SUMMER 2018 ANESTHESIA TECHNOLOGY APPLICATION GENERAL INFMATION ABOUT OCCC HEALTH PROFESSIONS PROGRAMS Thank yu fr yur interest in ur health prfessins prgrams at Oklahma City Cmmunity Cllege (OCCC). The health prfessins prgrams at OCCC are selective admissin prgrams and have a limited number f penings each applicatin perid. Regular admissin t OCCC is required and des nt imply admissin t any f the health prfessins prgram. Admissin t each f the health prfessins prgrams is highly cmpetitive with each prgram having their wn unique applicatin and requirements. Applicatins are available nline and cmpleted applicatins must be submitted t the Office f Recruitment and Admissins by the specified deadline (date/time) t be cnsidered. Applicatin perids are as fllws: Fall Traditinal Nursing Nursing Career Ladder Pathway Occupatinal Therapy Assistant Physical Therapist Assistant Speech Language Pathlgy Assistant Spring Traditinal Nursing Occupatinal Therapy Assistant Flex Track Summer Baccalaureate t Assciate Degree Nurse Accelerated Pathway (BADNAP) Anesthesia Technlgist GUIDELINES F PREPARING A SELECTIVE HEALTH PROFESSIONS PROGRAM APPLICATION While the dcuments requested frm each prgram varies, the fllwing guidelines will help prepare fr the submissin f a Selective Health Prgram Applicatin. Applicants must be admitted t OCCC prir t the applicatin deadline. Criteria fr admissin t OCCC may be fund nline at http://www.ccc.edu/admissins/requirements.html. Applicants wh have nt attended OCCC in the last 12 mnths need t reapply fr admissin. Applicants must submit prf f payment f the Selective Admissins Applicatin Fee. (Fee is required fr each applicatin submitted during each applicatin perid.) Applicants must prvide a printed receipt f payment f the nnrefundable Selective Admissins Applicatin Fee. Valid receipts can be printed using the OCCC Bursar Office Online Payment System r can be issued fr cash r check payments made at the OCCC Bursar Office. The Office f Recruitment & Admissins DOES NOT ACCEPT payment f this fee. Applicants are cautined NOT t mail cash r check payments with their applicatin as they will be autmatically rejected as incmplete. Applicants must prvide prf f having cmpleted prerequisite curses r prf f enrllment in the prerequisite curse(s) (if allwed by the prgram t which the applicant is applying.) Must prvide fficial schedule f enrllment. Applicants must meet the minimum cllege retentin grade pint average required fr the prgram. Applicants must prvide test scres that are required fr the specific prgram t meet basic applicatin requirements t be cnsidered fr eligibility. Test scres must be fficial scres prvided frm the issuing testing center r the OCCC Testing Center. Applicants must submit all fficial cllege transcripts frm every reginally-accredited institutin previusly attended including OCCC transcripts. Transcripts must have a print date that is n lder than 6 mnths prir t the due date f the applicatin. Electrnic transcripts are nly cnsidered fficial if they are sent directly t OCCC. Students must request a cpy f what is received by OCCC t include with the applicatin. All transcripts must be submitted with the selective health applicatin even if the transcripts have previusly been submitted t OCCC. 1
Successful cmpletin f the Test f Essential Academic Skills (TEAS) fr Allied Health with a minimum scre f 45. The TEAS scre f 45 must have been taken n mre than tw years prir t the riginal applicatin deadline. Yu MUST submit a cpy f yur TEAS fr Allied Health test scres with yur applicatin even if yur scres are n file at OCCC. Classes will be selected frm eligible applicants and ranked by preference pints and GPA accrding t individual prgram requirements. Remaining applicants will be placed n an alternate list. Fr additinal infrmatin regarding OCCC s Health Prfessins, please visit the website at: www.ccc.edu/health ANESTHESIA TECHNOLOGY PROGRAM REQUIREMENTS Any change f address must be submitted, in writing, t the Health Prfessins Prgram Selectin Cmmittee via the Office f Recruitment and Admissins. Only cmpleted applicatins with all dcuments, transcripts, and test scres verifying basic applicatin requirements and preference pints will be accepted. Official transcripts must be submitted with the anesthesia technlgy applicatin even if the transcripts are currently n file at OCCC. Questins regarding the applicatin r selectin prcess fr the anesthesia technlgy prgram shuld be directed t the Office f Recruitment and Admissins, (405) 682-7580. Questins regarding the anesthesia technlgy prgram curriculum shuld be directed t the Divisin f Health Prfessins, (405) 682-7507. Please nte: 1. All students admitted t the prgram will be required t cmplete an extensive natinwide Backgrund Reprt which includes, but is nt limited t, Oklahma State Bureau f Investigatin (OSBI) backgrund searches fr sex ffender, vilent ffender, and criminal histry. Clinical agencies require this infrmatin f all students wh utilize their facilities t satisfy the clinical cmpnents f their curriculum. Infrmatin regarding this requirement will be frwarded t thse students selected fr admissin. 2. All students will be required t pass a randmly administered drug test. BASIC APPLICATION REQUIREMENTS Check the apprpriate bxes as yu cmplete the basic applicatin requirements: Admissin r readmissin t Oklahma City Cmmunity Cllege prir t the anesthesia technlgy applicatin deadline. Valid prf f payment f Selective Admissins Applicatin Fee (Fee is required each applicatin perid.) Cmpletin f prerequisite curses. (These curses must be cmpleted with a grade f C r higher by the start f ANES 1113.) The fllwing curses are required fr the Anesthesia Technlgy Prgram. SCL 1001, Success in Cllege and Life AHP 1013, Medical Terminlgy ENGL 1113, English Cmpsitin I MATH 1505 Cntemprary Mathematics MATH 1513, Cllege Algebra fr Business, Life Sciences, and Scial Sciences BIO 1314, Human Anatmy & Physilgy I BIO 2255 Human Anatmy ENGL 1213, English Cmpsitin II CHEM 1115 General Chemistry I CHEM 1123, Survey f General, Organic, and Bichemistry AND CHEM 1131, Labratry fr Survey f General, Organic and Bichemistry BIO 1414, Human Anatmy and Physilgy II BIO 2234 Human Physilgy PHIL 1123, Critical Thinking COM 2213, Intr t Public Speaking 2
ENGL 1233, Technical Writing fr the Wrkplace PSY 1113, Intrductin t Psychlgy (Students wh have nt yet cmpleted these curses must prvide prf f enrllment in the curse(s) by the applicatin deadline.) Cllege Retentin Grade Pint Average (GPA)......... Minimum 2.5000 The Cllege Retentin GPA must include a minimum f 12 credit hurs earned at a reginally accredited institutin in 1000-level r abve science, math, scial science, r English curses excluding credit awarded by advanced standing. It will include all cursewrk attempted with the exceptin f curses frgiven thrugh the Repeat, Reprieve, r Renewal prvisins as utlined in the Cllege Catalg. Students wh wish t request academic frgiveness must submit a petitin t the Recrds Department r nline at http://www.ccc.edu/get/frgiveness.html prir t the applicatin deadline. Any student wh has requested academic frgiveness must submit a letter with the anesthesia technlgy applicatin t infrm the selectin cmmittee that the request has been made. Successful cmpletin f the Test f Essential Academic Skills (TEAS) fr Allied Health with a minimum scre f 45. The TEAS scre f 45 must have been taken n mre than tw years prir t the riginal applicatin deadline. Yu MUST submit a cpy f yur TEAS fr Allied Health test scres with yur applicatin even if yur scres are n file at OCCC. CPT ACCUPLACER Reading placement test scre... Minimum 77 Standard COMPASS Reading placement test scre... Minimum 86 Standard ACCUPLACER r COMPASS scres