APPLICATION DEADLINE: March 31
|
|
- Della McBride
- 6 years ago
- Views:
Transcription
1 For Admissions use only. Return this form to: Admissions and Advising Services, Wynn Center (Building 10), room Durham Technical Community College Surgical Technology Program Received By: Date: First Name: Last Name: Durham Tech Student ID Number: Date:: ConnectMail* Address: *NOTE: All official communication from the college is delivered via ConnectMail, including Health Technology admissions decisions. APPLICATION DEADLINE: March 31 Submit Completed paper application packets to Admissions and Enrollment Services beginning November 1 through March 31. Questions? banksa@durhamtech.edu No Faxed or ed applications accepted. Please submit application to: Wynn (Building 10), room (Admissions and Enrollment Office) CHECKLIST: All steps below are REQUIRED. Please initial that each item is completed. I am currently admitted to Durham Tech. Note: If you have not been enrolled with Durham Tech within the last 12 months, you must reapply to Durham Tech using the CFNC application. I have attended a Surgical Technology information session within the past year: Date: I meet Multiple Measures (See page 2). I understand placement tests (NCDAP, Compass, Accuplacer, ASSET, SAT/ACT, scores) are required if I do not meet Multiple Measures. I have completed the placement tests within the past 5 years regardless of my educational history (See page 2). I have completed all developmental courses as indicated by my placement test results, for example, RED 090, ENG 090/090A, or DRE 098 and MAT 070 or DMA s (See page 2). I have completed ONE of the below (see page 2): BIO 092 and CHM 094 in high school (within 10 years old) CHM 130 and 130A College level CHM 094 BIO 111 and CHM 151 I have attached a signed Clinical Training Form (See page 4). I have attached a signed English Language Requirement Form (See page 5 and 6). I have attached a signed Essential Skills Form (See page 7) NAME DURHAM TECH ID # Page 1 of 6
2 PLACEMENT AND DEVELOPMENTAL EDUCATION VERIFICATION: Print out (from Self-Service) high school courses completed/transferred Please initial below that each item is completed: I meet Multiple Measures: **High School graduates with an unweighted GPA of 2.6 or higher AND qualifying fourth math within the last five years will be exempt from placement testing. If you do not meet the above: Print out (from Self-Service) your placement test scores showing successful completion and/or testing out of required developmental education courses. I have attached documentation showing that I have completed the required placement test(s) (NCDAP, COMPASS, ASSET, ACCUPLACER, SAT or ACT, COMPASS ESL & Versant) within the past five years or I have been continuously enrolled since I completed the exam(s). I have attached documentation that I have completed the following required developmental courses within the past 5 years or I have been continuously enrolled since I have completed the classes. ENG 070and RED 070 or DRE 096 ENG 080 and RED 080 or DRE 097 ENG 090 and RED 090 or DRE 098 MAT 050, MAT 060, MAT 070, or DMA Important: Test scores and developmental education coursework more than five years old will not be accepted unless you have been continuously enrolled in college (i.e. not missing three or more consecutive semesters of enrollment in classes including summer semester). Course Completion *I have completed one of the below: One biology and one chemistry course at the high school level within the past 10 years (passing with a grade of C or better or numeric grade of 77) college level CHM 094 OR CHM130 and CHM130A OR BIO 111 and CHM 151 Notes: Students who have taken BIO 168 or have transfer credit for BIO 168 (with a grade of C or better) meet this requirement. If CHM130 is taken at another community college, it must have the lab component CHM130A in order to meet the science requirement. NAME DURHAM TECH ID # Page 2 of 6
3 STATEMENT OF STUDENT RESPONSIBILITY I verify that I have read all the information regarding admissions to the Surgical Technology Program, and understand the steps I must take to qualify for admissions. I understand that it is my responsibility to notify the Student Information and Records office regarding changes in name, address, or phone number. I understand that all official communication from the college is delivered via ConnectMail, including Health Technology admissions decisions. I understand that my Surgical Technology application will not be accepted unless everything is completed. I understand that Students who register for Surgical Technology classes after acceptance into the program and then withdraw before classes begin or during the first semester will be given the opportunity to apply ONLY ONCE MORE. Note: Once an applicant has accepted a seat within the Surgical Technology program, this is considered their first admittance. Students are only allowed to be accepted into the Surgical Technology program twice (this also applies to returning students only allowed to return once). Signature Date Page 3 of 6
