Collin College Division of Health Sciences AAS in Surgical Technology Surgical Technology Program Admission Packet

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Collin College Division of Health Sciences AAS in Surgical Technology Surgical Technology Program Admission Packet Overview Thank you for your interest in the Associate of Applied Science Degree in Surgical Technology at Collin College. This packet provides information regarding admission procedures and required courses. This admission packet has been designed to answer questions about the program and provide the Program Application Form. The Deadline for submitting an application for admission to the Summer Semester class is 4:00 PM, on March 10, 2017 Applications may be mailed or hand delivered to the Surgical Technology Office in H201 on the Central Park Campus, Cary A. Israel Health Sciences Building. The Application Form can be mailed to: Surgical Technology Program Director, 2200 W. University Drive, McKinney, Texas, 75070-8001. The AAS in Surgical Technology is a one year program that begins in the summer semester. Classes are scheduled only on the Central Park Campus in McKinney, Texas, and are scheduled during the summer, fall and spring semester. Enrollment is limited and competitive. Admission to Collin College does not guarantee admission to the Surgical Technology Program. Upon successful completion of the program the student is awarded an Associate of Applied Science and is eligible to sit for the national certification exam. Accreditation The Surgical Technology program operates under the standards of the Accreditation Review Committee on Education in Surgical Technology and Surgical Assisting (ARC-STSA), 6 West Dry Creek, Suite 110, Littleton, CO 80120-80, (303) 694-9262. The program follows the Core Curriculum for Surgical Technology, 5th Edition as established by the Association of Surgical Technologists (AST). The Collin College Surgical Technology program is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), 25400 U.S. Highway 19 North, Suite 158, Clearwater, FL, 33763, Phone: 727-210- 2350. Graduates of this program are entitled to an Associate of Applied Science degree and are eligible to sit for the national certification examination administered by the National Board of Surgical Technology and Surgical Assisting (NBSTSA). Those students passing the certification exam are allowed to use the title Certified Surgical Technologist.

For more information please visit: ARC-STSA website: www.arc-stsa.org CAAHEP website: www.caahep.org AST website: www.ast.org Curriculum Admission to the AAS in Surgical Technology Program requires completion of 29-31 semester credit hours of prerequisites: All general core courses with the exception of Microbiology. These courses must be completed with a passing grade of C. Once admitted, students complete 35 semester credit hours in prescribed courses. Both general education and specialty courses may have defined prerequisites set by either the college or the program. Progression in the Program requires passing specialty courses with a C or better. Students are advised to consult the website ( www.collin.edu/surgtech ) for the Curriculum Plan. Admission Criteria Specific program requirements are outlined in this packet. However, specific program requirements and program admission requirements and acceptance criteria are subject to change at any time and without notice. It is the applicant s responsibility to keep informed of current program requirements. The size of classes is limited by the available clinical resources for learning and the availability of qualified surgical technology faculty. Specific admission requirements include: 1. Subm ission of a completed college admission application. Students should be aware that admission to the college does not guarantee admission to the Surgical Technology Program. Applications for the Surgical Technology Program will not be considered for students who have not completed a college admission application. 2. Be scheduled for an Interview with the Surgical Technology Interview Committee. 3. Submission of GED Certificate or high school transcript noting graduation. 4. Overall GPA of 2.5 from all college courses com pleted and applicable to the surgical technology degree plan. Official transcripts reflecting all college courses completed must be submitted to the Director of the Surgical Technology Program. 5. Completed and signed Surgical Technology Program Application Form by the deadline specified: 5:00 PM, on Friday, March 10, 2017. 6. Completion of the pre-entrance courses with a grade of C or above and a cumulative prerequisite course GPA of 2.5. If prerequisite courses are being completed during the spring preceding admission and students are otherwise

