Surgical Technology Program
Point sheet
___________________________________
NAME OF APPLICANT
High School courses taken (Grade scale A=5 points B=4 points C= 3 points D= 0)
Anatomy & Physiology
Biology or Bio 201
Chemistry or Chem 101
Health
Psychology
Algebra II or Math 108
Sociology or SOC 101
Dual Credit ALLH 101 or 202 courses
Required Courses
ENGL 101
PSYCH 101
*BIO 127
*ALLH 101
*ALLH 202
*MATH 123
Credit
Times the grade
hours
in the course
English composition I
3
General Psychology
3
Human structure and function
4
Medical terminology
2
Introduction to allied health
2
Math in modern society
3
Additional course work
= the points
assigned
You will add points to your application if you have finished the coursework below.
The courses below are NOT required for the Technical Certificate (11 months) in Surgical Technology
The courses listed below ARE required for the Associate of Applied Science in Surgical Technology
BIOL 227
BIOL 228
COMM 101
ENGL 102
SUFA 252
A&P I
A&P II
Fundamentals of oral communication
English composition II
Technical Microbiology
4
4
3
3
2
TOTAL points for this section
Computer literacy proven at testing center and on transcripts
Complete Application to ST program
Portfolio (required for admission)
 Grammar, content, organization, neatness
 Compass test (required for Math and English placement)
 References (two)
 College Transcripts
 C.N.A. (not required)
 Career Center assignment
 
FOR COMMITTEE EVALUATION ONLY:
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
Total portfolio points
Interview (by invitation only)
Hand eye coordination test
CA/CE ratio
points awarded __________
points awarded __________
points awarded __________
points awarded __________
Applicants will need to have 65 points to be considered for placement
5 points
5 points
2 points
1 points
2 points
2 points
2 points
5 points
Total points ______________