4 Statement of Policy Regarding Acceptance for Clinical Training in the Following Programs at Durham Technical Community College Associate Degree Nursing Clinical Trials Research Associate Occupational Therapy Assistant Pharmacy Technology Practical Nursing Respiratory Therapy Surgical Technology Medical Assisting Students accepted into the above programs must meet the standards of both the College and the affiliated clinical site in order to participate in the appropriate clinical training for the program. Each clinical site where a student receives training reserves the right to refuse clinical training to any student found to be unacceptable according to that site s policies and regulations. Clinical sites require a Criminal Background Check prior to the student s placement for training at that site. Reasons for refusal could include, among other considerations, a documented police record indicating convictions for drug or alcohol related charges, child abuse or molestation, burglary, larceny, or other convictions deemed inappropriate to the particular clinical setting. The student must confirm to and be subject to all policies and regulations of the assigned clinical site. The site reserves the right to end clinical training of any student whose performance violates rules, policies, procedures, or professional standards expected by the agency. Written justification from the clinical site must be provided to the College for such suspension. The clinical site and college personnel reserve the right to take appropriate immediate action, when necessary, to maintain the proper and safe operation of its facilities and the safety of clients in the clinical setting. Criminal Background Check: A Criminal Background Check form will be sent to students at the time they are accepted into the clinical portion of their health program. The background check will include reports from all states where the student has lived within the past ten (10) years or from the date that the student turned eighteen (18) years of age, whichever is shorter. Students will pay a fee directly to a designated vendor for this background check. View additional information on the Criminal Background Check requirement. I verify that I have read and fully understand the Statement of Policy Regarding Acceptance for Clinical Training at Durham Technical Community College. I also understand that a Criminal Background Check is required for placement in clinical training sites for Durham Technical Community College. NAME (Print) DURHAM TECH ID # PROGRAM OF STUDY SIGNATURE DATE Page 4 of 6
5 English Language Requirement Form All health care workers (native and non-native US English speakers alike) are expected to use clear communication skills in the workplace. Students whose native language is not US English are expected to demonstrate "near native" US English language abilities. To confirm this ability, all students entering a Health Technologies program are required to meet the English language requirement. All students should submit this form to Admissions, Advising, and Enrollment Support to verify how he/she meets the English language requirement. Students meeting the following criteria must comply with this revised requirement: 1. Students who applied to a Health Technologies program on or after January 1, 2016, OR 2. Students who applied to a Health Technologies program before January 1, 2016, but have not yet met the previous English language requirement. Please check the ONE that applies: 1. I have only attended a US high school, and my first language is US English. 2. I have attended school outside the United States. 3. My first language is not US English. If you checked number 1, please sign here. There is nothing further that you need to do. I understand that this is an official Durham Technical Community College document and that any falsification on this document may result in disciplinary action according to the Student Code of Conduct. My signature below indicates that I am responding truthfully. Student Name (Print): Student ID: Student Signature: Date: If you checked number 2 or number 3, you must meet the English Language Requirement by successfully completing one of the following options: Option 1: Take the Accuplacer ESL Listening Test (obtain a score of 106 or above) AND complete a personal interview with the EFL Coordinator in order to assess your speaking skills (obtain a score of 70 or above). Option 2: Take the Test of English as a Foreign Language (TOEFL), ibt version (obtain a score of 22 in listening and above 26 in speaking. Option 3: Complete EFL 055 and/or EFL 064 and other EFL courses as recommended or required by placement testing (obtain a score of 80 percent or above). *Note: Scores for the above tests and classes are valid for up to 5 years. Page 5 of 6
6 If you have any further questions or need clarification, contact EFL Director Paula Wilder for additional information. I understand that this is an official Durham Technical Community College document and that any falsification on this document may result in disciplinary action according to the Student Code of Conduct. I answered no to questions number 2 and/or number 3; however, I have met the English Language Proficiency Requirement as follows: 1. I scored a 106 or above on the Accuplacer ESL Listening and a 70 or above on my personal interview to assess my speaking skills. 2. I took the Test of English as a Foreign Language (TOEFL), ibt version and scored above 22 in listening and above 26 in speaking. 3. I have completed one or more EFL curriculum courses in the areas listening/speaking and have scored an 80percent or higher. My signature below indicates that I am responding truthfully. Student Name (Print): Student ID: Student Signature: Date: EFL Director (Print): EFL Director Signature: Date: This form must be submitted to Admissions, Advising, and Enrollment Support with other required documentation. Refer to the Health Technologies program admissions checklist to determine additional requirements. Read more information about this requirement and view test dates. Page 6 of 6
