Fill - Free fillable Robeson Community College Fall 2021 Admission Checklist Respiratory (Robeson Community College) PDF form

Robeson Community College

Fall 2021 Admission Checklist Respiratory Therapy

Page | 1

Admissions Health Science Timeline for 2021 Fall Enrollment

Program: Associate Degree Respiratory Therapy (AAS)

July 1 Early Admission

Completed Checklist and Supporting Documentation Deadline

(Submitted to the Admissions Office)

July 1 General Admission

Completed Checklist and Supporting Documentation Deadline

(Submitted to the Admissions Office)

July 1 Program Director Notification to Applicants of Status (by mail)

For Questions Please Contact William Mashburn at wmashburn@robeson.edu

Or 910-272-3400

Note:

Each applicant is responsible for following the stated timeline outlined above and for the

submission of all required documents to the Admissions Office.

Students that will complete prerequisites by the summer semester of enrollment year are

encouraged to apply by General Admission date of July 1

. Application will not be considered

for review until final grades are posted and student provides unofficial transcript of course

completion.

Applicants completing the Health Science Admissions process after the established timeline will

be considered based on space availability.

Students are expected to attend a Respiratory Therapy Program Information Session. Applicants

will earn 2 points for the application packet by submitting a signed certificate of participation.

Information Session Fall 2021:

September 09, 2021

November 11, 2021

Information Session Spring 2021:

January 22, 2021

March 09, 2021

Robeson Community College

Fall 2021 Admission Checklist Respiratory Therapy

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All Information Sessions will be held in the Health Science Bldg. (17) Rm 1751A at 3pm.

Name: _____________________________________ College Id#: __________________

Address: ___________________________________ City _________________________

State ______ Zip Code_________ E-Mail Address __________________________________

Telephone Numbers: Home_______________________ Cell__________________________

Checklist Overview and Directions

NOTE: Students must have a 2.5 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. Students will be required to obtain a letter

grade of “B” or greater in BIO 168 or CHM 131. For Respiratory Therapy, the GPA will be

based upon grades earned in BIO 168, BIO 169, CHM 131 & 131A, ENG 111, ENG 112,

MAT 110, PSY 150, Humanities/Fine Arts elective. The Respiratory Therapy faculty will not

review if the GPA is less than 2.5 in Respiratory Therapy general education/related courses.

Students may earn points for admission based upon final course grades in HSC 110 and MED 120;

however, these 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 Application.

_____ 2. Requested official high school and college transcripts.

_____ 3. Completed college transfer courses in English (ENG 111 Writing and Inquiry) and

Mathematics (MAT 110) or an equivalent college transfer English

and mathematics course and earned a “C” or higher.

_____ 4. Have requested that three references be submitted to the Office of Admissions on forms

provided.

_____ 5. Have 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 July 1

of the planned

enrollment year. If there are vacancies in the program after the selection process is complete,

applicants who applied by the deadline date and who will successfully complete the minimum

admission requirements by the end of summer semester may be considered for selection.

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.

Robeson Community College

Fall 2021 Admission Checklist Respiratory Therapy

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Applicant Signature __________________________________________Date _____________

For Office Use:

Date Received _______________________________________________Date _____________

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signature

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Robeson Community College

Fall 2021 Admission Checklist Respiratory Therapy

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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 Respiratory Therapy 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

For Part II, applicants will either complete the High School Educational Experience section or

the College Educational Experience and College Science Course sections.

High School Educational Experience

High School information will be used only for applicants that have not completed a minimum of

nine semester hours of college credit. Only high school courses identified below will be considered.

Points will be awarded in the following manner:

• Highest Level Science Course: A – 12 points, B – 8 points, C – 4 points

• United States History, Senior English, Highest Level Mathematics, Computer Skills:

A – 6 points, B – 4 points, 2 points

Course Course Name High School Name Grade

Senior English _____________ ____________________ _____

United States History _____________ ____________________ _____

Highest Level Math

Completed _____________ ____________________ _____

Highest Level Science

Completed _____________ ____________________ _____

After completing this section, go to Part IV.

Robeson Community College

Fall 2021 Admission Checklist Respiratory Therapy

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College Educational Experience

Pre-Health Courses

Only courses identified below will be considered. Points will be awarded in the following manner for

each course: A – 2 points; B – 1 points. 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 _____________________ _____ _____________________

MAT 110 _____________________ _____ _____________________

PSY 150 _____________________ _____ _____________________

Humanities/Fine Art

Elective _____________________ _____ _____________________

College Science Courses (Biology)

A maximum of three courses will be considered. 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.

Students will be required to obtain a letter grade of “B” or greater in BIO 168 or CHM 131.

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 _______________ ______ ______________________

CHM 131 _______________ ______ ______________________

CHM 131A _______________ ______ ______________________

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 high school and college are attached to this form.

Robeson Community College

Fall 2021 Admission Checklist Respiratory Therapy

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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 July 1, 2021.

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.

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

Applicants offered provisional acceptance based on fulfillment of all admission

requirements/criteria by the specified deadline. Applicants provisionally accepted into the

Respiratory Therapy program will be required to attend a “Provisional Acceptance Meeting” in July. This

meeting will be hosted by program faculty and staff and is designed to provide applicants with

additional program requirements.

Robeson Community College

Fall 2021 Admission Checklist Respiratory Therapy

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Prior to receiving full acceptance and/or enrolling in the first Respiratory Therapy (RCP) 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.

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

2. Criminal Background Check and Drug Screen: Clinical agencies require a criminal

background check and 12 panel urine drug screen 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, national sex offender registry and panel

urine drug screen 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 Respiratory Therapy 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 Respiratory Therapy Orientation (To be Scheduled)

5. Provisionally accepted students previously enrolled in any other respiratory therapy

programs must submit a letter from the program director.

6. Students will be scheduled by Program Faculty to attend 2 clinical affiliates for a guided job

shadowing.

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