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 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 1 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. 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: 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. 2 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. 3 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. 4 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: ______________________________________________ 6 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 7