7 SURGICAL TECHNOLOGY PROGRAM ESSENTIAL SKILLS FOR ADMISSION and PROGRESSION PHYSICAL & PSYCHOLOGICAL REQUIREMENTS Students applying to the Surgical Technology (ST) program must demonstrate sufficient physical and emotional health to be considered fit to participate in academic education and laboratory experiences, and to practice clinically with the public in a safe and effective manner. ISSUE STANDARD EXAMPLES OF NECESSARY ACTIVITIES (not inclusive) Critical Thinking Possess critical thinking ability sufficient for problem solving & clinical judgment Organize and prioritize; arranging instrumentation or actions in a certain order/pattern according to specific rules; must be able to bring together and relate the similarities of surgical Ability to be oriented to time, place, and person, organize responsibilities, and make quick appropriate decisions. procedures & situations in order to function on unfamiliar procedures. Concentrate for prolonged periods of time in a sterile environment. Need to quickly assess needs for surgical procedures, anticipate surgeon s needs. Interpersonal Interpersonal abilities sufficient to interact with Display patience, empathy and concern for others. Skills individuals, families, and groups from a variety of social, emotional, cultural, and intellectual backgrounds. Deal with fear and hostility in a calm manner. Work with others in stressful situations. Communication Mobility Motor Skills Sufficient written and oral skills to communicate needs promptly and effectively, express and exchange ideas, and interact with patients, surgeons, peers, and other medical personnel. Physical abilities sufficient to move from room to room and maneuver in small spaces. Gross & fine motor abilities sufficient to provide safe and effective patient care, as well as providing a safe and effective environment for the surgical team. Receive constructive feedback positively. Must be able to communicate in a concise manner (able to get to the point). Must be able to speak clearly and respectfully. Must be able to restate, rephrase, and reframe ideas (paraphrase) to ensure clear understanding of orders/direction given by surgeons, anesthesiologists, nurses, peers and other medical personnel. The surgical technology student must be able to complete surgical counts prior to the beginning of the procedure, during the procedure and upon completion of the procedure without interruptions; must also be able to communicate/relay information about the patient, the surgical procedure, and the surgeon(s) to relief personnel in order to facilitate a smooth transition from one surgical technologist to another. Must be able to communicate needs during an emergency situation intraoperatively. o The surgical technology student must be able to verbally request additional sponges in the event of a hemorrhage. Move around in operating rooms without contaminating sterile workspaces. Must also be able to work in a small area without contaminating him/herself and the surgical team. Pass surgical knives, hypodermic needles, and sharp instrumentation without causing injury to the patient, him/herself or to the remainder of the surgical team; handle fine sutures and delicate instrumentation; position and transport patients. Respond promptly to the surgeon's/patient's needs, Manipulate equipment, Lift a minimum of 50 pounds, exert a sustained force of 20 pounds, push/pull mobile equipment weighing up to 300 pounds. Stand in sterile scrub attire for prolonged periods (sometimes wearing a pound lead apron underneath the gown). Walk an equivalent of 5 miles per day. Revised February 2014
8 Tactile Skills Visual Shall possess tactile ability to sufficiently handle all the microscopic supplies, instruments, and equipment. Visual ability and acuity sufficient for observation & assessment necessary during a surgical procedure. Hearing Auditory ability sufficient to monitor and access health needs of the patient, & maintain facility safety. Weight Bearing Should possess the ability to maneuver/move/lift pounds, daily. Occupational Exposures The ST student is at high risk for exposure to blood and body fluids, toxic substances, anesthetic preparations, and chemical sterilization practices at all times. Emotional Ability to tolerate environmental stressors. Loading fine sutures onto needle drivers and for passing to the surgeon delicate instrumentation; good hand eye coordination; keep hands and arms steady while moving your arm or while holding your arm and hand in one position. Implantable items for patients may be very delicate, in combination with sterile surgical gloves, some supplies and instruments require very delicate manipulation. Handling fine sutures and needles safely and efficiently in response to the needs of the surgeon and surgical procedure, being able to visualize and follow the surgical procedure, and working with small supplies and instruments that require calibration. Hear monitor alarms, emergency signals, & commands given by the surgeon and the circulating nurse. Lift a tray of surgical instruments; position patients and move equipment. Lifting extremity. Standing for a surgical procedure that may last several hours. Pathogens (HIV, AIDS, HBV, MRSA, TB) Bone cement, ethylene oxide, radiation, electricity, gases. Sharp instrumentation. Patient death. Different personalities. Physical stressors as room temperatures, noises, odors, patient conditions, and standing for a long period of time either in an ergonomically or non-ergonomical position). The student must be able to cope effectively with stress in the workplace; cope with patient & colleague emotions calmly; while demonstrating a high degree of patience. A prospective student with a disability, which may impact upon their ability to provide patient care, should contact the Students with Disabilities Program coordinator in the Counseling Services ( , ext 1400). o Student Signature Date Revised February 2014
LPN to ADN Nursing Program - Fall 2018
Return this form to: Admissions and Advising Services, Wynn Center (Building 10), room 10-200 Durham Technical Community College LPN to ADN Nursing Program - Fall 2018 For Admissions use only. A10300NT
