months before the date of the exam. Deadlines are as follows: January test deadline October 1 st ; June test deadline is March 1 st ; October test deadline is July 1 st. Medical Assistant students are required to have a Medical Exam before entering an externship. RRTC will cover cost of this exam. White tennis shoes 1 pair Wrist watch w/ 2 nd hand needed 6 th qtr. Scrubs Navy, White, Lt. Blue or White -1 pair Dual-head Stethoscope needed 6 th qtr. provided in the bookstore and will be on the student s audit as a book charge Adult Blood Pressure Cuff - needed 6 th qtr. provided in the bookstore and will be on the student s audit as a book charge CPR Second Year Cost CPR training is not included in the regular program coursework. RCC offers CPR training for Medical Assistant students outside of regular class hours. (CPR training is usually held on a Friday or Saturday and is not part of a RCC teacher s regular duties.) The cost of this course is $25, which includes the CPR card. Make voucher out to Rockford Career College. (A student may also receive CPR training from another organization. If the student goes elsewhere for CPR training, he/she must submit the request and costs of the CPR training to his/her counselor and receive approval to enroll in the CPR training.) Vaccinations - All Vaccines must be completed with documentation received by the Program Director before the student will be allowed to participate in externship. NO EXCEPTIONS. 1. Hepatitis B series three injections over a 6 month period a. Approximate cost is $40 per injection. Students must have this done by the end of the 6 th quarter of school. 2. Varicella Vaccine one injection a. If student has not had chicken pox, he/she needs the vaccine. b. If student has had chicken pox, he/she needs to provide documentation stating such. 3. Proof of Measles, Mumps, and Rubella vaccination a. If student is unable to get their medical records, he/she may have titers done. 4. Diphtheria, Tetanus, and Pertussis (DPT) a. Boosters are given every ten years. b. Must have proof of current booster. 5. TB skin test a. Performed within 6 months of the end of externship. b. Must have proof of a negative test result. c. If test result is positive, the student must have proof a negative chest x-ray. 3

------------------------------------------------------------------------------------------------------------------------------------------------ Estimated Tuition Costs Additional tuition fees and book charges may be incurred based on student s entrance exam scores and the addition of pre-curriculum courses to program requirements. Fees may also vary depending on the choices made for elective courses. Additional fee for graduation cap and gown. Fees Tuition Rates and Other Fees Effective Summer Quarter 2016 June 17, 2016 New Student Registration Fee Non-refundable $150.00 Graduation Fee $ 50.00 (Cap and Gown additional fee for participants) Proficiency Testing Fee Cash/Check/Credit Card $ 60.00 Transcript Fee $ 5.00 Tuition Rates PHT Pharmacy Technician Courses $319.00 per credit Academic Credit, Tuition, and Fees Chart is on page 6. 4

Code Program Credits Length (in months) Estimated Fee Estimated Book Fees Estimated First Term Costs Estimated Tuition Costs Associate Degree Programs AASMA Medical Assistant 91 24 $550 $3,143 $ 4,828 $ 29,029 Diploma Programs 5