will nly be accepted if the test was taken n mre than tw years prir t the riginal applicatin deadline. Students wh wish t raise their standard ACCUPLACER r COMPASS reading scre shuld visit with an advisr frm the Office f Academic Advising abut retesting guidelines. COMPLETION OF COLLEGE COURSES AND/ DEGREES WILL NOT BE ACCEPTED IN PLACE OF THE READING TEST SCE REQUIREMENT. ACT SCES CANNOT BE USED TO MEET THIS REQUIREMENT. NO ADDITIONS REVISIONS MAY BE MADE TO AN APPLICATION ONCE SUBMITTED PREFERENCE POINTS Once the basic applicatin requirements are met, applicants may imprve their pprtunity fr selectin by earning preference pints. A maximum f 30 ttal preference pints may be awarded frm fur categries: I. ACHIEVEMENT 12 POINTS POSSIBLE Cllege Degree (maximum f 3 pints) Pints Awarded fr Highest Degree Earned ONLY Degrees must be cnferred by the applicatin deadline. POINTS Assciate Degree---AA, AS, AAS Degree... 1 Bachelr s Degree... 2 Master s Degree and Abve 3 GPA (maximum f 3 pints) Cllege Retentin GPA GPA Cllege Retentin GPA must include a minimum f 12 cllege credit 3.7500-4.0000... 3 hurs in 1000-level r abve science, math, scial science, r 3.5000-3.7499... 2 3
English curses, excluding credit awarded by advanced standing. 3.0000-3.4999... 1 Science Curses (maximum f 6 pints and 3 curses) 2 pints per class fr a grade f A; 1 pint per class fr a grade f B Cllege-level science curses (3 credit hurs r mre) II. POTENTIAL 10 POINTS POSSIBLE (NOTE: CPT ACCUPLACER, Standard COMPASS, and CPM-IV scres must be n lder than tw years prir t the date this applicatin is due. ACT r SAT scres must be n lder than five years prir t the date this applicatin is due.) Accuplacer reading scres may be listed n yur scre sheet as Reading Cmprehensin and Accuplacer writing scres may be listed as Sentence Skills. Reading (Maximum 2 pints) (Nte: While ACT scres may be used t earn preference pints, ALL applicants must take the ACCUPLACER reading test t meet the basic applicatin reading requirement.) TEST MINIMUM SCE POINTS CPT ACCUPLACER Reading... 91... 2 Standard COMPASS Reading... 92... 2 ACT Reading... 23... 2 SAT Evidence-Based Reading and Writing... 480... 2 Writing/English (Maximum 2 pints) TEST MINIMUM SCE POINTS CPT ACCUPLACER Writing... 96... 2 Standard COMPASS Writing... 91... 2 ACT English... 22... 2 SAT Evidence-Based Reading and Writing... 480... 2 Mathematics (Maximum 2 pints) TEST MINIMUM SCE POINTS ACT Mathematics... 19... 2 CPM-IV... 70... 2 SAT Mathematics... 530... 2 (Nte: The CPM-IV,ACT, and SAT are the nly mathematics tests accepted fr preference pints. The CPM-IV is a mathematics test exclusive t OCCC. Please check with an Academic Advisr if yu are unsure if yu have taken the CPM-IV test. The CPM-IV will be listed as either Test D r Math Assessment 4 n yur scre sheet. Successful cmpletin f the CPM-IV curse r any ther mathematics curse will NOT be accepted in place f the CPM-IV test.) Fr students wh are unable t take assessment tests n OCCC campus the fllwing prcedures must be fllwed. 1. Cntact Testing and Assessment at 405-682-7531 t crdinate ff-site testing. 2. Students must make cntact at least 2 weeks prir t yur desired testing date. 3. Payment fr tests must be cmpleted befre cnfirmatin f the ff-site lcatin ccurs. 4. At the ff-site lcatin, students are respnsible fr cllecting their test scre sheet printut frm the administrating site. 4