More informationDURHAM TECHNICAL COMMUNITY COLLEGE ASSOCIATE DEGREE RESPIRATORY THERAPY PROGRAM
Durham Technical Community College 1637 Lawson Street / Durham, North Carolina 27703 919-536-7200 / durhamtech.edu DURHAM TECHNICAL COMMUNITY COLLEGE ASSOCIATE DEGREE RESPIRATORY THERAPY PROGRAM Dear Student:
More informationNORTH CAROLINA PIEDMONT REGIONALLY INCREASING BACCALAUREATE NURSES NCP RIBN
NORTH CAROLINA PIEDMONT REGIONALLY INCREASING BACCALAUREATE NURSES NCP RIBN North Carolina A & T State University and Guilford Technical Community College Limited Enrollment Admission and Progression Criteria
More informationREGISTERED NURSE PROGRAM CLASS SELECTION CRITERIA *Criteria effective beginning October 2017*
REGISTERED NURSE PROGRAM CLASS SELECTION CRITERIA *Criteria effective beginning October 2017* The registered nursing program is a selective admissions program. Nursing program applicants must meet established
More informationCOLLEGE OF THE ALBEMARLE SPRING 2019 LPN-ADN OPTION ADMISSION FACT SHEET
COLLEGE OF THE ALBEMARLE SPRING 2019 LPN-ADN OPTION ADMISSION FACT SHEET EACH APPLICANT MUST PROVIDE CORRECT CONTACT INFORMATION TO THE ADMISSIONS DEPARTMENT INFORMATION CONTAINED IN THIS FACT SHEET IS
More informationComputed Tomography and Magnetic Resonance Imaging Technology - CT Imaging Technology Expanded Traditional Clinical Certificate
Forsyth Technical Community College 2100 Silas Creek Parkway Winston-Salem, NC 27103-5197 Computed Tomography and Magnetic Resonance Imaging Technology - CT Imaging Technology Expanded Traditional Clinical
More informationDepartment of Nursing. PO Box Decatur, AL (256)
Department of Nursing P.O. Box 2216 Decatur, AL 35609 2216 (256) 306 2794 DEPARTMENT OF NURSING APPLICATION CHECKLIST (This checklist is provided to assist you with the application process. Please keep
More informationPATIENT CARE TECHNICAN PROGRAM Wallace Community College Selma APPLICATION PACKET
PATIENT CARE TECHNICAN PROGRAM Wallace Community College Selma APPLICATION PACKET Please read the following information carefully before completing this application packet: Students seeking admission into
More informationCOLLEGE OF THE ALBEMARLE FALL 2018 ASSOCIATE DEGREE NURSING ADMISSION FACT SHEET
COLLEGE OF THE ALBEMARLE FALL 2018 ASSOCIATE DEGREE NURSING ADMISSION FACT SHEET EACH APPLICANT MUST PROVIDE CORRECT CONTACT INFORMATION TO THE ADMISSIONS DEPARTMENT INFORMATION CONTAINED IN THIS FACT
More informationLPN-ADN BRIDGE ASSOCIATE DEGREE NURSING JAMESTOWN CAMPUS 2018 APPLICANT INFORMATION
www.gtcc.edu An Affirmative Action/Equal Opportunity College LPN-ADN BRIDGE ASSOCIATE DEGREE NURSING JAMESTOWN CAMPUS 2018 APPLICANT INFORMATION SUMMER 2018 ADMISSION Deadline: January 31, 2018 All NUR
More informationDMACC INSTRUCTIONS FOR COMPLETING STUDENT HEALTH AND IMMUNIZATION RECORD
DMACC DES MOINES AREA COMMUNITY COLLEGE INSTRUCTIONS FOR COMPLETING STUDENT HEALTH AND IMMUNIZATION RECORD Health and Public Service Department Students need to complete and submit the Student Health and
More informationNURSING ADVANCED PLACEMENT BRIDGE LPN TO RN TRANSITION PROGRAM PACKET
NURSING ADVANCED PLACEMENT BRIDGE LPN TO RN TRANSITION PROGRAM PACKET After you have read and studied these procedures, return the application page to: Wytheville Community College Admissions & Records
More informationJEFFERSON COLLEGE Radiologic Technology Program
ADMISSION REQUIREMENTS Applicants to the program will be required to complete an application packet prior to being considered for the program. Each new cohort of students will be accepted for the fall
More informationMedical Laboratory Technician Program Application
Medical Laboratory Technician Program Application Iowa Central Community College Medical Laboratory Technician Application Application deadline is March 31 st, 2017 Please complete all information. Please
More informationLPN or Paramedic to Associate Degree Nursing Program Application Notice: Admission requirements and procedures may change without prior notice
LPN or Paramedic to Associate Degree Nursing Program Application Notice: Admission requirements and procedures may change without prior notice Name: Last, First MI SUSCC Student Id# List all previous names
More informationHealth Studies Division
Health Studies Division Humphrey Lee, Ed.D. President Practical Nursing Program Information/Application Packet (Please Read Entire Packet Carefully) August 1, 2017 Dear Prospective Student, Thank you for
More informationSchool of Nursing and Allied Health Surgical Technology Program
School of Nursing and Allied Health Surgical Technology Program MISSION OF THE SURGICAL TECHNOLOGY PROGRAM The mission of the Surgical Technology program is to provide a learning environment and experiences
More informationASSOCIATE DEGREE NURSING FALL ENTRY OPTION JAMESTOWN CAMPUS 2018 ADMISSION INFORMATION
www.gtcc.edu An Affirmative Action/Equal Opportunity College ASSOCIATE DEGREE NURSING FALL ENTRY OPTION JAMESTOWN CAMPUS 2018 ADMISSION INFORMATION FALL 2018 ADMISSION Deadline: February 28, 2018 All NUR
More informationSelective Admission Process For Current High School Seniors Only Application Period: January 22, 2018 through April 17, 2018
RIBN Regionally Increasing Baccalaureate Nurses Wilmington Dual Admission and Continuation Criteria University of North Carolina Wilmington and Cape Fear Community College Selective Admission Process For
More informationPRACTICAL NURSING PROGRAM AND APPLICATION INFORMATION
PRACTICAL NURSING PROGRAM AND APPLICATION INFORMATION 1/2018 Dear Prospective Student: Thank you for your interest in our Practical Nursing Program here at H. Councill Trenholm State Community College.
More informationTHIS PROGRAM IS COMPETITIVE. Minimum Grades DO NOT Guarantee Admission.