qualified, students will automatically receive conditional acceptance pending completion of prerequisites with a cumulative prerequisite GPA of 2.5. 7. Must be eligible for placement in MATH 0310 at Collin College OR have taken college algebra or higher within the past five years of the application date. 8. Completion of the PSB for Health Occupations Examination prior to the deadline for application. 9. Fulfill TSI requirements or be exempt (See academic advisors for more information.) 10. Submit a handwritten, well-developed, one to two page essay discussing why surgical technology has been selected as a career choice and why attendance at the Collin College program is desired. Submit this essay with your application form. 11. Request two letters of reference from employers or teachers (not friends or family) that can attest to your character and aptitude in a healthcare career. These letters should be directly mailed by whomever writes them to: Attn: Director of Surgical Technology Program Division of Health Sciences and Emergency Services Collin College 2200 W. University Dr. McKinney, Texas, 75070-8001. Once admitted to the program: 1. Be in good health and furnish physical examination and eye examination records. Forms will be provided by the Surgical Technology Program once the student is accepted into the program. 2. Be scheduled for an Interview with the Surgical Technology Interview Committee. 3. Attend a mandatory student orientation meeting during the summer prior to the program s first semester. 4. Participate in assessment of Core Performance Standards as defined by College policy and be reviewed by the ACCESS department if accommodations are necessary. (To review Core Performance Standards, see the Surgical Technology Web Site at www.collin.edu/surgtech.) 5. Pass a drug screen at the student s expense when requested by the program. Positive drug screens can result in students not being admitted to the program. 6. Agree to a criminal background check. Findings from the background check that do not meet clinical affiliation specifications will result in the student not being admitted to the program. 7. Provide proof of personal health insurance prior to clinical rotations. 8. Purchase health insurance prior to clinical rotations. 9. Purchase school approved uniforms, if required, for clinical experiences. 10. Complete and provide written proof of the Hepatitis-B immunization series.

11. Complete and provide written proof of a negative TB skin test or clear chest x- ray post conversion dated prior to the beginning of clinical rotations. 12. Complete all immunizations recommended by the Department of State Health Services ( http://www.dshs.state.tx.us/ ) OR (http://www.dshs.state.tx.us/immunize/default.shtm) Influenza Vaccine - once a year in early October. Tetanus, diphtheria, pertussis primary series or booster within the last 5 years MMR - one or two doses if born before 1957 Varicella 2 doses or documented age-appropriate vaccination or physician report of evidence of disease (chicken pox) Hepatitis B three dose series at 0, 1 and 6 months NOTE: Students interested in admission to the program for Summer Semester should see their physician and begin immunizations 4 months prior to the beginning of the semester.

Admission Competitive Points System Admission Score Calculation 1. G.P.A. The cumulative G.P.A. will be calculated based on courses included in the curriculum. Points will be given using the following scale: 4.00 10 points 3.76 3.99 9 points 3.66 3.75 8 points 3.51 3.65 7 points 3.36 3.50 6 points 3.26 3.35 5 points 3.15 3.25 4 points 3.00 3.14 3 points 2.86 2.99 2 points 2.75 2.85 1 point Maximum G.P.A. Points Available: 10 Grade Grade Points All courses must have grade of C or better to be counted. BIOL 2401 Anatomy and Physiology I BIOL 2402 Anatomy and Physiology II SRGT 1301 Medical Terminology I HPRS 1204 Basic Health Profession Skills BIOL 2420 Microbiology for non science majors ENGL 1301 Composition/Rhetoric I SPCH 1321 Business and Professional Speaking Behavioral Science/Social Science Humanities, Philosophy or Fine Arts Elective _ Total Hours: _ Total Grade Points: *_* Grade Point Average *_* G.P.A. Points Awarded *_*

2. Pre-requisite/Core Course Work Completion/Grade The applicant will receive points for the core courses that are completed at the time of the application deadline. The courses and their point values are listed below. Acceptance is also contingent upon program pre-requisites (BIOL 2401, BIOL 2402, SRGT 1301 and HPRS 1271) being completed before starting the program. Science courses can be no more than five years old at the application deadline to be accepted as program requirements. BIOL 2401 Anatomy and Physiology I (2 points)** BIOL 2402 Anatomy and Physiology II (2 points)** HPRS 1204 Basic Health Profession Skills* (1 point) SRGT 1301 Medical Terminology I (1 points)* BIOL 2420 Microbiology (7 points) ENGL 1301 Composition/Rhetoric I (1 point) SPCH 1321 Business and Professional Speaking (1 point) SOCI 1301 Introduction to Sociology or PSYC 2301 General Psychology (1 point) Humanities Elective (1 point) * Pre-requisites required for program admission **Only 1 point will be given if completed after the application deadline Maximum Points Available: 19 3. PSB Score (record percentile and circle points) AREA Percentile Score Points Academic Aptitude 76 100 2 25 75 1 0 24 0 Spelling 76 100 2 25 75 1 0 24 0 Reading/Comp. 91 100 4 75 90 3 50 74 2 25 49 1 Natural Science 97 100 6 91 96 5 75 90 4 61 74 3 41 60 2 25 40 1 0 24 0 Vocational Adj. 76 100 2 25 75 1