Test f Essential Academic Skills fr Allied Health (Maximum 4 pints) TEST SCE POINTS Minimum Scre fr admissin... 45 ATI TEAS fr Allied Health... 61-69... 2 70-77... 3 78 and abve... 4 III. CERTIFICATION MAXIMUM 3 POINTS POSSIBLE POINTS LPN Licensure - OFFICIAL DOCUMENTATION REQUIRED 2 Paramedic Licensure - OFFICIAL DOCUMENTATION REQUIRED... 2 Current Certificatin... 1 OFFICIAL DOCUMENTATION REQUIRED Advanced Unlicensed Assistant (AUA); Certified Nursing Assistant (CNA); Registered Respiratry Therapist (RRT); Certified Respiratry Therapist (CRT); Certified Surgical Technician (CST); Certified Medical Assistant (CMA); Emergency Medical Technician (EMT); Military Medic; Certified Anesthesia Technician (Cer. A.T.T.) NOTE: All certificatins must remain active until acceptance int the prgram. IV. EXPERIENCE/STATEMENT OF PURPOSE - MAXIMUM 2 POINTS POSSIBLE On a separate page, please write a statement f purpse n lnger than 500 wrds listing relevant wrk histry and detailing yur interest in the anesthesia technlgy prgram. The essay must be typewritten, duble spaced, with a 10 r 12-pint fnt size, and attached t yur applicatin. OVERALL TOTAL POINTS POSSIBLE: 27 APPLICATION PROCEDURE T insure each applicant is fully infrmed f the applicatin prcedure, each applicant is encuraged t meet with an Academic Advisr fr health prfessin advising. Academic Advising ffice can be reached at (405) 682-7535. Each applicant must submit a cmpleted applicatin with required dcuments and verificatin f all requested preference pints t the Office f Recruitment and Admissins n later than NOON (12 p.m.) February 16, 2018. Students are strngly encuraged t bring their applicatins t OCCC and submit them in persn, but thse wh need t mail their applicatins can mail them t: Oklahma City Cmmunity Cllege ATTN: Recruitment and Admissins 7777 S. May Avenue Oklahma City, OK 73159 SELECTION PROCEDURE 1. Applicatins n file by NOON (12 p.m.) February 16, 2018 with the highest ttal preference pints will be given pririty fr admissin. All testing, when required, must be cmpleted prir t the applicatin deadline. Test scres n file at OCCC must be btained frm the Testing & Assessment ffice and must be submitted with the anesthesia technlgy applicatin. 2. If applicants have identical preference pint ttals, individuals will be ranked accrding t cllege retentin grade pint average r high schl grade pint average as defined in the basic applicatin requirements. 3. An applicatin will be cnsidered cmplete when the criteria fr all f the Basic Applicatin Requirements are met. Dcumentatin fr preference pints must be submitted with the applicatin. Applicatins will be 5
cnsidered incmplete if ALL cllege/university transcripts, including an OCCC transcript, are nt submitted with the applicatin. 4. The applicants selected fr admissin t the prgram will be ntified via their OCCC email. 5. All qualified applicants wh have nt been selected fr admissin t a class will be placed n an alternate list fr that semester nly. ALL DOCUMENTS MUST BE SUBMITTED TOGETHER. DO NOT SUBMIT DOCUMENTS SEPARATELY. DO NOT SUBMIT DOCUMENTS TO ANY OFFICE OTHER THAN THE OFFICE OF RECRUITMENT AND ADMISSIONS. 6
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Fall 2018 ANESTHESIA TECHNOLOGY DEADLINE: FEBRUARY 16, 2018 NOON Name Last First MI Maiden ID# Address Street City State Zip E-mail Phne ( ) High Schl f Graduatin Year GED Certificate: Yes N Year Have yu applied fr Academic Frgiveness r Reprieve Yes N If yes, apprximately when did yu apply? What is yur anticipated number f Preference Pints? pts Clleges r universities attended (list all; if mre space is needed, use a separate sheet f paper): Dates Dates Dates Dates The failure t list ALL previusly attended clleges r the submissin f false infrmatin/academic recrds is grunds fr denial f admissin r immediate suspensin and applicatin disqualificatin. Applicants will be cnsidered nly fr the semester specified n this applicatin. Applicants nt selected must reapply t be cnsidered fr admissin fr any ther academic semester. APPLICATION AGREEMENT READ CAREFULLY AND INITIAL BELOW EACH STATEMENT I understand I must be currently admitted t Oklahma City Cmmunity Cllege. I understand that I must submit a valid printed receipt f payment f the nnrefundable $20.00 Selective Admissins Applicatin fee. I understand I must have cmpleted be currently enrlled in the prerequisite classes that are detailed belw: Please check the curses yu have cmpleted and indicate the semester/year the curse was taken as well as grade earned. COURSE SEMESTER/YEAR COMPLETED GRADE EARNED SCL 1001, Success in Cllege and Life AHP 1013, Medical Terminlgy ENGL 1113, English Cmpsitin MATH 1503, Cntemprary Mathematics 8