APPLICATION FOR ADMISSION TO THE RESPIRATORY CARE PROGRAM Program Application Fee $50.00 WINTER 2019 JACKSON COLLEGE ASSOCIATE in APPLIED SCIENCE RESPIRATORY CARE Please Attach Receipt of Payment to Application
More informationAPPLICATION FOR ADMISSION to the NURSING PROGRAM FALL 2018 ENTRY
APPLICATION FOR ADMISSION to the NURSING PROGRAM FALL 2018 ENTRY LAKE MICHIGAN COLLEGE ASSOCIATE IN APPLIED SCIENCE NURSING NAME LMC STUDENT ID NUMBER ADDRESS CITY STATE ZIP HOME PHONE CELLPHONE LMC EMAIL
More informationFrequency: O = Occasionally (1-33%) F = Frequently (34-66%) C = Constantly (67-100%)
1 Physical examination Vision correct to 20/20 Hearing correct to normal Haptic sense of touch (normal) Manual dexterity able to perform manipulative skills with speed, dexterity and agility Physical strength
More informationApplication Information
Application Information Georgia Northwestern Technical College Associate Science Nursing Program Transition Track We are very pleased you are considering advancing your education. We welcome your application
More informationMOUNTAIN VIEW COLLEGE Health Record
MOUNTAIN VIEW COLLEGE Health Record Date Name: DOB: Last First Middle Month Day Year Address: Street City & State Zip Telephone: Home Work Cell or VM I certify that I have: Health Questionnaire: To be
More informationNursing Program Application
2018-2020 Nursing Program Application Please note the following items must be submitted, in order for the application to be considered complete: Initial Application Checklist Good standing and unconditional
More informationGroup Advising Pre-Nursing
Group Advising Pre-Nursing Registration Information for Summer and Fall 2017 Liz Osborn Academic Advisor, Pre-Nursing 970.391.2293 This is your To Do list You must complete this To Do list before attending
More informationRadiologic Technology Admissions Overview 2018
Radiologic Technology Admissions Overview 2018 Application Submission Dates Communication By September 25-November 2 December 7 November 6-February 1* February 22 February 5-April 5 End of May April 9
More informationMobility Program Application
2018-2019 Mobility Program Application Please note the following items must be submitted, in order for the application to be considered complete: Initial Application Checklist Good standing and unconditional
More informationGeorgia Southern University - Armstrong Campus. Fall 2018 ABSN Application ACCELERATED BACCALAUREATE NURSING PROGRAM
Georgia Southern University - Armstrong Campus Fall 2018 ABSN Application ACCELERATED BACCALAUREATE NURSING PROGRAM Application Deadline: February 6, 2018 @ 4 PM Applicant Legal Name: Another name which
More informationNurse Aide TIDEWATER COMMUNITY COLLEGE
Nurse Aide TIDEWATER COMMUNITY COLLEGE TABLE OF CONTENTS Welcome Letter.1 General Information.. 2 Program Requirements..2 Class Requirements...2 The Enrollment Process.3 General College Application.3
More informationTable of Contents. Introduction... 1 ASSOCIATE DEGREE NURSING (ADN)... 1 BRIDGING OPTION FOR LICENSED PRACTICAL NURSES... 1
Table of Contents Introduction.................................................................... 1 ASSOCIATE DEGREE NURSING (ADN).............................................. 1 BRIDGING OPTION FOR LICENSED
More informationNursing. Associate in Applied Science and Career Certificates. Nursing (Associate in Applied Science) Plan 21NC
Nursing Biological and Health Sciences Division, Room B213, (847) 543-2043 Nursing (Associate in Applied Science) Plan 21NC This is a limited enrollment program. Day and evening options are available.
More informationASSOCIATE DEGREE NURSING Selective Admission Process
ASSOCIATE DEGREE NURSING Selective Admission Process Application Dates October 11, 2017 through January 18, 2018 (Excluding January 2 through January 9, 2018) MINIMUM REQUIREMENTS ARE SUBJECT TO CHANGE
More informationSincerely, Marie DeLillo, MSN, RN Department Chair, Nursing
Dear Prospective Nursing Applicant: Thank you for inquiring about the Associate Degree in Nursing Program at Stark State College (SSC). Please note that all information is subject to change as needed to
More informationAPPLICATION FOR ADMISSION TO THE UW-L NUCLEAR MEDICINE TECHNOLOGY PROGRAM
APPLICATION FOR ADMISSION TO THE UW-L NUCLEAR MEDICINE TECHNOLOGY PROGRAM Please type responses. Hand-written applications will not be accepted. Name Local Mailing Address (La Crosse Address for UW-L Students)
More informationFoothills Nursing Consortium Concept-Based Advanced Placement (Fast Track) ICC Admissions & Selection Rubric Summer 2018
Concept-Based Advanced Placement *Students who graduate from a concept-based PNE curriculum only* The Foothills Nursing Consortium includes: Cleveland Community College Cleveland County 137 South Post
More informationBevill State Community College
Bevill State Community College Nursing Mobility: LPN and Paramedic to Associate Degree Nursing Fall 2018 Admission Cohort Fayette and Sumiton Application Open March 1 - May 1, 2018 Spring 2019 Admission
More informationAssociate of Science in Radiologic Science APPLICATION
Associate of Science in Radiologic Science APPLICATION Deadline for 2018 Cohort: March 15, 2018 Instructions 1. Complete a College of Coastal Georgia Application and complete all college admission requirements.
More informationOccupational Therapy Assistant Application
Courses are offered during daytime hours and must be taken in an approved sequence. Students may complete other supporting required courses while also taking OTA subject classes. Level 2 fulltime fieldwork
More informationFall 2018 and/or Admission Application Traditional Option Edwardsville Spring 2019
Campus Box 1066 Edwardsville, IL 62026 Phone: 618-650-3956 Fax: 618-650-3854 To be considered for both Fall 2018 and Spring 2019, BOTH semesters must be checked on this application. All Applicants: Once
More informationMedical Assistant Training Program Checklist and Application. Student Name: Campus Requested:
Medical Assistant Training Program Checklist and Application Student Name: Campus Requested: Thank you for your interest in our Medical Assistant Training Program! Please check the last page of this application
More informationLPN to RN ADMISSION REQUIREMENTS
LPN to RN ADMISSION REQUIREMENTS Students must turn in a complete application packet in a plain manila envelope to a Nursing Program Advisor, Room 191-B, prior to the listed application deadlines. Incomplete
More informationBASIC C.N.A Registration Process Check Sheet
BASIC C.N.A Registration Process Check Sheet DATE COMPLETED 1. Complete an online DMACC application and select one of the following: (1) Nurse Aide as your major if you only plan on taking C.N.A classes
More informationTanya D. Wright. Dear Prospective Applicant,
Dear Prospective Applicant, Thank you for your inquiry concerning the Physical Therapist Assisting Program at Cuyahoga Community College. Our curriculum emphasizes physical therapist assisting practice
More informationOccupational Therapy Assistant Program Fall 2017 Admission
Metropolitan Community College Penn Valley Student Information Packet Occupational Therapy Assistant Program Fall 2017 Admission Occupational Therapy Assistant Program Thank you for your interest in the
More informationPRE-NURSING HANDBOOK. Traditional BSN Program
PRE-NURSING HANDBOOK Traditional BSN Program Abstract This document was prepared for all students interested in California State University, Bakersfield s traditional 3 year BSN pre-licensure program.
