Orangeburg- Calhoun Technical College. Medical Programs. Appeal for Application Process

Similar documents
Application for Key Club Scholarship Sponsored by Kiwanis Club of St. Bernard-Arabi

Policies support accountability in meeting our ethical, professional, and legal obligations as caregivers and good stewards.

1. LAST NAME FIRST NAME MIDDLE INITIAL

Touchstone Energy Achievement Scholarship

Kentucky Association of Pupil Transportation (KAPT) Education Scholarship Award Program School Year

2018 SCHOLARSHIP APPLICATION

GUIDANCE November 26, 2007

LETTER TO THE STUDENT SCHOLARSHIP APPLICANT

SCHOLARSHIP APPLICATION

FAMILY AND MEDICAL LEAVE (FMLA) POLICY

Employee s Name: EIN: FMLA Case # (if known):

Scholarship Program Guidelines

University Libraries Distinguished Student Employee Award Criteria and Application Packet

Leading Lady Public Relations STEM Scholarship Application

FAMILY MEDICAL LEAVE (FMLA) OVERVIEW

Family and Medical Leave Policy

FAMILY MEDICAL LEAVE (FMLA) OVERVIEW **********Keep this Overview for your own reference**********

Hanesbrands' Scholarship

SCHOLARSHIP APPLICATION

Baton Rouge Community College Scholarship Application

FAMU OFFICE OF HUMAN RESOURCES FLORIDA AGRICULTURAL & MECHANICAL UNIVERSITY

Scholarship Application

NONTRADITIONAL STUDENTS

2017 NOSC SCHOLARSHIP APPLICATION A High School Senior

YMCA of the Greater Twin Cities Albert C. Laxson Educational Scholarship Scholarship Application

Your leave will be counted against your 12 weeks per calendar year FMLA leave entitlement.

Divine Savior Healthcare 2018 Academic Scholarship Program

FMLA LEAVE REQUEST FORM

BISHOP STATE COMMUNITY COLLEGE BAKER-GAINES CENTRAL CAMPUS 1365 DR. MARTIN LUTHER KING JR. AVENUE MOBILE, AL (251) /

Housing Authority of the City of Waco Scholarship

2018 SCHOLARSHIP APPLICATION Military Spouse

MASONIC-RANGE SCIENCE SCHOLARSHIP

P A G E G R A N T APPLICATION

West Coast District Dental Association Fund A donor advised fund administered through the Florida Dental Health Foundation

Advanced Clinical Diagnosis Fall 2009 Dx 4403

Yolanda Black Navarro Scholarship 2018

LAKE VILLA TOWNSHIP LIONS CLUB SCHOLARSHIP. Sponsored by the Lake Villa Township Lions Club

Fort Sill Patriot Spouses Club Scholarship Instructions 2018

NALC Form 1 - Family and Medical Leave Act of 1993 Employee Should Deliver Completed Form to Postal Service Supervisor, and Keep a Copy

Winnebago County Application for leave under the Federal and Wisconsin Family and Medical Leave Act (FMLA)

MEDICAL CERTIFICATION FROM HEALTH CARE PROVIDER FMLA LEAVE (to be submitted within fifteen (15) days of employee requesting FMLA leave)

The Paul S. Amos Educational Scholarship Fund Columbus State University Foundation, Inc. Columbus State University, Columbus, Georgia

SCHOLARSHIP APPLICATION VFW POST 311 Commander s Scholarship 2018

The African American Hall of Fame Museum ACADEMIC SCHOLARSHIP AWARDS

U.S. Dependent Scholarship Program

Good News Hope & Help, Inc. Scholarship Application Form DEADLINE Friday, April 26, 2019

Application Guidelines

A Public Service Sorority Atlanta Alumnae Chapter

Martin Luther APPLY NOW! 2018 Scholarship Application. CoralSprings.org/mlk

Scholarships* 2018 Student Scholarship Application Packet. Application Due Date Friday, February 09, 2018

Scholarship applications are now available for the Academic Year. Scholarships will be awarded in August 2017.

Radiologic Technology Admissions Overview 2018

Youth Expanded Studies Program. Educational Assistance Program of the Community Foundation of Sarasota County ********** Application Form

The Children of Valor Scholarship

BEAVERTON ROTARY CLUB VOCATIONAL SCHOLARSHIP APPLICATION GENERAL INFORMATION AND INSTRUCTIONS

E. Guiding To show, indicate, or influence a course of action for an individual in order to promote independence.

Certification of Health Care Provider (Family and Medical Leave Act of 1993)

THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION Health and Human Services Department Social Services Program

THE VALERIE FUND SCHOLARSHIP APPLICATION

American Association of Nurse Anesthetists Foundation. Criteria for Emergency Educational Grants

For more information on the FMLA, visit the Department of Labor s website at

THE HUTTON HONORS COLLEGE UNDERGRADUATE GRANT PROGRAM RESEARCH GRANT APPLICATION FORM

ROSEMONT CHAMBER OF COMMERCE SCHOLARSHIP GUIDELINES

ST. TAMMANY CANCER FUND COLLEGE MEMORIAL SCHOLARSHIP PROGRAM 2018 Academic Year

Family and Medical Leave Policy for Faculty

LAGRANGE COUNTY COMMUNITY FOUNDATION SCHOLARSHIP APPLICATION (2017)

