Robeson Community College
Fall 2020 Admission Checklist Surgical Technology
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Admissions Health Science Timeline for 2020 Fall Enrollment
Program: Diploma Surgical Technology
May 29 Completed Checklist and Supporting Documentation Deadline
(Submitted to the Admissions Office)
June 26 Program Director Notification to Applicants of Status (by mail)
Note:
Each applicant is responsible for following the stated timeline outlined above and for the submission
of all required documents to the Admissions Office.
Applicants completing the Health Science Admissions process after the established timeline will be
considered based on space availability.
Students are expected to attend a Surgical Technology Program Information Session. Applicants will
earn 2 points for the application packet by submitting a signed certificate of participation.
Information Session Fall 2019:
September 26, 2019
November 14, 2019
Information Session Spring 2020:
February 11, 2020
March 24, 2020
April 28, 2020
All Information Sessions will be held in the Health Science Bldg. (17) Rm 1744B at 3pm.
Write a one page paper on why you wish to go into Surgical Technology.
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Fall 2020 Admission Checklist Surgical Technology
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Name: _____________________________________ College Id#: ____________________
Address: ____________________________________ City __________________________
State ______ Zip Code ________ E-Mail Address _____________________________
Telephone Numbers: Home ______________________ Cell _______________________
Checklist Overview and Directions
NOTE: Students must have a 2.8 or greater grade point average (GPA) in program general education/
related courses at the time of checklist submission to Admissions in order to be considered for health
science program admission.
For Surgical Technology, the GPA will be based upon grades earned in BIO 168, BIO 169, ENG
111, and PSY 150.
The Surgical Technology Program Faculty will not receive student packets for review if the GPA is
less than 2.8 in Surgical Technology general education/related courses.
Students may earn points for admission based upon a final course grade in HSC 110, MAT 143,
BIO 275, and MED 120; however, the courses are not considered in the calculation of GPA for
admission.
Please place a check mark beside each item as they are completed. All items identified on the
checklist must be completed prior to submitting checklist to the Admissions Office.
_____ 1. Completed RCC Admissions Approval process https://www.robeson.edu/admissions/ .
_____ 2. Requested official high school and college transcripts. Unofficial transcripts must be
attached to this form.
_____ 3. Completed placement testing, remediation or college transfer courses in
Writing, Reading, Math-Numerical and Math-Elementary Algebra as defined in
current College Catalog for selected health program.
_____ 4. Requested that three references be submitted to the Office of Admissions on
forms provided.
_____ 5. Completed information requested on the attached Health Science Admissions
Ranking Information Form.
With the completion of items 1 – 5 proceed to the Admissions Office to submit checklist and supporting
documentation. All documentation must be received by May 30 of the planned enrollment year.
I certify that the attached application related items are correct and accurate. I understand that the
falsification of any information or documentation will result in the revocation of this application.
Applicant Signature __________________________________________Date __________
click to sign
signature
click to edit
Robeson Community College
Fall 2020 Admission Checklist Surgical Technology
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For Office Use: ____________________________________________Date __________
Health Science Admissions Ranking Information
Part I Participation in Program Information Session
For Part I, applicants must submit a signed certificate of participation in a Surgical Technology program
information session. The program director, program faculty or designee will provide a signature that
denotes the applicant’s attendance in a program information session. Applicants must provide a copy of
the certificate of participation in the application packet.
Signed certificate of participation – 2 points
Part II Academic Performance
College Educational Experience
Pre-Health Courses
Only courses identified below will be considered. Points will be awarded in the following manner:
For MED 120: A – 4 points; B – 2 points. For HSC 110: A – 2 points; B – 1 point.
Identify course (s) completed.
Course Prefix College Name Grade Semester/Year Completed
HSC 110 _____________________ _____ ______________________
MED 120 _____________________ _____ ______________________
General/Related General Education Courses
Only courses identified below will be considered. Points will be awarded in the following manner
for each course: A – 6 points; B – 4 points; C- 2 points. Identify course(s) completed. Equivalent
courses (based on transfer eligibility) will be considered. Courses listed must meet applicable credit
by transfer requirements.
Course Prefix College Name Grade Semester/Year Completed
ENG 111 _____________________ _____ _____________________
ENG 112 _____________________ _____ _____________________
PSY 150 _____________________ _____ _____________________
MAT 143 _____________________ _____ _____________________
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College Science Courses (Biology)
The most recent science courses completed will be considered. Courses listed must meet applicable
credit by transfer requirements. Points will be awarded in the following manner for each course:
A – 12 points; B – 8 points; C – 4 points. Identify college science course(s) completed:
Course Prefix College Name Grade Semester/Year Completed
BIO 168 Human A & P I _______________ ______ ______________________
BIO 169 Human A & P II _______________ ______ ______________________
BIO 275 Microbiology _______________ ______ ______________________
It is the applicant’s responsibility to make sure that the official transcript(s) verifying the courses listed above are on
file with the Admissions Office and unofficial transcript copies of college transcript(s) are attached to this form.
