APPLICATION FOR
Health Career Programs
Health Career
Programs at MCC
q
Dental Assistant
q
Occupational Therapy
Assistant
q
Radiation Therapy
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Radiography
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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: Surgical Technology Program Director
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/surgical-technology.
PR/07/19
www.manchestercc.edu
Banner ID @ ___________________________________________
Net ID _______________________ @student.commnet.edu
2020-21 Application Process for Surgical Technology
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 Terry Kennedy, CST, MAT, Surgical Technology Program Director,
860-512-2734, email tkennedy@manchestercc.edu
Consideration for admission to the MCC/Hartford Hospital Surgical Technology program follows
a sequential application and selective admission process. The Surgical Technology applicant
may not advance in the process if the prior step has not been completed.
Complete the following required non-core Surgical Technology courses
(34 credits) or their equivalent, if transferring, and demonstrate a minimum GPA of 2.5
in all courses completed:
BIO* 211: Anatomy and Physiology I
BIO* 212: Anatomy and Physiology II
BIO* 235: Microbiology
CHE* 111: Concepts of Chemistry
COM* 172: Interpersonal Communications or COM* 173: Effective Speaking
ENG* 101: English Composition
MAT* 109: Quantitative Literacy or higher
PSY* 111: General Psychology I
Elective: Any one course from Gen Ed — The Arts
Elective: Any one course
2
1
4
3
5
7
8
6
EIGHT
STEPS
REQUIRED TO COMPLETE
SURGICAL TECHNOLOGY
APPLICATION PROCESS
BIO* 211: Anatomy and Physiology I
BIO* 212: Anatomy and Physiology II
BIO* 235: Microbiology
CHE* 111: Concepts of Chemistry
COM* 172: Interpersonal
Communications or
COM* 173: Effective Speaking
ENG* 101: English Composition
MAT* 109: Quantitative Literacy or
higher
PSY* 111: General Psychology I
Elective: Any one course from
Gen Ed — The Arts
Elective: Any one course
Attend Surgical Technology information session before the application deadline
of February 1, 2020.
Submit the required applications by February 1, 2020.
MCC Application for Admission: Applications are available at the Admissions office,
SSC L156, or online at www.manchestercc.edu/admissions.
Health Career Programs Application: Applications are available at www.
manchestercc.edu/surgtech 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 Terry Kennedy,
Program Director, at tkennedy@manchestercc.edu.
Pass a program entrance exam with minimum score of 70%.
Pass an in-personinterview with an oral and written component.
After completing steps 1-5, a maximum of 10 students will be offered admission, based
on the Surgical Technology Interview Committee decision. Students offered admission
to the program are required to complete steps 6-8.
2. Attend Surgical Technology program orientation.
Pass background check (paperwork provided at Surgical Technology program
orientation).
Demonstrate that program’s physical standards are met through submission of
current physical examination/immunization records (form provided at Surgical
Technology program orientation).
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MANCHESTER
COMMUNITY
COLLEGE
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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.
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Dental Assistant certificate program (applications will be accepted until class is filled)
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Occupational Therapy Assistant associate degree program
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Radiation Therapy associate degree program
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Radiography associate degree program
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Respiratory Care associate degree program
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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
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Yes
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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.
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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