Before Applying to the Health Sciences Programs 1. Attend a Health Sciences Information Session Attend an Information Session for your area of interest to understand the nature of the program, the admission process and the rigor and time commitments needed to be successful. Times and dates can be found at www.montgomerycollege.edu/healthsciences. 2. Apply to Montgomery College If you haven’t already applied to Montgomery College, submit a Montgomery College Admissions Application on-line at http://cms.montgomerycollege.edu/apply. If applicable, submit official copies of prior learning: college, military, and Excelsior College Exam transcripts; results from international transcript evaluation services; and AP, IB, CLEP, DSST or DANTES test scores to the Office of Admissions and Records for review. NOTE: If you attended Montgomery College, DO NOT include a transcript from Montgomery College. One will be generated when you submit your Health Sciences Application. A transcript evaluation will help you to ensure that you do not duplicate coursework. Review the requirements for each program online: http://cms.montgomerycollege.edu/healthsciences. 3. Make an appointment to take TEAS Test Before applying to the Diagnostic Medical Sonography, Nursing, Radiologic Technology, Surgical Technology, Physical Therapist Assistant, or Polysomnography Program, you must meet minimum academic requirements listed on page 2. To assess these skills, set up an appointment to take the Test of Essential Academic Skills (TEAS) test at Montgomery College’s Assessment Center or at any institution that offers the test. To make an appointment for the TEAS test, go to ATI online (http://www.atitesting.com). For information about the TEAS test, visit http://cms.montgomerycollege.edu/edu/department2.aspx?id=24050#TEAS. See a Counselor If you need help creating an academic plan, meet with a Montgomery College counselor in the Office of Counseling and Advising. Be sure to complete steps 1-2 first! 4. Questions? Visit our website at www.montgomerycollege.edu/healthsciences or contact the Office of Admissions at 240-567-5000. Checklist for a Complete Health Sciences Programs Application Applications submitted without the required documentation will be returned Montgomery College Admissions Application (If not previously admitted) Health Sciences Application Copy of TEAS scores (DMS, Nursing, Radiologic Technology, Surgical Technology, Physical Therapist Assistant, and Polysomnography applicants only) Official copies of prior learning credentials, including transcripts from all colleges previously attended LPN-RN Applicants must also submit: Current LPN License Letter of recommendation from supervisor Admission Requirements Montgomery College health sciences programs requiring this application are available ONLY at the Takoma Park/Silver Spring Campus. (NOTE: There are two applications-one for admission to the College and a second application for the health sciences programs.) Must have the minimum requirement and a minimum GPA of 2.5 for consideration. This GPA is based on your most recent 24 college credits earned. If you are a recent high school graduate with fewer than 24 college level credits, high school records will be included in this calculation. Official transcripts are required. For Programs Requiring the TEAS Test - GPA will be used for eligibility purposes only. You must complete the TEAS test and attach scores to this application. You must meet the minimum Adjusted Individual Scores or above in the subjects listed below. Students may only take the test twice during a 12 month period. The most recent score will be used. The Adjusted Individual Total Score will be used to rank eligible students. Health Sciences admissions will be based on courses completed and grades earned through the prior fall semester only. Spring admission (Nursing only) will be based on courses completed through the prior spring semester only. (Example: If applying for fall 2012 (March 1 deadline) courses completed by fall 2011 will be used; if applying for spring 2013 (August 1deadline), courses completed by the end of spring 2012 will be used). The following list contains the minimum requirements, priority courses, and TEAS test requirements for each program. Applicants who have completed all or some of the priority courses for their program of choice will be given first consideration. You may apply without completing any of the priority courses; however, this will make your application less competitive. The requirements for each program are: Programs TEAS Test Requirements Minimum Requirements EN 101 assessment level or prior completion of EN101/101A/102 or 109 BI 107 MA110 assessment level or prior completion of MA 097/099/100 /101/103 or higher PH010 or higher EN 101 assessment level or prior completion of EN101/101A/102 or 109 BI 107 MA110 assessment level or prior completion of MA 097/099/100 /101/103 or higher EN 101 assessment level or prior completion of EN101/101A/102 or 109 BI 107 MA110 assessment level or prior completion of MA 097/099/100/101/103 or higher EN 101 assessment level or prior completion of EN101/101A/102 or 109 BI 107 MA110 assessment level or prior completion of MA 097/099/100/101/103 or higher Polysomnography EN101/101A assessment level RD120 assessment level Radiologic Technology Diagnostic Medical Sonography Health Information Management Nursing Physical Therapy Assistant Surgical Technology Priority Courses Reading = 78% Adjusted Individual Total Score = 66% None (not required) BI204: Anatomy and Physiology I* BI205: Anatomy and Physiology II* EN101: Techniques of Reading and Writing I or prior completion of EN102 or 109 MA110: Survey of College Math or higher PH010 or higher BI130A/B: Human Body (Previously enrolled students can use BI204 & 205: Anatomy and Physiology 1 and II* as an alternative) CA120: Introduction to Computer Applications Meet prerequisites for MA110: Survey of College Math BI204: Anatomy and Physiology I* BI205: Anatomy and Physiology II* EN102/EN109: Techniques of Reading and Writing II or Writing for Technology and Business MA110: Survey of College Math or higher Reading = 83% Science = 50% English = 72% Math = 35% BI204: Anatomy and Physiology I* Reading = 74% Science = 50% English = 66% Math = 35% No priority courses identified at this time. EN 101 assessment level or prior completion of EN101/101A/102 or 109 BI 107 MA110 assessment level