Fillable Orthotic/Prosthetic Clinical Applications Program 2019 Application Deadline: April (Century College)

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Orthotic/Prosthetic Clinical Applications Program 2019 Application Deadline: April (Century College)

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Orthotic/Prosthetic Clinical Applications Program 2019
Application Deadline: April 30, 2019
About the Program
An orthotic and prosthetic assistant is a health care professional who is educated and trained to support the certified
practitioner by assisting in orthotic and prosthetic patient care. Students who earn the Orthotic and Prosthetic Clinical
Applications Diploma will meet the requirements to be employed as an Orthotic/Prosthetic Assistant. Graduates may pursue
further education through a Baccalaureate degree or appropriate Master’s degree to meet professional requirements.
The National Commission on Orthotics and Prosthetic Education (NCOPE) has mandated that all Prosthetics and Orthotic
educational programs be elevated to the Masters Degree level by 2012. Century College has partnered with Concordia
University to provide students the education and training they need to become certified Prosthetic/Orthotic Practitioners.
Program Admission Requirements
1.
Orthotic and Prosthetic Fitter AAS OR equivalent skills through work experience in the field assessed by program
coordinator OR instructor consent.
2. Assessment score placement at college reading level or completion of developmental courses with a grade of “C” or
higher and assessment score placement into ENGL 1021 or completion of ENGL 0090 with a grade of "C" or higher.
3.
Successful completion (minimum grade of “C”) of General Biology (BIOL 1020, 1041 or transfer equivalent)
4. Successful completion (minimum grade of “C”) of General Physics (PHYS 1020, 1041 or transfer
equivalent)
Enrollment Process
Step 1 – Application
a. Fully Complete the Century College Application (if you are a new student)
b. Fully Complete the Century College Orthotic/Prosthetic Application (included in this packet)
Deadlines for Application
Term Deadline Term begins Program Ends
Fall Semester April 30 Late August Early July
Step 2 – Complete the Orthotic/Prosthetic Readiness Determination Form
Complete the Orthotic/Prosthetic Readiness Determination Form, found on the back (page 2) of the application form.
Step 3 –Employee Checklist of Technical Ability
If technical experience was completed in a lab, have the Employee Checklist of Technical Ability completed and signed by a
certified practitioner, assistant or technician and submit with the program application.
Step 4 – Submit Application and Documentation
Submit the Orthotic/Prosthetic Clinical Applications Program application and if necessary the Century College application
with $20 application fee to the Century College Admissions Office prior to April 30. No application fee is required if you have
previously applied to Century College. Please note that applicants must be in good academic and financial standing at all
Minnesota State institutions or their application cannot be accepted.
Request an official transcript from high school verifying graduation. High school transcripts should be submitted to the
Century College Admissions Office.
Request official transcripts from previously attended colleges and universities. Transcripts must be received before the
April 30 deadline to verify prior coursework. All college and university transcripts should be submitted to the Century College
DARS/Transfer Services Office.
Step 5 – Selection
Candidates will be selected based on grade point average (GPA), completion of NCOPE accredited orthotic and/or prosthetic
coursework and related work experience. Qualified candidates who are not selected will be placed on an alternate list.
Candidates on the alternate list will be notified should an opening occur.
Priority will be awarded based on OPCA Category placement as outlined below:
OPCA Category 1: Candidates who are graduates of a Century College Orthotics and Prosthetics Program or are in good
standing as an ABC Certified Technician
OPCA Category 2: Candidates who are graduates of an NCOPE accredited Orthotics and Prosthetics Program
OPCA Category 3: Candidates who have documented work experience in Orthotics and Prosthetics
OPCA Category 4: Candidates who have no prior orthotic or prosthetic education or experience
.
After Application/Acceptance
Step 1 – Applicant Agreement Form and Deposit
The college will inform applicants of their admission status approximately 4 weeks after the application deadline.
Please be aware that this program has a limited enrollment. If accepted, you will be asked to return an acceptance
agreement to reserve your place in the class. The deadline to return your agreement form is generally two weeks after the
acceptance letter is sent.
Step 2 - New Student Orientation and Registration
Registration information will mail after your acceptance letter is sent.
Students who have previously attended Century College will be able to register when their fall semester registration window
opens.
Students new to Century College will be required to attend a New Student Orientation prior to registering for classes.
