Surgical Technology Program - Florence

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Florence Darlington Technical College
Surgical Technology Program
Application and Selection Criteria
Rev. 2/2014
MINIMUM APPLICATION CRITERIA for the Surgical Technology Program.
 Applicants must have a high school diploma or GED, admission to Florence
Darlington Technical College and at a minimum have completed the following
courses by May 1st, to be eligible for consideration for admission to the program.
Phase I Courses
o AHS 102
o BIO 112
o BIO 115 (may be enrolled in the summer term immediately preceding the Fall
term)
o ENG 101
o MAT 165
o PSY 201
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
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Attendance at Career Talk within one year of the application date of the program
Applicants with college credit earned in high school must be completed with a “C”
or better to get Transfer Credit (TR). The College Registrar grants TR credit.
Applicants with previously completed college credit or degree must have an
official transcript sent to Registrar’s office. The College Registrar grants TR
credit.
MINIMUM SELECTION CRITERIA for the Surgical Technology Program.
Students are advised that should there be a greater number of applicants than
positions available:
 Florence, Darlington and Marion County residents and/or students completing
the majority of the required Program credit hours (prerequisites and corequisites) at FDTC are given preference in the selection process when all other
requirements have been met.
 The Grades earned for BIO 112, MAT 165, and ENG 101 will be used in
selecting applicants for admission and will be based on the average of the three
courses
 The number of program courses completed at FDTC
 In the event of a tie between students, the student’s grades will be ranked for the
following curriculum related courses in the order shown:
o BIO 112
o MAT 165
o ENG 101
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PROOF OF RESIDENCE
Residents of South Carolina, as defined by state law, are independent or
dependent persons who have domiciled in South Carolina for a period of no less
than 12 months. Further proof of residency is required for the Allied Health
Program Students, who do not reside in the Florence, Darlington or Marion
Counties and have not taken the majority of the programs course work at
FDTC. A driver’s license will be accepted for proof of residency if it is at least 12
months old.
STATUS NOTIFICATION
The applicant will be notified electronically, by the Surgical Technology Program,
to their official Florence Darlington Technical College student email address.
The applicants will be informed of their status regarding acceptance or rejection
into the Fall Surgical Technology class. Information regarding the status of the
applicant’s application will not be available from the Allied Health Programs nor
from the Registrar’s Office during the review of the applicants’ files.
The applicant is asked to please make inquiries regarding the application only if
the applicant becomes aware that an error or omission has occurred. The
Administrative Assistant will be the contact for the Allied Health Programs 843661-8140). We wish each applicant the best in the application and selection
process.
Please note that it is the applicant’s responsibility to ensure that all documents
are provided to the school by the last business day of March at 4:00 p.m.
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Applications may only be mailed or submitted the first business day of March,
through the last business day of March.
Print the Application and Selection Criteria and Application Checklist to the
SUR Program and complete, when all of the instructions have been read.
Mail or Submit to FDTC:
Attention:

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Surgical Technology Program
Ms. Katrina Williams
P.O. Box 100548
Florence, SC 29501-0548
Be sure to keep a copy for your records.
The Application and Application Checklist may be submitted in person to
Katrina Williams, F348 in the Health Science Campus (HSC) at 320 West
Cheves Street.
If you would like proof of receipt you may send the Application and
Application Checklist using certified mail or by Federal Express.
Applications are accepted postmarked or submitted the first business day of
March until the last business day of March, beginning at 9:00 a.m. and no
later than 4:00 pm.
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Health Occupations Basic Entrance Test (HOBET)
All Allied Health students that are accepted into the Fall Surgical class will be
participating in the Health and Sciences Educational Effectiveness initiative. Students
will be tested during the third week of May using the HOBET test. More information will
be provided in the Program Acceptance notification. Review books will be available to
the applicant’s accepted into their respective Allied Health Programs at the Health
Science Campus beginning April 21st, 2014.