More informationLPN to ADN Nursing Application
LPN to ADN Nursing Application Admission Information for Fall 2018 and Spring 2019 Associate in Applied Science: Major in Nursing The Associate Degree in Health Science Major in Nursing (ADN) Program prepares
More informationStorm Lake Iowa Central Community College Nursing application 916 Russell St Storm Lake, IA 50588
Dear Nursing Applicant: Thank you for applying to the Nursing program at Iowa Central Community College. In order to be considered for the upcoming Nursing program you must first complete the enclosed
More informationJOHNSTON COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM. ADMISSIONS POLICY Fall 2018
JOHNSTON COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM ADMISSIONS POLICY Fall 2018 The Associate Degree Nursing program at Johnston Community College is a 2 year program that is completed over 5 consecutive
More informationCHECKLIST FOR ADVANCED PLACEMENT LPN -to- RN APPLICANTS TO THE ASSOCIATE DEGREE IN NURSING (ADN) OPTION For September 2018 Admission
CHECKLIST FOR ADVANCED PLACEMENT LPN -to- RN APPLICANTS TO THE ASSOCIATE DEGREE IN NURSING (ADN) OPTION For September 2018 Admission Dear Student: This checklist will enable you to create a personal record
More informationNURSING INFORMATION SESSION
NURSING INFORMATION SESSION Ivy Tech Community College School of Nursing Associate of Science and Practical Nursing Programs THIS SESSION IS INTENDED TO PROVIDE AN OVERVIEW OF THE NURSING PROGRAMS AT IVY
More informationCHECKLIST FOR APPLICATION SECOND DEGREE ACCELERATED BACHELOR OF SCIENCE IN NURSING
CHECKLIST FOR APPLICATION SECOND DEGREE ACCELERATED BACHELOR OF SCIENCE IN NURSING PLEASE BE SURE THAT YOU HAVE COMPLETED EVERY STEP BELOW, AND THAT YOU HAVE ENCLOSED ALL DOCUMENTS BEFORE SUBMITTING YOUR
More informationRespiratory Therapy Admission Criteria
Respiratory Therapy Admission Criteria This is a selective and competitive admission program. Admission to the college doesn't guarantee admission to the clinical component of the program. You will be
More informationMercer County Community College Division of Science & Health Professions
Mercer County Community College Division of Science & Health Professions Nursing Program Admission Information Packet Table of Contents Table of Contents... 2 Admission Requirements... 4 Petition Process...
More informationCoastal Alabama Community College January 2017 NURSING PROGRAM TRANSFER APPLICATION
NURSING PROGRAM TRANSFER APPLICATION 1 Dear Potential Transfer Student, Thank you for your interest in Coastal Alabama Community College s Nursing Program. The forms and checklist to request a transfer
More informationLURLEEN B. WALLACE COMMUNITY COLLEGE. Nursing Program Admission Packet
LURLEEN B. WALLACE COMMUNITY COLLEGE Nursing Program Admission Packet Dear Prospective Student: Thank you for your interest in the Nursing Program at Lurleen B. Wallace Community College. Read this entire
More informationBevill State Community College Nursing Program Admission Information
Bevill State Community College Nursing Program Admission Information Spring 2018 Fayette, Pickens County and Sumiton Daytime Admission Part-time Nursing Program Evening Admission Jasper Campus only Application
More informationPRELICENSURE BSN PROGRAM OF STUDY APPLICATION PROCESS STUDENT CHECKLIST
APPLICATION DEADLINE for 2018 FALL SEMESTER PRIORITY ADMISSION: 2/15/2018 PRELICENSURE BSN PROGRAM OF STUDY APPLICATION PROCESS STUDENT CHECKLIST INSTRUCTIONS: Use this checklist to be sure you have included
More informationPolicy S-13 FLORIDA STATE UNIVERSITY COLLEGE OF NURSING REMOVAL OF STUDENTS FROM CLINICAL SETTINGS
Policy S-13 FLORIDA STATE UNIVERSITY COLLEGE OF NURSING Page 1 of 3 TITLE: POLICY: RATIONALE: REMOVAL OF STUDENTS FROM CLINICAL SETTINGS Students who are unable to practice nursing with reasonable skills
More informationComplete developmental course work in Computer, English, Reading, and Mathematics unless the required proficiency
PIEDMONT COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM ADMISSIONS POLICY 2016 17 Applicants are admitted under provision of the admission policies of Piedmont Community College and the Associate Degree
More informationComputed Tomography. Admission Packet Essex. https://ccbc.liaisoncas.com/applicant-ux/#/login
Computed Tomography Admission Packet 2017-18 Essex www.cccmd.edu/shp https://ccbc.liaisoncas.com/applicant-ux/#/login COMPUTED TOMOGRAPHY Welcome Thank you for your interest in the CCBC Computed Tomography
More informationMedical Assisting (Allied Health Program) Enrollment Packet Fall 2018
1 Medical Assisting (Allied Health Program) Enrollment Packet Fall 2018 ALL MEDICAL ASSISTING EMAIL COMMUNICATIONS WILL BE CONDUCTED THROUGH DCCC EMAIL SYSTEM ONLY. All Medical Assisting admission policies
More informationAssociate Degree in Nursing Application
Associate Degree in Nursing Application Admission Information for Fall 2018 and Spring 2019 Associate in Applied Science: Major in Nursing The Associate Degree in Health Science Major in Nursing (ADN)
More informationUnion County College Practical Nursing Program. Consideration for Practical Nursing Enrollment
Union County Practical Nursing Program Consideration for Practical Nursing Enrollment Students accepted by Union County into the Practical Nursing major (PRNS) will need to complete and submit the following
More informationCollege of Costal Georgia RN to BSN Program of Study GENERAL INFORMATION
College of Costal Georgia RN to BSN Program of Study GENERAL INFORMATION RN to BSN Program applicants must meet the college entrance requirements as described in the current catalog. Applicants must apply