MATH 1513, Cllege Algebra fr Business, Life Sciences, and Scial Sciences BIO 1314, Human Anatmy and Physilgy I BIO 2255 Human Anatmy ENGL 1213, English Cmpsitin II CHEM 1115 General Chemistry I CHEM 1123, Survey f General, Organic, and Bichemistry AND CHEM 1131, Labratry fr Survey f General, Organic and Bichemistry BIO 1414, Human Anatmy & Physilgy II BIO 2234 Human Physilgy PHIL 1123, Critical Thinking COM 2213, Intr t Public Speaking ENGL 1233, Technical Writing fr the Wrkplace PSY 1113, Intrductin t Psychlgy I understand I must have a qualifying GPA as explained in the Basic Applicatin Requirements. I understand I must have taken the Accuplacer CPT reading placement test as explained in the Basic Applicatin Requirements. I understand that I must submit OFFICIAL transcripts frm all previusly attended clleges/universities even if thse transcripts are already n file at OCCC. Transcripts must have a print date that is n lder than 6 mnths prir t the due date f the applicatin. I als understand that all applicants wh have earned credits at OCCC must submit an fficial OCCC transcript with this anesthesia technlgy applicatin. I als understand that it is the student s respnsibility t ensure that all curses listed are cmplete. I als understand that test scres n file at OCCC must be btained frm the Testing & Assessment ffice and submitted with this anesthesia technlgy applicatin. I understand that I must submit an anesthesia technlgy applicatin. I als understand that it is the student s respnsibility t ensure that all curses listed are cmplete. I als understand that test scres n file at OCCC must be btained frm the Testing & Assessment ffice and submitted with this anesthesia technlgy applicatin. I understand that I must submit a statement f purpse n lnger than 500 wrds listing relevant wrk histry and detailing my interest in the anesthesia technlgy prgram. The essay must be typewritten, duble spaced, with a 10 r 12 pint fnt size, and submitted with this anesthesia technlgy applicatin. I understand that all curse substitutins and evaluatins must be apprved and cmpleted prir t the applicatin deadline. A cpy f the curse apprval frm must be included in the packet. 9
I understand that applicatins submitted withut all required dcuments will be cnsidered incmplete and rendered ineligible fr the applicatin perid. I als understand that all required dcuments and dcumentatin f preference pints shuld be submitted tgether and n additins r revisins may be made nce my applicatin has been submitted. I understand that a criminal histry and sex ffender backgrund investigatin and randm drug test must be cmpleted if I am selected fr admissin. Initial: I understand that applicatins shuld nt be submitted t any ffice ther than the Office f Recruitment & Admissins. I understand that anesthesia technlgy applicatins are nt t be submitted t the Anesthesia Technlgy prgram r Divisin f Health Prfessins. I understand the deadline fr this applicatin is NOON (12 p.m.) n February 16, 2018. _ Applicant s signature is required belw. Signature cnfirms that the applicant has read and understands the applicatin requirements and preference pint system fr the Anesthesia Technlgy Prgram. Applicant s Signature: Date: ONLY COMPLETED APPLICATIONS WITH ALL VERIFYING DOCUMENTS, TRANSCRIPTS, AND TEST SCES WILL BE ACCEPTED. NO ADDITIONS REVISIONS MAY BE MADE TO AN APPLICATION ONCE SUBMITTED. ALL DOCUMENTS MUST BE SUBMITTED TOGETHER AND MUST BE SUBMITTED TO THE OFFICE OF RECRUITMENT & ADMISSIONS. 10