0 24 0 Total Points for PSB Score *_* Maximum Points Possible: 16 4. Essay The essay submitted by the student is evaluated according to two criteria: The essay is clearly written with correct grammar and spelling (3 point) 1. Clearly Written Yes No 2. Grammar Yes No 3. Spelling Yes No (Circle one) Criteria met: YES NO Content required is included (2 point) 1. Why has Surgical Technology been selected as a career? Yes No 2. Why does the student want to come to Collin College? Yes No (Circle one) Criteria met: Total YES NO Points * * Maximum Points Available: 5 5. Information Session Date Attended Points *_* Maximum Points Available: 10 6. Additional Points: Baccalaureate Degree 2 points All Non SRGT Courses Complete 2 points First Time Allied Health Applicant 1 points References (2) submitted before deadline 5 points Transcripts submitted before deadline 5 points Maximum Points Available: 15 Total Possible Points: 75 DATE OF POINTS DETERMINATION TOTAL POINTS

Date/Comment: (letters sent to student, conference with student, etc ) Signature/Date Signature/Date Signature/Date

Information about the PSB Exam Register early! The exam has limited space and fills on a first-come, first-serve basis. Students may take the PSB for the Surgical Technology Program once in a 12 month period. PSB results are good for one year. If you have previously taken the Health Occupations Aptitude Examination or if you have taken the PSB for nursing, be sure to notify the program director by phone so a copy of your scores can be filed with your Surgical Technology admission file and evaluated for points. How to schedule an exam or pick up a copy: Visit the Surgical Technology Office, Central Park Campus, Cary A. Israel Health Sciences Building, McKinney, Room H201. (Hours: M-F 8am-5pm) Please provide a stamped, self-addressed envelope at the time of registration if you wish to be mailed a copy of your scores. Or you may call 214-491-6215. Fees: $20 non-refundable fee. Cash, check, credit card or money order only. All payable in the cashier's office or by phone with a credit card. Test Dates: PSB examination dates remaining during the current admission cycle are: Listed on the website or by contacting Shari Morrison, (214)491-6215, Room H201, Central Park Campus, Cary A. Israel Health Sciences Building. Location of the exam: Collin College Central Park Campus in McKinney at the Testing Center, room A109. On test day: Please allow three hours to complete the exam. Bring your ID and 2 pencils. If you miss the exam: You will need to register and pay the $20 registration fee again. The fee cannot be transferred to another exam date after the test is given. Please plan carefully as there is no refund. Questions: Please call the Surgical Technology Office at (214) 491-6215. Thank you

Collin College AAS in Surgical Technology Program Application Date of Application: Expected Date of Entry: Summer 20 (Year) Student ID: Name: Last First MI Other names on records Social Security Number: Email: Address Local: Number/Apt Number Street City State Zip Code Home: Number/Apt Number Street City State Zip Code Telephone Number: Home ( ) Business ( ) Alternative Method of Contact Name: Address: Phone: ( ) Employer: Type of Work: Educational History: GED/High School Graduation High School Attended: Name City State Colleges Attended Years of Attendance Hours/Degrees Earned Major Have you applied to any other program at Collin College either concurrently (now) or in the past 5 years? Yes No If so, what program? Page 1 of 2

Course Credit Worksheet From the list below, please check the courses for which you have credit: Prerequisites/Core Courses Completed or In Progress to Date: Please indicate completed (X), In progress (IP), or Semester and year you plan to take the course (example: Summer 2010) BIOL 2401 Anatomy & Physiology I BIOL 2402 Anatomy & Physiology II SRGT 1301 Medical Terminology I HPRS 1204 Basic Health Profession Skills BIOL 2420 Microbiology for non science majors ENGL 1301 Composition/Rhetoric I PSYC 2301 General Psychology or SOCI 1301 Introduction to Sociology SPCH 1321 Business and Professional Speaking (May substitute SPCH 1311 or SPCH 1315) PHIL 2303 Introduction to Logic/Humanities Elective I have completed Math 0310 or higher level math within the last 5 years, or placed at college algebra level on TASP/THEA or Math Placement Exam. Please Read and Sign: I have reviewed the Functional Ability/Core Performance Standards for the Surgical Technology Program _ Please Initial By signing below, I agree to the following conditions: The information given in this application is factual. I understand that knowingly submitting false information is subject to a penalty of removal from consideration for the program, or removal from the program. I further authorize the Surgical Technology Program to obtain copies of my transcripts received by Collin County Community College. I have read, and agree to the terms in the Information Packet. Signature Date Collin College does not discriminate on the basis of race, color, religion, age, sex, national origin, disability or veteran status. Return the completed application to the Surgical Technology Office,, Central Park Campus, 2200 W. University Dr, McKinney, Texas bet ween the hours of 8AM and 5PM, Monday through Friday. Page 2 of 2