More informationFOOTHILLS NURSING CONSORTIUM ASSOCIATE DEGREE NURSING FALL 2018 ADMISSIONS & SELECTION RUBRIC
The Foothills Nursing Consortium includes: July 2017 Generic 2018 AD Nursing Cleveland Community College 137 South Post Road Shelby, NC 28152 (704) 669-4073 Isothermal Community College Post Office Box
More informationCHECKLIST FOR APPLICATION TO LPN-BSN PROGRAM AT ASU
CHECKLIST FOR APPLICATION TO LPN-BSN PROGRAM AT ASU PLEASE BE SURE THAT YOU HAVE COMPLETED EVERY STEP BELOW, AND THAT YOU HAVE ENCLOSED ALL DOCUMENTS BEFORE SUBMITTING YOUR APPLICATION. Deadline: June
More information** Clinical Training Requirements Checklist for Conditionally Accepted Allied Health Students**
1 ** Clinical Training Requirements Checklist for Conditionally Accepted 2016-17 Allied Health Students** The following checklist outlines required documentation for conditionally accepted 2016-17 Allied
More informationPierpont Community & Technical College School of Health Careers Practical Nursing Program
Pierpont Community & Technical College School of Health Careers Practical Nursing Program ADMISSION PROCESS 1. Complete and submit Pierpont Community & Technical College application including: a. Submit
More informationNursing AAS (NURS) Catalog: Effective Date: 9/01/2017. Introduction to College Writing or Writing Reading Workshop A/B
Nursing AAS (S) Catalog: 2017-2018 Effective Date: 9/01/2017 CR COURSE COURSE TITLE 3 ENG 101 or ENG 100A & B 3 SUNY GEN ED Basic Communication ENG 102, ENG 103, ENG 104, ENG 105, ENG 106, ENG 107, ENG
More informationFall 2017 ABSN Application ACCELERATED BACCALAUREATE NURSING PROGRAM. Application Deadline: February 6, 4 PM
Staple money order here. See page 9 for instructions on how to fill out a money order. Fall 2017 ABSN Application ACCELERATED BACCALAUREATE NURSING PROGRAM Application Deadline: February 6, 2017 @ 4 PM
More information**CHANGE IN START DATE** ADVANCED PLACEMENT LPN -to- ADN PROGRAM APPLICANT INFORMATION AND CHECKLIST For January 2020 Admission
**CHANGE IN START DATE** ADVANCED PLACEMENT LPN -to- ADN PROGRAM APPLICANT INFORMATION AND CHECKLIST For January 2020 Admission Dear Student. This Checklist will enable you to create a personal record
More informationDivision of Applied Science & Technology
Division of Applied Science & Technology 3441 Mountain Empire Road Big Stone Gap, VA 24219 276.523.2400 www.mecc.edu 2016-2017 Associate of Applied Science Degree Nursing Track 1: Two-Year Plan (156) Program
More informationApplicant: Student ID Date:
Applicant: Student ID Date: Home Phone: Cell Phone: E-mail: Must attach documentation (copies of lab reports, immunization records, and CPR card) as indicated for each of the following to be in compliance
More informationCollege of Costal Georgia RN to BSN Program of Study GENERAL INFORMATION
College of Costal Georgia RN to BSN Program of Study GENERAL INFORMATION RN to BSN Program applicants must meet the college entrance requirements as described in the current catalog. Applicants must apply
More information** Clinical Training Requirements Checklist for Conditionally Accepted EMS Students**
1 ** Clinical Training Requirements Checklist for Conditionally Accepted 2017-18 EMS Students** The following checklist outlines required documentation for conditionally accepted 2016-17 EMS and Paramedic
More informationCITY OF COCONUT CREEK JOB DESCRIPTION
JOB TITLE: DEPARTMENT: FLSA STATUS: School Resource Officer Police Non-Exempt GENERAL PURPOSE: Performs a wide variety of police and law enforcement activities specifically related to the school environment
More information2018 Generic BSN Application Packet
2018 Generic BSN Application Packet Application packet includes Application and Required Supplemental Documentation Eligibility to Apply (You must meet all criteria) 1. Be a current, admitted student to
More informationINFORMATION AND APPLICATION PACKET
VBSN Military/Veterans Bachelor of Science in Nursing Pathway INFORMATION AND APPLICATION PACKET MAIL APPLICATION TO Southern Miss College of Nursing and Health Professions ATTN: VBSN Pathway Application
More informationSOUTH FLORIDA STATE COLLEGE DENTAL ASSISTING PROGRAM APPLICATION REQUIREMENTS
SOUTH FLORIDA STATE COLLEGE DENTAL ASSISTING PROGRAM APPLICATION REQUIREMENTS This is a limited access program that admits 12 students in the fall of each year. Application packets will be available the
More informationALABAMA SOUTHERN COMMUNITY COLLEGE. And NURSING APPLICATION
ALABAMA SOUTHERN COMMUNITY COLLEGE And NURSING APPLICATION 1 Dear Prospective Student: Thank you for your interest in the nursing programs at Alabama Southern Community College. Read this entire packet
More informationCherokee Nation W. W. Hastings Hospital Surgical Technology Program Application Booklet
Cherokee Nation W. W. Hastings Hospital Surgical Technology Program Application Booklet Dear Prospective Student: Thank you for your interest in Cherokee Nation W. W. Hastings Hospital Surgical Technology
More informationMARCH 2019 Program Application Fee: $50.00 Once a year. NAME First Name MI Last Name PREVIOUS LAST NAME(S) ADDRESS ZIP *BIRTH DATE
APPLICATION for ADMISSION to the Jackson College Nursing Program for PRACTICAL NURSE CERTIFICATE (PNC) 2018-2019 I wish to be considered for acceptance into the Jackson College Practical Nurse Certificate
More informationNurse Aide II Program
Course Description: The 160-hour non-credit Nurse Aide II course provides the theoretical and practical knowledge and training required for graduates to be a competent practitioner as a Nurse Aide II.