Certification of Health Care Provider for Medical Leave (Family and Medical Leave Act of 1993 and all related state leave laws)

UTILIZATION REVIEW DECISIONS ISSUED PRIOR TO JULY 1, 2013 FOR INJURIES OCCURRING PRIOR TO JANUARY 1, 2013

Pearls of Purpose Foundation, Inc. A Foundation Established by Nu Lambda Omega Chapter of Alpha Kappa Alpha Sorority, Incorporated

George Rogers Foundation of the Carolinas, Inc. Scholarship Program

Rotary Memorial Scholastic Foundation, Inc. Sponsored by The Rotary Club of Yuba City

Winter 2017 SMEA COLLEGE SCHOLARSHIP APPLICATION

2017 Joseph W. Coleman Memorial Scholarship Award

MARSHALL UNIVERSITY MERIT-BASED SCHOLARSHIPS

**DEADLINE TO APPLY: April 21, 2017**

Instructions : To be completed by Practitioner or Physician only. PLEASE PRINT CLEARY 1. Employee s Name 2. Patient s Name (if other than employee)

Chubb Foundation Scholarship

VIRGINIA MILITARY INSTITUTE Lexington, Virginia GENERAL ORDER) NUMBER 66) 15 November 2016

SCHOLARSHIP GUIDELINES

ST. TAMMANY CANCER FUND COLLEGE SCHOLARSHIP PROGRAM 2018 Academic Year

Mott Community College. Family and Medical Leave Act (FMLA) Procedure Revised March, 2016

COMMUNITY HOWARD REGIONAL HEALTH KOKOMO, INDIANA. Medical Staff Policy POLICY #4. APPOINTMENT, REAPPOINTMENT AND CREDENTIALING POLICY

STONE COUNTY SCHOLARSHIP APPLICATION The future is the minds of our youth. Strong minds build strong communities.

2018 YOUTH MEMBER DEVELOPMENT

GoArmyEd Briefing Mr. Joshua Fenner Education Services Specialist MIARNG

Vera Arterburn Memorial Scholarship Fund

Medical Certification FMLA/CFRA

APPLICATION CHECKLIST AND REQUIREMENTS

Reimbursements: Submit a Flat Rate Reimbursement

ADVICE OF SCHEDULING DIFFICULTIES (Centrally Conducted Exams)

AIMS EDUCATION ACADEMIC EXCELLENCE SCHOLARSHIP PROGRAM

2014/2015 Scholarship Application

Community Service Scholarship Program

Service Above Self College Scholarship Application

MANUAL OF PROCEDURES

Southeastern States Pupil Transportation Conference (SESPTC) Buster Bynum Scholarship Information, Instructions, and Application

Certification Renewal Policies and Procedures

Scholarship Round

Kiwanis Club of Scranton

MOMENCE LIONS CLUB: WE SERVE SCHOLARSHIPS

Transcription:

Orangeburg- Calhoun Technical College Medical Programs Appeal for Application Process 1

Medical Programs Application Appeal Process An appeal shall be defined as the complete and timely documentation of an extenuating circumstance(s) that causes an applicant enrolled in college to fail to meet the academic requirements for regaining eligibility to apply to a Medical Program at OCtech. The two bases for appeals are: Cumulative Grade Point average Two unsuccessful (failed) attempts at any Medical Program An extenuating circumstance shall be defined as a situation that involves a serious health condition of the student, death or serious health condition of an immediate family member, or a traumatic/extraordinary event. (See below) An immediate family member shall be defined as the spouse, great-grandparents, grandparents, parents or legal guardians, brothers, sisters (including stepbrothers/sisters), or children of either the student or the student s spouse. A serious health condition shall be defined as an illness, injury, impairment, or physical or mental condition that involves: (1) Any period of incapacity or treatment in connection with or consequent to inpatient care in a hospital, hospice, or residential medical care facility; or (2) Any period of incapacity requiring absence from classes for more than five consecutive class days that also involves continuing treatment by (or under the supervision of) a health care provider; or (3) Continuing treatment by (or under the supervision of) a health care provider for a chronic or long-term health condition that is incurable or so serious that, if not treated, would likely result in a period of incapacity that would adversely affect the academic performance of the student. A traumatic/extraordinary event shall be defined as a sudden, uncontrollable event which adversely affects the student s academic performance, such as a natural disaster (earthquake, hurricane, tornado, etc.), divorce, sexual assault, required missionary duty, active military duty, death of a significant nonimmediate family member, or any other events deemed traumatic/extraordinary by the appeals committee. 2