Part III Completion of Academic Degrees/Programs
Applicants will be awarded points for completion of previous academic programs. Applicants will
receive points for only the highest degree/program completed. Documentation must be provided
to validate successful completion.
Date Earned Major Name College Points
Masters _____ _________ ______________ 8
Bachelor _____ _________ ______________ 6
Associate _____ _________ ______________ 4
Diploma _____ _________ ______________ 2
Certificate _____ _________ ______________ 1
Note: Submit completed packet and supporting documents to the RCC Admissions Office in
Building 13 by May 29, 2020.
Part IV Honors Program Projects
Students who are seeking acceptance into Health Science programs can strengthen their applications by
joining RCC’s Honors Program and earning Honors credits. To earn Honors credit, students choose a
college class and work with the instructor and Honors Program coordinators to propose and complete a
research-based Honors project specific to their academic interests. For each successfully completed
project, 2 points will be awarded, up to eight points.
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Part IV References
Each applicant must submit three references on forms provided by the Admissions Office. The only
references that will be awarded points are high school teachers, college faculty and employers. A
maximum of 1 point will be awarded for each reference (total of 3 points). Completed rating forms
should be submitted (in sealed envelopes) with all other admissions materials.
Part V Provisional Acceptance
A point selection process will be used to rank applicants for provisional acceptance into the
program. Only applicants who have completed all the admissions requirements/criteria will be
ranked for review. Particular consideration will be given to those applicants who have successfully
completed the general/related education courses for the program or appropriate high school
courses. Completed application packets will be reviewed by the health science program director for
consideration.
NOTE: Students must have a 2.8 or greater grade point average (GPA) in program general
education/related courses at the time of checklist submission to Admissions in order to be
considered for health science program admission. The Surgical Technology faculty will not
review if the GPA is less than 2.8 in Surgical Technology general education/related course.
Robeson Community College health science faculty will review the achievement potential of each
applicant. During the candidate review process, faculty will examine previous academic records and
pre-entrance examination scores to determine congruence with curriculum academic demands and
program expectations.
Provisional Acceptance
Top applicants will be required to attend a final information session hosted by Surgical Technology faculty
in July. Notification of this session will be sent by mail. This session is designed to provide applicants with
additional program requirements. Applicants who are chosen for the program are offered provisional
acceptance based on fulfillment of all admission requirements/criteria by the deadline specified in the
provisional acceptance letter.
Prior to receiving full acceptance and/or enrolling in the first surgical technology course, all Applicants
Provisionally accepted MUST complete and/or provide documentation of the following:
1. Medical Review/Screen, which includes but not limited to:
a. (2) separate PPDs: Proof of Negative Tuberculin (Tb) skin testing or follow-up
chest X-ray within 3 months of enrollment. The date given and the date read must
be listed.
b. Immunizations
Tdap, tetanus vaccines, Hepatitis B series, MMR, Rubella, Varicella
series or positive titer (required)
Influenza, although not required but strongly recommended and/or
required by clinical affiliate
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2. Criminal Background Check, and National Sex Offender Index: Clinical agencies require a
criminal background check, 12 panel urine drug screen, and National Sex Offender Index
prior to clinical experiences or rotations. This testing is scheduled by the College once
students have been provisionally accepted.
NOTE: (1) If results of a criminal background check, 12 panel urine drug screen, and sex
offender index prevents a student from participating in a clinical rotation at any agency, then the
student will not be able to fulfill the clinical requirements for the program, and subsequently will
not be allowed to complete the Surgical Technology program. (2) Fees associated with the
criminal background check and drug screen will be the responsibility of the student.
3. Healthcare-Providers CPR: Prospective students must submit documentation of current
CPR certification (including infant, child and adult certification) from the American Heart
Association BLS Healthcare Providers Course.
4. Attendance at a Mandatory Surgical Technology Orientation (To be Scheduled)
5. Program Prerequisites: Applicants admitted to the program must submit prior to enrollment
into the program documentation of successfully completing the following courses with a “C” or
higher:
BIO 168 Human Anatomy & Physiology I
6. Provisionally accepted students previously enrolled in any other surgical technology programs
must submit a letter from the program director.
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