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Health Career Programs

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APPLICATION FOR
Health Career Programs
Health Career
Programs at MCC
q
Dental Assistant
q
Occupational Therapy
Assistant
q
Radiation Therapy
q
Radiography
q
Respiratory Care
q
MCC/Hartford Hospital
Surgical Technology
Admissions: 860-512-3210
Financial Aid: 860-512-3380
ma-finaid@manchestercc.edu
STEM Division Office: 860-512-2704
Mail the completed application to:
STEM Division Office, MS #17
Attention: Respiratory Care Program Coordinator
Manchester Community College
P.O. Box 1046, Manchester, CT 06045-1046
Or drop off completed application:
STEM Division Office, LRC A237
IMPORTANT DATES:
Application Deadline: February 1, 2020
Financial Aid: Priority deadline to be eligible
for maximum grant aid is May 15 for fall;
October 1 for spring.
Info Sessions: Applicants must register
for a mandatory information session.
Go to www.manchestercc.edu/respiratory.
PR/07/19
www.manchestercc.edu
Banner ID @ ___________________________________________
Net ID _______________________ @student.commnet.edu
2020-21 Application Process for Respiratory Care
Complete the Health Career Programs Application and sign, date and submit to the STEM Division office, LRC A237. Applications can be placed in the
drop box outside if the office is closed. Deadline for the 2020-21 academic year is February 1, 2020.
July 2019/PR
QUESTIONS:
Contact Nancy LaRoche-Shovak, MS, RRT, Respiratory Care Program Coordinator,
860-512-2714, email nlaroche-shovak@manchestercc.edu
1. Attend Respiratory Care information session before the application
deadline date of February 1, 2020.
2. Complete Respiratory Care program prerequisites.
All candidates must have a minimum GPA of 2.5.
Respiratory Care program prerequisites include the following MCC courses
or their equivalent, if transferring:
• MAT* 109: Quantitative Literacy or higher (All math courses must be
completed with a “C” or better and taken in Spring 2015 or later.)
• Eligibility for BIO* 211: Anatomy and Physiology I (All science courses
must be 4 credits, include a lab, completed with a “C” or better and taken
in Spring 2015 or later.)
• Eligibility for ENG* 101: English Composition
3. Submit MCC Application for Admission by February 1, 2020.
Applications are available at the Admissions office, SSC L156, or online at
www.manchestercc.edu/admissions.
4. Submit Health Career Programs Application to the STEM Division
office, room LRC A237 by February 1, 2020.
Applications are available at www.manchestercc.edu/respiratory and must
include:
Official copies of transcripts
Hard copies of official transcripts should be attached to the application. If
the institution does not issue hard copies, then electronic copies can be
sent by email directly to Nancy LaRoche-Shovak, Program Coordinator, at
nlaroche-shovak@manchestercc.edu.
5. Complete clinical shadowing experience (optional).
Will be arranged by program coordinator following application review.
2
1
3
4
5
FIVE
STEPS
REQUIRED TO COMPLETE
RESPIRATORY CARE
APPLICATION PROCESS
liffl
MANCHESTER
COMMUNITY
COLLEGE
D
D
D
D D
D
Health Career Programs
Application
Please complete this application and sign, date and submit to the STEM Division office, LRC A237. Applications can be placed in the drop box outside if the office is
closed. APPLICATION DEADLINE for the 2020-21 academic year is February 1, 2020.
PROGRAM SELECTION
Please indicate the program for which you are applying. Use a separate application for each program to which you wish to apply. Program prerequisites and application
requirements vary by program. It is the student ’s responsibility to meet all program prerequisites and to complete all application requirements.
n
Dental Assistant certificate program (applications will be accepted until class is filled)
n
Occupational Therapy Assistant associate degree program
n
Radiation Therapy associate degree program
n
Radiography associate degree program
n
Respiratory Care associate degree program
n
Surgical Technology associate degree program
APPLICANT INFORMATION
Name Banner ID
Street Address (including apt/unit #)
City State Zip
Home Phone Number Cell Phone Number
Email Date Attended Information Session
HIGH SCHOOL INFORMATION
High School Attended High School Address/City/State
Date of Graduation GED
n
Yes
n
No
COLLEGE INFORMATION
College Attended
Degree Earned Date of Graduation
College Attended
Degree Earned Date of Graduation
College Attended
Degree Earned Date of Graduation
REQUIRED
If I am selected for a program interview, I agree to be available for an in-person interview at the designated time.
n
Yes, I agree.
I certify that my answers are true and complete to the best of my knowledge.
Signature Date
www.manchestercc.edu/health
July 2019/PR
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Health Career Programs

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Completed 25 July 2020

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