Fillable Health Career Programs

Fill Online, Printable, Fillable, Blank Health Career Programs Form

Use Fill to complete blank online OTHERS (US) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Health Career Programs

On average this form takes 9 minutes to complete

The Health Career Programs form is 4 pages long and contains:

  • 0 signatures
  • 1 check-box
  • 36 other fields

Country of origin: US
File type: PDF

BROWSE OTHERS (US) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
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: Radiation Therapy 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/radiation.
PR/07/19
www.manchestercc.edu
Banner ID @ ___________________________________________
Net ID _______________________ @student.commnet.edu
2020-21 Application Process for Radiation Therapy
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 Nora Uricchio, M.Ed., RT, (R) (T), Radiation Therapy Program Coordinator,
860-512-2730, email nuricchio@manchestercc.edu
1. Attend Radiologic Science information session before the application
deadline date of February 1, 2020.
2. Complete Radiation Therapy program prerequisites.
All candidates must have a minimum GPA of 2.5.
Radiation Therapy program prerequisites include the following MCC courses
or their equivalent, if transferring:
• BIO* 211 and 212: Anatomy and Physiology I and II (All science courses
must be 4 credits, include a lab, completed with a “C” or better and taken
in Spring 2015 or later.)
• COM* 172: Interpersonal Communications or
COM* 173: Effective Speaking
• ENG* 101: English Composition
• MAT* 186: Pre-Calculus (All math courses must be completed with a “C”
or better and taken in Spring 2015 or later.)
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/radiation 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 Nora Uricchio, Program Coordinator, at
nuricchio@manchestercc.edu.
• Essay of 500 words or fewer describing your personal attributes and
accomplishments that you believe will contribute to your effectiveness
as a radiation therapy professional.
5. Complete clinical shadowing experience.
Will be arranged by program coordinator following application review.
2
1
3
4
5
FIVE
STEPS
REQUIRED TO COMPLETE
RADIATION THERAPY
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
PERSONAL ESSAY AND SIGNATURE REQUIRED FOR SUBMISSION
Please write a brief essay (500 words or fewer) describing your personal attributes and accomplishments that you believe will contribute to your effectiveness
as a health care professional.Your application will not be processed without the essay. You may use the space below or attach a hard copy of your essay to the
application.
Signature Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Health Career Programs

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 25 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document