School of Health and Human Services Pharmacy Technician Program Application Package

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School of Health and Human Services Pharmacy Technician Program Application Package We are pleased you are interested in the Pharmacy Technician Program. Our program is fully accredited with the Canadian Council for Accreditation of Pharmacy Programs (CCAPP). The program is designed to provide students with opportunities to develop the knowledge, skills, and attitudes necessary to uphold the high standards required to work in the pharmaceutical field. The Pharmacy Technician Program is demanding and requires academic ability; physical, mental and emotional fitness; self-directed learning practices; and responsible and accountable behaviours. The Pharmacy Technician Program is a 15-month diploma program delivered using a blend of online theory courses, face-to-face lab classes and practice experiences in community and hospital pharmacies. Enclosed in this package is detailed information regarding admission requirements, steps of the application process, and documents that need to be completed and submitted to your application file for acceptance to the program. Academic admission requirements include: BC High School graduation or equivalent with grades of C (60%) or higher in: o English 12 o Biology 12 o Chemistry 11 o Pre-Calculus 11 or Foundations of Math 12 (or equivalent) English Language Proficiency Applicants who have not completed three (3) consecutive, first language English course/credits or an undergraduate degree in Canada are required to complete and submit the results of an approved standardized English language proficiency test. Further information can be found at http://napra.ca/sites/default/files/2017-08/language_proficiency_requirements_for_licensure_pharmtech_nov2009_final.pdf Internationally educated applicants are required to have their transcripts evaluated for Canadian equivalence; the equivalence report should be submitted with the official transcripts. The following links are recommended for official transcript evaluation services: WES https://www.wes.org/ca/ ICAS http://www.icascanada.ca/applicants/services.aspx Please contact the Enrolment Officer should you have any questions regarding your application or completing your application file. The toll free number is 1.888.953.1133, ext. 21324. We wish you well as you move ahead with a new career goal and look forward to working with you! Sincerely, Teresa Petrick, RN, BScN, MN Chair School of Health and Human Service 3808-d16 (16 03 10 / TP:lp)

ADMISSIONS OFFICE SCHOOL OF HEALTH AND HUMAN SERVICES Pharmacy Technician Program Application Information Checklist This document provides detailed information on the application process. You are encouraged to complete your application file early; fully qualified applicants are accepted in the order their application files are completed. 1. Submit an Online Application and Payment Go to http://selkirk.ca/apply On the left side of the page, click on Step 3 Fill in Application. Click on Education Planner BC and complete forms as prompted. 2. You will receive an acknowledgement letter with an assigned student number and instructions for completing your application file. It is important to include your full name, student number, and name of program on all documents submitted to for your application. 3. The following admission requirements must be submitted by mail, email, or fax to: Selkirk College Admissions 301 Frank Beinder Way Castlegar BC, V1N 4L3 Email: distancehealth@selkirk.ca FAX: 250.365.3929 Official transcripts from high school. For applicants who completed high school in BC you can order transcripts at: http://www2.gov.bc.ca/gov/topic.page?id=040eb8cf78cf4f2090d9c6fff6f3cda0. Official transcripts from all post-secondary institutions attended. Official Transcripts, Equivalence Reports, and English Proficiency Test results for internationally educated applicants Criminal Record Check (CRC) from the Ministry of Justice Immunization Record (can be completed upon acceptance to the program) Applicant Information Questionnaire 4. When all required documents are received and pre-requisites have been met, your application file will be reviewed. If qualified, you will receive an acceptance letter for the next available program intake and instructions to pay a seat deposit to secure a seat. 5. Applicants with prerequisite courses in progress at the time of application may be granted conditional acceptance. 3808-d16 (16 03 10 / TP:lp)

ADMISSIONS OFFICE SCHOOL OF HEALTH AND HUMAN SERVICES Pharmacy Technician Program Applicant Information Questionnaire Name: Mailing Address: Telephone Number: Email: Permanent Address: (if different from above) Education Information 1. High School Graduation Year of graduation Name & location of high school 2. Prerequisite Courses Completed (The following courses with a C grade or better) Biology 12 Chemistry 11 English 12 Pre-Calculus 11 or Foundations of Math 12 (or equivalent) Grade Obtained Educational Institution 3. Are you currently enrolled in an educational program or course? YES NO If yes: Course Educational Institution Anticipated Completion Date Continued next page 3803-d15 (15 04 14 / TP:lp)

Pharmacy Technician Program Page 2 of 3 Applicant Information Questionnaire Cont d Life Experiences Please outline any of your life experiences, including employment or volunteer work, which may have relevance to your application. (Use a separate page, if necessary.) Language 1. Is English your first language? YES NO 2. For non-native speakers of English, have you completed a standardized English proficiency test? If yes, please include: Name of test: Scores: Overall Listening Speaking Reading Writing Date of Test: Interest in Becoming a Pharmacy Technician 1. When did you first become interested in the Pharmacy Technician Program? 2. What career direction have you considered once you become a Pharmacy Technician? 3803-d15 (15 04 14 / TP:lp)