More informationApplication Requirements:
The Tyler Junior College Vocational Nursing Program is a one year, 48-credit hour curriculum leading to a certificate of proficiency-vocational Nursing. Graduates of the program are eligible to take the
More informationJohnson Memorial Health Services Job Description
Johnson Memorial Health Services Job Description Position: Surgery LPN/RN Department: Operating Room Reports To: Perioperative Services Manager FLSA Status: Hourly/Non-exempt Days/Hours: Effective: August
More informationMedical Laboratory Technician Admission Criteria
Medical Laboratory Technician Admission Criteria This is a selective and competitive admission program. Admission to the college doesn't guarantee admission to the clinical component of the program. Work
More informationChesapeake College/MGW Nursing Program Admission Information
Chesapeake College/MGW Nursing Program Admission Information Introduction Thank you for your interest in the Chesapeake College/MGW Nursing program admissions requirements, policies and selection procedures.
More informationFULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION
FULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION POSITION TITLE: REPORTS TO: OPERATING ROOM SURGICAL TECHNICIAN SURGICAL SERVICES RN II or O.R. CIRCULATING NURSE DATE: AUGUST 2004 I. POSITION SUMMARY:
More informationMedical Laboratory Science Program Application
Medical Laboratory Science Program Application Application Instructions: Please read the following information carefully. All instructions must be followed for application to be complete and considered
More informationSpring 2017 Early County Practical Nursing Program Application
Practical Nursing Program (229) 243-4268 2500 E. Shotwell Street (229) 248-2931 River Birch Building Bainbridge, Georgia 39818-0990 School of Health Sciences and Professional Studies Practical Nursing
More informationWichita State University - School of Nursing Graduate Program Masters of Science in Nursing Admission Portfolio
Wichita State University - School of Nursing Graduate Program Masters of Science in Nursing Admission Portfolio Introduction Wichita State University Nursing Programs have a responsibility to educate competent
More informationPractical Nursing Program Information and Application Packet
Practical Nursing Program Information and Application Packet The UACCB Practical Nursing Program is approved by the Arkansas State Board of Nursing, University Tower Bldg., 1123 South University, Suite
More informationThank you for your interest in Great Basin College s Associate of Applied Science Degree in Paramedicine Program.
January 1, 2018 Dear Applicant, Thank you for your interest in Great Basin College s Associate of Applied Science Degree in Paramedicine Program. All application material must be submitted (in-person or
More informationPHASE 1 covers general admissions requirements needed for enrollment with CCCC:
Central Carolina Community College Admissions Checklist for Prospective Nursing (PN & ADN) Students PHASE 1 covers general admissions requirements needed for enrollment with CCCC: STEP 1 Review and complete
More informationORANGEBURG-CALHOUN TECHNICAL COLLEGE PATIENT CARE TECHNICIAN PROGRAM ADMISSION CHECKLIST
ORANGEBURG-CALHOUN TECHNICAL COLLEGE PATIENT CARE TECHNICIAN PROGRAM ADMISSION CHECKLIST All Documents Listed Below Must Be Submitted Prior To Admission and Registration Complete OCtech Admissions Application
More informationFall 2017 BSN Application BACCALAUREATE NURSING PROGRAM
Staple money order here. See page 9 for instructions on how to fill out a money order. Fall 2017 BSN Application BACCALAUREATE NURSING PROGRAM Application Deadline: February 6, 2017 @ 4 PM Applicant Name:
More informationSTUDENT GUIDE TO THE PHARMACY TECHNOLOGY PROGRAM
STUDENT GUIDE TO THE PHARMACY TECHNOLOGY PROGRAM SHERI ROUMELL, BS. CPhT AMY RAYMOND, BS. CPhT PROGRAM DIRECTOR PROGRAM INSTRUCTOR 307-268-3033 307-268-3311 sroumell@caspercollege.edu araymond@caspercollege.edu
More informationNurse Aide I Program
Course Overview: The Nurse Aide I Program is a 144-hour non-credit course providing you with the skills to work as a Certified Nurse Aide I. You will learn fundamental patient care skills in the classroom,
More information