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Florence Darlington Technical
College
Surgical Technology Program
Memo to Students
February 9, 2016
TO:
Surgical Technology Program Applicants
FROM:
Katrina Williams Surgical Technology Program Director
Florence Darlington Technical College
RE:
Admission Process and Other Information
Health Care Programs require a significant amount of additional information on your
criminal history or substance abuse. Applicant background checks and drug screenings are part
of the admission and retention process and are a result of the contract requirements by the
clinical agencies used for training for the Surgical Technology Program. The background check
will be completed once the applicant has been accepted to the Program.
Applicants with specific conviction histories or positive drug screenings may ultimately not
be accepted into the Surgical Technology Program. Positive background checks will be sent to
the clinical agencies anonymously for their decision to allow the applicant to perform clinical in
their institution or not. One agency denial is considered a denial from all agencies. The
applicant cannot be admitted to the class because you will not be able to meet graduation
requirements. Specific convictions or positive drug screens occurring after full admission and
matriculation in the program will be addressed per Department policy, and may include
dismissal from the program.
Thank you for your interest in the Surgical Technology Program and choosing Florence
Darlington Technical College to meet your professional educational requirements.
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Florence Darlington Technical College
Surgical Technology Program
Application Checklist
Name:
_____________________________________________
Student ID#:
__________________________________________
The following are minimum requirements or necessary steps for consideration for admission to the Surgical
Technology Program. Complete each step/requirement and certify by initialing on this form that the
step/requirement has been met. Submit this form with your completed application.
Each item must be initialed by the applicant indicating the requirement has been met:
Admission as a credit degree- seeking student to Florence-Darlington Technical College.
High School diploma or GED is on file with the Registrar.
College transcripts of all transfer credits are on file with the Registrar.
Attendance at a Career Talk Information session within one year of application to the program
Overall cumulative credit grade point average of 2.0 or higher has been earned. A minimum GPA of 2.0
must be maintained in the Surgical Technology Program, as a “C” or better is required in all Surgical
Technology courses and in all General Education courses.
Prerequisite and General Education Program Support Courses
Please write in an “E” if you are enrolled, the grade earned if the course has been completed, and an
“NE” if you are not enrolled nor has the course been previously completed.
Completion of a
prerequisite course in progress at the time of application must be completed with a grade of “C” or better
for final acceptance and enrollment.
ENG 101
MAT 165
PSY 201
BIO 112
AHS 102
BIO 115
College Composition I
Elementary Statistics or higher (Prerequisite)
General Psychology
Basic Anatomy & Physiology (Prerequisite)
Medical Terminology
Microbiology (May be enrolled summer term immediately preceding the Fall
term)
I have completed all of the above requirements. I affirm that all information submitted for the application
process is truthful and accurate. Falsification of any requirements may disqualify the applicant for the SUR
Program.
Student’s
signature:
Date:
5
Florence Darlington Technical College
Surgical Technology Program
Application
PLEASE PRINT CLEARLY AND PROVIDE THE INFORMATION REQUESTED IN
ALL SECTIONS. INCOMPLETE APPLICATIONS CANNOT BE CONSIDERED IN
THE SELECTION PROCESS.
Name:
(Last)
(First)
(Middle)
Any Former
Names:_______________________________________________________________
Student ID Number: ___________________
Home Mailing Address:**
**Note:
If mailing address is PO Box, you must also provide a physical address.
__________________________________
City:
County:
Home Telephone Number: _(
Work or Cell (specify): (
State:
ZIP Code:
_)_____________
)_____________
FDTC E-mail Address: ______________________________________________
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Florence Darlington Technical College
Diploma for Surgical Technology
Certification and Authorization to
Investigate
CERTIFICATION AND AUTHORIZATION TO INVESTIGATE
I hereby certify that the facts set forth in the above application are true and complete to the best of my
knowledge, and I understand that discovery of the falsification of this information will result in my being
denied admission and/or my prompt dismissal from the Surgical Technology Program. The Florence
Darlington Technical College Surgical Technology Department is hereby authorized to make any
investigation concerning information that is deemed necessary by the Department to determine my
suitability to practice as a Surgical Technologist during the selection process, and/or during my tenure as
a student, if admitted to the Surgical Technology Program.
________________________________________________________
Applicant Signature
Date
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