Pharmacy Technician Program Page 3 of 3 Applicant Information Questionnaire Cont d 3. Please write a short essay (200 words) describing why you want to be a Pharmacy Technician. Signature Date Please return this form to: Admissions Office Selkirk College 301 Frank Beinder Way Castlegar BC V1N 4L3 Fax #: 250.365.3929 distancehealth@selkirk.ca 3803-d15 (15 04 14 / TP:lp)

School of Health and Human Services Criminal Record Check You are receiving this letter, because you need to obtain the Criminal Record Check from the Ministry of Justice. Please do not go to your local police station as we no longer accept Criminal Record Checks from the RCMP for this program. This letter is to inform you about the Health and Human Services Criminal Record Check process. The Criminal Records Review Program is part of the Ministry of Justice. The program is responsible for processing criminal record checks under the Criminal Records Review Act. Criminal record checks are done to protect the most vulnerable people in our society from and physical, social, economic or sexual abuse. This new Criminal Record Check is more extensive, increasing public safety and confidence in our institutions, while providing a professional and efficient administrative process. Every post-secondary institution in British Columbia has been requested to have their students in a Health and Human Services Program complete this check. The Criminal Record Check is good for five years while at Selkirk College. Online application requires credit card payment. Those who apply manually (paper and Canada Post) will receive a personal email from the Ministry with a personal link for online payment. ONLINE APPLICATION INSTRUCTIONS: Please note, with this process applications are more quickly processed. 1. Please follow the link to: https://justice.gov.bc.ca/ecrc/ 2. Enter the Access Code for Selkirk College ZWN7NCEP5C 3. By selecting NEXT you are agreeing/consenting to a Criminal Record Check for Selkirk College. The following students are not eligible to apply online and MUST complete a paper application: - People under 19 years of age - People who have lived in Canada less than 2 years PAPER APPLICATION INSTRUCTIONS: If you would prefer, or are required, to fill out the paper application please follow these steps. Please note, this process can take up to 6 weeks (during busy times) for applications to be processed. To download the Criminal Record Check Consent Form : 1. Go to the website at http://www2.gov.bc.ca/gov/content/safety/crime-prevention/criminal-recordcheck Office of the Registrar Castlegar Campus 301 Frank Beinder Way Castlegar BC V1N 4L3 Phone: (250)-365-1233 Fax: (250)365-3929 rwalker@selkirk.ca

2. Click on Forms then click again under Employee Criminal Record Check Consent Form Number CRR010 Employer-Consent LC.pdf ; 3. Please print off this form. a. Fill in box Schedule Type B b. Make sure to mark the box WORKS WITH: children and vulnerable adults c. Fill out the applicant information within Part 1: APPLICANT INFORMATION d. Under Part 2, Organization INFORMATION fill in the following information in SECTION A e. Organization Name is: Selkirk College f. Organization Contact Name or Title is: Rachel Walker, Enrolment Officer g. ID Number, is: 112980 h. Fill out the Organization Type in SECTION C by marking the box: College 4. Photocopy two pieces of your personal identification. One piece of ID must be government issued (Driver license preferred) and displays applicant s name, date of birth, signature and photo. Please put DL# on the consent form if DL is provided for ID. 5. Please fill in your email address so the Ministry can email you payment options. Please note payment is $28. 6. Mail in or drop off the above documents (application for Criminal Record Check, photocopies of personal ID) to: Rachel Walker Admissions Officer Selkirk College 301 Frank Beinder Way Castlegar BC V1N 4L3 Note: After verifying your identity, I will mail your Criminal Record Check to the Ministry of Justice. It will take about 4-6 weeks for it to be processed. Your Criminal Record Check will be sent to my work email rwalker@selkirk.ca Read the full Criminal Records Review Act for specific information such as definitions, the use of information, the effects of finding an individual is a risk or fines that may be imposed for failure to comply with the act. (Note, this electronic version of the act is being updated and may not contain the recent changes.) YOU MUST fulfill all the above steps and mail the documents to Selkirk College. **The Record Check will be sent directly to the College. You will only be contacted by the Governor General if there is a relevant offence found. Sincerely, Rachel Walker Enrolment Officer Office of the Registrar Castlegar Campus 301 Frank Beinder Way Castlegar BC V1N 4L3 Phone: (250)-365-1233 Fax: (250)365-3929 rwalker@selkirk.ca