or prior completion of MA 097/099/100/101/103 or higher Reading = 74% Science = 50% English = 66% Math = 35% BI204: Anatomy and Physiology I* BI205: Anatomy and Physiology II* HI125: Medical Terminology I EN 101 assessment level or prior completion of EN101/101A/102 or 109 BI 107 MA110 assessment level or prior completion of MA 097/099/100/101/103 or higher Reading = 74% Science = 50% English = 66% Math = 35% BI204: Anatomy and Physiology I* BI205: Anatomy and Physiology II* Reading = 78% Adjusted Individual Total Score = 66% *BI 204 and 205 older than five years of the application date may only be accepted upon permission of the program coordinator. Nursing applicants with BI204 & 204 older than five years of the application date must take BI 218 or have consent from the nursing coordinator. Students who transfer to Montgomery College with BI 204 and/or BI 205 do not need to complete BI 107. HEALTH SCIENCES PROGRAMS ADMISSION APPLICATION Fall 2012-Spring 2013 Submit complete application packet to the Office of Admissions and Records. I. Personal Information Last Name____________________________________ First Name______________________________________ M Number_________________________ Previous Name(s)____________________________________________ Street Address___________________________________________ Home Phone__________________________ City___________________________ State__________ Zip______________ Work Phone____________________ E-mail __________________________________________________ Cell Phone___________________________ Citizenship* U.S. Permanent Resident Not U.S. Citizen or Permanent Resident, indicate immigration status (I-94) _______________________________ *Certain clinical sites, including the National Naval Medical Center, require students to be U.S. Citizens to be eligible for rotations. If your citizenship status has changed since applying to Montgomery College, please bring official documentation to update your status to the office of Admissions and Record. Have you submitted an Admissions Application to Montgomery College? Yes If you answered NO, see Before Applying to the Health Sciences Programs, Step 2. No (see note) II. Complete Academic History (including Montgomery College): College Name Dates Attended/Attending ________________________________________________ ______________________________________ ________________________________________________ ______________________________________ ________________________________________________ _______________________________________ Do you have prior clinical experience such as LPN or military medic? Yes (see note) If you answered YES, please visit Nursing Department online for update on program. www.montgomerycollege.edu/nursing No II. Program Information - Please select the program(s) to which you are applying and indicate degree or certificate and specialty track where applicable. DIAGNOSTIC MEDICAL SONOGRPAHY TEAS required Indicate your preferred specialty: Echo A.A.S Vascular Abdominal/OB/GYN (Indicate order of preference) 1st Choice________2nd Choice_________3rd Choice_________ NURSING (Fall or Spring) TEAS required A.S. RADIOLOGIC TECHNOLOGY TEAS required SURGICAL TECHNOLOGY TEAS required POLYSOMNOGRAPHY TEAS required Spring A.A.S. PHYSICAL THERAPIST ASSISTANT TEAS required HEALTH INFORMATION MANAGEMENT Fall A.A.S. A.A.S. or A.A.S. or Certificate Certificate Certificate III. If you are applying to more than one program, please indicate your order of preference (1st, 2nd, 3rd choice, etc). 1st____________ 2nd____________ 3rd____________ 4th____________ 5th____________ 6th_____________ IV. Notice of Additional Enrollment Requirements (subject to change) All candidates who are offered admission to a Health Sciences Program should be aware of and prepared to meet these additional requirements prior to enrollment and licensing. Understand and meet all requirements and/or standards imposed by recognized professional societies and all contract requirements imposed on College students by the institution or agency where the clinical practice is to occur. Understand and be prepared to meet all requirements for participation in certain clinical courses involving hospital or clinical practice. These requirements may include the passing of an appropriate health examination and tests per CDC guidelines and Health Science program Technical Standards, e.g.: (1) complete blood count; (2) urinalysis; (3) a complete hepatitis B vaccination series (series of three and/or positive titer); (4) annual TB screening; (5) Tdap (tetanus,diphtheria,acellular pertussis); (6) MMR two adult vaccination(s) or positive titers for each; (7) varicella vaccination or a varicella titer; and (8)influenza vaccine; (9) other clinical facility requirements. DRUG TESTING and CRIMINAL BACKGROUND CHECKS of nursing and health sciences students are REQUIRED by facilities that are the sites for the clinical learning experience of nursing and health sciences students. These are conducted by an independent, third party outside agency at the student’s expense, coordinated through the College, and must be completed before a nursing and health sciences student can be placed at a facility for his or her clinical experience. The results of drug tests and criminal background checks are available for review by designated personnel in each clinical facility and the clinical facility has the right to refuse clinical placement for students based on such review. The College does not receive the results of these checks. Drug tests and background checks obtained from other sources, including by the students on their own, are not sufficient nor will they be accepted for this purpose. Understand participation in certain Health Science programs may require a current CPR for Healthcare Provider certification that meets standards acceptable to the facility or clinical site before beginning the student’s Clinical Rotations. I certify that the information on and submitted in support of this application is correct and complete. I understand that falsification of this application may lead to program dismissal. Applicant’s Printed Name: _______________________________________________ Applicant’s Signature: __________________________________________________ Date: _____________ Please submit the application and all required documentation to: Montgomery College Office of Admissions and Records 7600 Takoma Ave Takoma Park MD 20912 AEM 09/15/11