Extenuating Circumstances Extenuating circumstances are the following situations: Serious health condition of the student; Death or serious health condition of an immediate family member; or Traumatic / extraordinary event In order to determine if a particular situation is an eligible extenuating circumstance, refer to the above Definition of Terms. Please be aware that poor academic performance prior to the documented extenuating circumstance will impact the outcome of an appeal. Also note that a traumatic event does not include college adjustment issues, such as: homesickness, problems with roommates, problems with the faculty or staff at the college or university, difficult course-load, mis-advisement by financial aid officers or advisors, dependent care issues, transportation problems, financial issues etc. This is not an exhaustive list. Other issues may be deemed as inappropriate for appeal. Time Limitation for Filing an Appeal Interested Applicants must contact an Admission staff member within 30 days of attending a Health Information Program Session. Application for appeal will not be accepted or considered if student misses the deadline. It is very important that the interested applicant contact the health science admission counselor and have all documents submitted within the 30 day window for the appeal to be considered. Filing an Appeal The following is a checklist of the appeals documentation the student must submit to be considered: Application for Appeal 1) The student may obtain an Application for Appeal from the OCtech website by going to the Admissions tab, clicking on the Health Science Admissions page, then Appeal Process for Nursing and HS Admissions. 3

2) The application must be completed and signed by the student. An unsigned application will be considered incomplete. It is not the responsibility of the admission staff to inform appellants if the application or portions thereof, are incomplete. Therefore, the incomplete appeal will not be considered. Letter of Request (Must be typewritten and signed by student) 1) The student must state the reason for appealing and describe the extenuating circumstance(s) as defined in these guidelines that prevented him/her from being eligible to apply to a medical program. 2) The student must provide an explanation as to why he/she did not attend any and all terms during the academic year in question. 3) If the student is appealing because of poor academic performance, the student must explain to the Committee whether he/she used the institutional appeals process to have the grades changed due to an extenuating circumstance each term. The student must also explain each term of poor academic performance. 4) If the student is appealing due to a death of an immediate or a non-immediate family member, the student must explain in detail (1) the extent of the relationship; (2) how this situation affected his/her inability to meet academic requirements to renew the scholarship; and (3) how the situation meets the definition of a traumatic /extraordinary event. The student must also provide a letter from the counselor (Psychologist, Psychiatrist, Minister, etc.) detailing how the traumatic or extraordinary event affected the student s academic performance during the academic year in question. 5) If the student is appealing due to a chronic or long-term health condition, the student must be registered with the Coordinator for students with Disabilities at the beginning of each academic year, and the student should address this in their letter. 4

Supporting Documentation Students are ultimately responsible for providing sufficient supporting documentation with their appeal which satisfies the burden of proof of an extenuating circumstance. Self-diagnosis or parental diagnosis of medical or mental health related conditions will not be considered for appeal. All appeals must include supporting documentation providing diagnosis from licensed professionals (i.e. physician, psychiatrist, etc.). Documentation may include: For medical-related appeals: 1) Signed letter from the physician on letterhead (medical, psychiatrist, and/or psychologist) detailing duration and extent of serious health condition (this letter must include specific details and time period regarding the health condition) and any recommendations made regarding school non-attendance (fall, spring, and summer); 2) Hospital invoice and/or insurance statements; 3) For chronic or long-term health conditions, official letter from the Coordinator for students with disabilities verifying that the student is registered with their office. The letter must include specific details regarding all accommodations including any reduced course loads; 4) If the student served as a primary caregiver, documentation from a doctor or physician detailing time period in which student served in that capacity from doctor. 5

For death-related appeals: 1) Signed letter from the professional counselor on letterhead (psychiatrist, and/or psychologist, minister, etc.) detailing duration and extent of grief period (this letter must include specific details and time period regarding the effect the loss had on academic performance) and any recommendations made regarding school non-attendance (fall, spring, and summer); 2) Death certificate; 3) Newspaper obituary; and 4) Funeral program For traumatic/extraordinary event appeals: 1) Signed letter from the professional counselor on letterhead (psychiatrist, and/or psychologist, minister, etc.) detailing duration and extent of event (this letter must include specific details and time period regarding the effect the event had on academic performance) and any recommendations made regarding school non-attendance (fall, spring, and summer); 2) Documentation from insurance company; 3) Police report; 4) Medical documentation; and 5) Legal/Court documents. 6

Medical Program Appeal Form Student Name: Student ID Number: Address: A. Reason for Appeal: Check Appropriate Box (below) & then address the following item(s) on a separate sheet, and include your name and student ID number at the top. The attached sheet should be typewritten. O GPA O Had two unsuccessful (failed) enrollments in any RN, PN, or Health Science Program 1. Reason for Appeal. (Explain the impact of the extraordinary circumstances items checked below, as your basis for appeal that contributed to your academic deficiency/program failure.) 2. Resolution. (Describe how the circumstances have been resolved and will no longer be a hindrance to your academic performance.) B. Basis for Appeal (Check appropriate) O Medical-related appeals O Death-related appeals O Traumatic/extraordinary event appeals Please attach this form to your typewritten Reason for Appeal explanation. C. College Review: Submit this form to the Office of Admissions Nursing/Health Sciences Counselor. Applicant Signature Date 7