ADMISSIONS OFFICE SCHOOL OF HEALTH AND HUMAN SERVICES Immunization Instructions Instructions to the Public Health Nurse or Travel Clinic Nurse Please complete the attached immunization record. All sections must be filled out with dates and signatures in order for the form to be accepted. Ensure the applicant receives all necessary booster shots and testing. Immunization Requirements and General Information 1. This information pertains to applicants in the following programs: Nursing Unit Clerk, Pharmacy Technician, Bachelor of Science in Nursing, Health Care Assistant. 2. All immunizations, with the exception of TB testing can be done for free at any Public Health Unit, but you must make an appointment. You can also have them done at a Travel Clinic, but you will pay a consulting fee. 3. Diptheria, Pertussis, Tetanus: Primary series, and reinforcing immunization for Diptheria and Tetanus if more than 10 years have elapsed since previous immunization; reinforcing dose for Pertussis is optional, not required, but is encouraged to be done once in adulthood at client s own expense. 4. Poliomyelitis: Primary immunization with IPV (if no previous course of OPV or IPV), and reinforcing immunization if more than 10 years have elapsed since previous immunization. 5. Rubeola (Measles): two doses of live, attenuated vaccine, if born after 1957 or serological test indicating immunity. 6. Rubella (German Measles): one dose live, attenuated vaccine, if born after 1957 or serological test indicating immunity. 7. Mumps: one dose of vaccine if born between 1957 to 1969, or two doses if born after 1969 or serological test indicating immunity. 8. T.B. Testing: (after acceptance to program and within 6 months prior to entering practice area) a. Tuberculin Test: 5 TU of PPD, read in 48-72 hours, unless individual is a positive reactor. (Cost 40.00) Must be done at Travel Clinic. b. Chest X-ray: if positive reaction. 9. Hepatitis B: A 3-dose series (0, 1, 6 month intervals). 10. Varicella (Chickenpox): This vaccine is only administered to those individuals who have not had the disease, if the applicant has no history of chicken pox or is unsure. Alternatively, he or she can arrange to have a blood titre for antibodies done through his or her physician. If negative, he or she will require the vaccine, which is two doses, administered 4 8 weeks apart. 11. Meningococcal C: 1 dose of vaccine if born after 1987. 12. Influenza: administered annually during school. Instructions to the Applicant 1. Most immunizations are done free of charge by Health Units in BC. 2. Arrangements for a chest X-ray, if required, can also be made through local health units. 3. Take the Immunization Record Form with you when obtaining your immunization. 4. Students who have not met the immunization requirements will not be permitted to attend practice experiences. 5. Any costs involved in meeting the above requirements are the responsibility of the student. 6. Public Health Units do not keep records from many years ago. Bring any records of past immunizations you have with you to the Health Unit to assist the Public Health Nurse or Travel Nurse to complete the Immunization Record. 7. The Immunization Record is not to be filled out by the Applicant. 3803-q14 (14 11 12 / TP:lp)

Immunization Instructions Cont d Page 2 Health Unit/Travel Clinic Contact Information 1. The Castlegar Public Health Unit is located in the Castlegar Health Centre. Phone: 250.365.7711 between 0830-1630 2. The Castlegar Travel Clinic is located at 1245 3 rd St. Phone: 250.304.1880 or 1.888.288.8682. (Contact them for hours of operation.) 3. Nelson Public Health Unit,2 nd Floor 333 Victoria St. Phone: 250.505.7200 Trail Public Health Kiro Wellness Centre, 2-1500 Columbia Ave Phone: 250.364.6219 3803-q14 (14 11 12 / TP:lp)

SCHOOL OF HEALTH AND HUMAN SERVICES Health Programs Immunization Record Applicant s Name Address To Be Completed by Community Health Unit or Physician. Primary Immunization DPT Diphtheria Pertussis Tetanus Poliomyelitis Primary Series Date (dd/mm/yyyy) Rubeola (If born after 1957 requires two doses of vaccine or serological test indicating immunity) Mumps (If born between 1957-1969 one dose of vaccine required. Two doses required if born after 1969 or serological test indicating immunity. Rubella (If born after 1957 one dose of live attenuated vaccine or serological test indicating immunity.) Reinforcing Dose Date (dd/mm/yyyy) OPTIONAL 1 st Dose (Date and Signature) 2 nd Dose (Date and Signature) NOT REQUIRED Signature Serology Test Result Hepatitis B 1 st Dose (Date and Signature) 2 nd Dose (Date and Signature) 3 rd Dose (If applicable) (Date and Signature) Varicella: Document history of disease? YES YEAR NO Varicella Antibody Test (If no history of disease) Date Signature Varicella Vaccine (If immunity not documented) Tuberculin Test (To be completed 6 mos prior to practicum experience.) Result Date Signature Chest X-Ray (if positive reactor) Date Result Signature Date Result Signature MAKE SURE YOU KEEP A COPY OF THIS FORM FOR YOUR FILES AS YOU WILL REQUIRE THIS INFORMATION IN THE FUTURE. Return this form to: Admissions Office Selkirk College 301 Frank Beinder Way Castlegar BC V1N 4L3 distancehealth@selkirk.ca Public Health Unit Physician s Office Stamp 3803-r14 14 11 24 / TP:lp