Program Requirements
Career/Occupational Requirements: 39 Credits
Discipline
Course
Number
Title
Credit#
OPCA
2010
Clinical Applications of Lower Extremity Foot Orthoses
4
OPCA
2020
Clinical Applications of Lower Extremity Orthoses
4
OPCA
2030
Clinical Applications of Upper Extremity Orthoses
3
OPCA
2040
Clinical Applications of Spinal Orthoses
4
OPCA
2050
Clinical Applications of Trans-Tibial Prostheses I
3
OPCA
2060
Clinical Applications of Trans-Tibial Prostheses II
4
OPCA
2070
Clinical Applications of Trans-Femoral Prostheses
4
OPCA
2080
Clinical Applications of Upper Limb Prostheses
4
OPCA
2090
Clinical Internship
7
HLTH
1001
Medical Terminology
2
General Education/MnTC Requirements: 32 credits
Goal 1- Communication: 7 credits
ENGL
1021
4
Select one of the following COMM courses:
3
COMM
1021
COMM
1031
COMM
1041
COMM
1051
Goal 3 and/or 4 – Sciences/Math/Logical Reasoning: 19 credits
PHYS
1020
4
BIOL
1020
4
BIOL
1024
3
CHEM
1020
4
MATH
1025
4
Goal 5 – History/Social and Behavioral Sciences: 6 credits
SOC
1020
3
PSYC
1041
3
Other Information
Financial Aid
Concerns involving maximum credit limits for Financial Aid will be addressed the first week of class.
MN Human Services Background Study:
Minnesota law requires any individual having contact with patients to complete a background study prior to starting clinical
experience. An individual may be disqualified from having patient contact and would not be permitted to participate in the
clinical experience.
Social Security Notice:
Century College uses Social Security Numbers for student identification purposes on student records. Providing your Social
Security number is voluntary. However, if you do not provide your Social Security Number, you may not be considered eligible
for Education Tax Credits (Hope and Lifetime Learning Scholarships). If you do not provide this number, your petition will still be
processed. This data is requested for purposes of administration, program evaluation and consumer data. Your number also
may be used to create summary information about Minnesota State programs through data matches with other state agencies.
Data Privacy Notice:
The college is asking you to provide information that includes private and/or confidential information under state and federal law.
You are not legally required to provide the information the college is requesting; however, the college may not be able to effectively
process your application if you do not provide sufficient information. With some exceptions, unless you consent to further release of
private information, access to this information will be limited to school officials, including faculty who have legitimate educational
interests in the information. Under certain circumstances, federal and state laws authorize release of private information without
your consent: (1) to other schools in which you seek to enroll, or are enrolled, if you are first notified of the release; (2) to federal,
state and local officials for purposes of program compliance, audit or evaluation; (3) as appropriate in connection with your
application for, or receipt of, financial aid; (4) to your parents, if your parents claim you as a dependent student for tax purposes; (5)
if the information is sought with a subpoena, to an organization engaged educational research or accrediting agency. Minnesota
State Colleges and Universities abide by the provision of Title IX and other federal and state laws forbidding discrimination on the
bases of sex, race, color, national origin or handicap and all other state and federal laws regarding equal opportunity.
Need More Information?
• Century website: www.century.edu
• Orthotic and Prosthetic Clinical Applications Instructors:
o Katie Voss, CO, BA 651-779-3921 (1-800-228-1978 ext. 3921) e-mail: Katie.voss@century.edu
o Roger Wagner, CPO 651-773-1739 (1 800 228 1978 ext. 1739) email: Roger.Wagner@century.edu
Please summarize your technical experience below.
Units of Fabrication Completed / Units Fitted
SPINAL ORTHOSES
Lumbosacral Orthoses \
Thoraco-lumbo-sacral Orthoses \
Corrective Orthoses for Scoliosis \
SHOE MODIFICATIONS AND REPAIR
Build-ups on Shoes \
Miscellaneous shoe modifications \
LOWER LIMB ORTHOTICS
Foot Orthoses \
Ankle-Foot Orthoses, Tracing Layout \
Ankle-Foot Orthoses, Metal \
Ankle-Foot Orthoses, Plastic \
Knee-Ankle-Foot Orthoses, Tracing Layout \
Knee-Ankle-Foot Orthoses, Metal \
Knee-Ankle-Foot Orthoses, Plastic \
UPPER EXTREMITY ORTHOTICS
Hand Orthoses, Metal \
Hand Orthoses, Plastic \
Wrist-Hand Orthoses, Metal \
Wrist-Hand Orthoses, Plastic \
LOWER LIMB PROSTHETICS
Trans-tibial (TT), fabrication \
Trans-femoral (TF), fabrication \
PTB socket insert, fabrication using
Pelite or similar \
Lay-up and laminate for sockets and
finish laminations \
Statically align, TT and TF prostheses \
Duplicate TT and TF alignment either
horizontal or vertical \
UPPER EXTREMITY PROSTHETICS
Trans-humeral, fabrication \
Trans-radial, fabrication \
BROAD TECHNICAL SKILLS
Interpret information/measurement Charts \
Make plaster of Paris models \
Vacuum form thermo plastic fabrications \
Contour and mount joints \
Safely operate lab equipment and tools \
Identify common orthotic and prosthetic
materials \
Identify common orthotic and prosthetic
components \
Professional Attestation
I, _________________________________________ attest to ___________________________________________
(Print Name of Certified Orthotic/Prosthetic Professional) (Print Name of Applicant)
ability to perform all the duties outlined above.
