For Admissions use only.
Received By:_________
Return this form to:
Advising Services, Wynn Center (Building 10), room 10-200
Durham Technical Community College
Opticianry Program Admissions Application
Associate Degree Apprenticeship Certificate
First Name: __________________________________ Last Name: ____________________________________
Durham Tech Student ID Number: _____________________________ Date: ___________________________________________
ConnectMail* Email Address: _______________________________________________________________
*NOTE: All official communication from the college is delivered via ConnectMail, including Health Technology admissions
Associate Degree Program: Due July 15
Apprenticeship Certificate Program: Due November 15
Submit Completed paper application packets to Advising Services beginning (Building 10, room 200).
All steps below are required. Please initial that each item is completed.
Enroll at Durham Technical Community College
View College enrollment steps on the website.
______ I am currently admitted to Durham Tech.
Note: If you have not been enrolled with Durham Tech within the last 12 months, you must reapply to
Durham Tech using the CFNC application
______ I have submitted an official transcript(s) from high school and/or college.
Submit to Admissions, Registration, and Records, located in Wynn Center (Building 10), room 10-201
______ I have applied for Financial Aid (recommended but not required).
______ I have attended a ConnectSession (Student orientation)
Note: Prospective students with 12 or more college credit hours transferred to Durham Tech are not
required to attend a ConnectSession, but it is recommended.
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Meet Course Placement Requirements
Students must demonstrate they are college ready in one of the following ways (Initial each item that fulfills this
______ Provide proof of unweighted US high school GPA of 2.8 or higher within the last ten years
______ Transfer credit for English and math (college-level algebra)
______ Provide proof of completion of an associate’s or bachelor’s degree
______ Provide proof of satisfactory scores on ACT, SAT, GED, HiSET, NCDAP, COMPASS, ASSET, or ACCUPLACER
scores within the last ten years
______ Demonstrate mastery on RISE English placement test 2 and RISE Math placement test 2; OR successfully
complete ENG-002 through Tier 2 (grade of P2) and MAT-003 through Tier 2 (grade of P2)
Additional Required Documents:
Students must provide all of the documents listed below with the completed application:
______ I have attached a signed English Language Requirement Form (download from
Health Technologies
admission steps)
Statement of Student Responsibility
I verify that I have read all the information regarding admissions to the Opticianry Program, and understand the steps I
must take to qualify for admissions. I understand that it is my responsibility to notify the Admissions, Registration and
Records office regarding changes in name, address, or phone number through eForms.
I understand that all official communication from the college is delivered via ConnectMail, including Health and Wellness
admissions decisions.
I understand that my Opticianry application will not be accepted if incomplete.
I understand that Opticianry courses have an expiration date of five (5) years. If I do not complete the Associate Degree
or Apprenticeship Certificate program within five (5) years of starting classes, any Opticianry courses completed will
Name ___________________________________________ Student ID#_____________________________
________________________________________ Date____________________________
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