Employment starting date: _________________________ Employment termination date ____________________
____________________________________________________ __________________ ____________________
(Signature of Certified Orthotic/Prosthetic Professional) (Certification Number) (Date)
Name of Company
Address
Phone
Email
click to sign
signature
click to edit
rev. 11/22/17
Professional Attestation
Additional Comments:
rev. 11/22/17
Send to: Admissions Office
3300 Century Avenue North
White Bear Lake, MN 55110
Orthotic/Prosthetic Clinical Applications Application F orm -2019-
Please submit this application to the Admissions Office.
If you have NOT previously attended Century College, please complete and submit the Century College application with the
$20 application
fee. The $20 application fee is only required for NEW Century College students.
This application is not a substitute for the Century College application.
APPLICATION DEADLINE:
APRIL 30, 2019
PLAN AHEAD. Application and
all
supporting documentation (official transcripts and/or employer verification forms) must be received
prior to the deadline.
Name (Last, First, Middle Maiden)
Student ID Number
Address
City
State
Zip Code
E-mail Address
Home Phone
Mobile Phone
Educational Record: Names of secondary schools, colleges and technical schools attended:
High Schools or GED * State Town or City
Dates
Degree or diploma received
From To
Colleges, technical or
other post secondary schools
State Town or City
Dates
Certificate, degree or
diploma received
From To
Please request
official
transcripts from each institution attended to be sent to the Records Office at Century College.
Employment Record: List your employment and/or volunteer record indicating most recent employment first.
Employer or Organization Nature of work
Dates of employment
From
To
ORTHOTIC/PROSTHETIC CLINICAL APPLICATIONS READINESS DETERMINATION FORM
Prerequisites
Each of the following college level courses are required with a minimum grade of "C".
Minimum credit recommendations vary for each course.
General/Introductory
Biology (BIOL 1021, 1041 or 1024)
Institution
Course # Grade
General/Introductory
Physics (PHYS 1020 or 1041)
Student is responsible for submitting official transcripts from all colleges and universities attended. Only
transcripts received in a sealed institution envelope are considered official.
Fitter/Technical Experience Please check one.
1.
GRADUATION FROM AN ACCREDITED TECHNICIAL PROGRAM
Institution
Graduation Date
ORTHOTICS
PROSTHETICS
2.
ONE YEAR OF LAB EXPERIENCE IN THE FIELD VERIFIED BY A CERTIFIED ORTHOTIC/PROSTHETIC PROFESSIONAL.
(Please use attached Employer Checklists if interested in this option. Forms must be signed by a certified practitioner).
Employer
Dates of Employment
ORTHOTICS
PROSTHETICS
3.
VOLUNTEER EXPERIENCE
ORTHOTICS
PROSTHETICS
4.
PROOF OF CURRENT ABC CERTIFIED TECHNICIAN STATUS
Applicant Signature
I hereby certify that the information provided on this application form and in all other admission application materials is complete, accurate, and true to the best of
my knowledge. I understand that there may be more qualified applicants than available space in the class and that completion of application requirements does
not guarantee acceptance into the program.
Signature
Date
Applications will not be considered unless signed and dated and must be complete by the deadline date. Documentation received
after
the deadline may not be considered in the selection process.
Admission is granted without regard to race, creed, color, sex, age, national origin or handicap. This institution abides by the provisions of Title IX,
federal legislation forbidding discrimination on the basis of sex and by all other federal laws regarding equal opportunity.
Note: Federal and state legislation requires that the contents of student files be open to review by the student. Application forms,
high school transcripts, test date, letters, and recommendations that are sent as part of any application for admission will be open to
the student’s review upon request.
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OrthoticProsthetic Clinical Applications Program 2019 Application Deadline: April (Century College)

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Completed 26 July 2020

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