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SURGICAL TECHNOLOGY

ENTRANCE REQUIREMENTS PACKET

FALL 2021

Information presented in this packet supersedes

all other information obtained by the applicant.

• All applicants must meet the admissions criteria as stated in this packet before a seat in the program or a position

on the wait list can be awarded. Seats are awarded on a first come, first qualified basis.

• The Surgical Technology courses begin each fall semester and are offered during the daytime only. (See page 13.)

• There is a maximum of 18 seats available each fall.

• All petitions and supporting documentation must be received at the Marple Campus (Media, PA) no later than

Thursday, July 8, 2021, at 12 Noon to be considered for a seat in the program or a position on the wait list.

• Petitions and/or supporting documentation submitted after July 8, 2021, will not be accepted. The information

in this packet will expire on July 8, 2021.

• Grades for courses scheduled for the 2021 Summer II Session will not be available by the petitioning deadline.

Therefore, all prerequisite and developmental courses must be completed by the end of the 6-week 2021 Summer

I Session. In addition, course grades for classes taken in the 10-week Summer 1 Session format will not be

available by the deadline and therefore will not be acceptable for Fall 2021 program consideration.

• The Admissions Office encourages candidates to complete and submit all requirements before July 8, 2021, as the

program may fill before the deadline.

• Guidance on how to register for a VIRTUAL INFORMATION SESSION is listed in the 2

BOX below:

Petitioning Dates

Candidates residing in sponsoring* school districts may petition beginning: Monday, October 5, 2020

All other candidates may petition beginning: Monday, November 2, 2020

*At present, the sponsoring school districts are Chester-Upland, Garnet Valley (Bethel residents only), Haverford,

Interboro, Radnor, Ridley, Rose Tree Media, Southeast Delco, Springfield, Upper Darby, Wallingford-Swarthmore

(Rutledge and Swarthmore residents only), and William Penn.

VIRTUAL Surgical Technology Information Sessions

Attending a VIRTUAL Information Session via Zoom invite is highly recommended in order to learn more about the

curric

ulum and the special admission requirements. Be sure to read the entire packet prior to the session.

VIRTUAL INFO SESSIONS DATES AND TIMES ARE POSTED HERE:

www.dccc.edu/surgical-info-sessions

Registration is required VIA THE LINK ABOVE to participate in the Session!

PAGE 1

(Issued: June 4, 2020)

PETITIONING PROCESS

The Surgical Technology (ST) program at Delaware County Community College (DCCC) has a unique, two-part application process

that is required for all ST candidates. In order to be considered for admission into the Surgical Technology program, applicants

must complete the items listed in PART 1/General Admission.

Once the general admission process is complete, a candidate may proceed and complete the items in PART 2/Special Admission

and petition for the College’s ST program. Be certain to distinguish between general admission and special admission. Both

application processes must be completed correctly in order for the candidate’s petition to be considered.

Opening and closing deadlines apply to the petitioning process (See page 1.) Both PART 1 and the items in PART 2 must be

complete before a candidate can submit their petition for consideration. Note: Personal letters of recommendation and

character references are not considered towards admission.

PART 1

General Admission

General Admission is the first step required for consideration

into the Surgical Technology (ST) program. This process

will provide students with acceptance to the College and

access to register for non-clinical classes, but not to the

actual clinical portion of the program.

1. Complete and submit a general admission application to the

Admissions Office. Indicate on the application your intent to

apply to the College’s ST Program by choosing HSTU

(Health Studies) as a major code. Being accepted into HSTU

does not guarantee nor imply special consideration for

acceptance into the actual ST Program. (See Requirement

#1, page 3.)

2. Demonstrate college readiness in English & mathematics.

(See Requirement #2, page 3).

3. Transfer previously earned college credits into Delaware

County Community College. (See Requirement #3, page 4.)

4. Submit an official, final copy of high school

documentation. (See Requirement #4, page 4.)

5. File the Free Application for Federal Student Aid (FAFSA).

(See Requirement #5, page 5.)

6. Participate in a VIRTUAL SURGICAL TECHNOLOGY

INFO SESSION to learn more about the program and the

requirements needed to complete the petition process.

Directions on how to register on the first page of this packet.

7. Schedule general education and pre-requisite classes as part

of the general enrollment process. Directions for all general

enrollment processes will be detailed in the student’s

Welcome Packet upon submitting an application to the

College.

PART 2

Special Admission

Upon completion of the general admission process,

candidates can begin the second part of the process:

submission of their Surgical Technology petition. Each

candidate is required to complete all requirements to be

considered for the program. Opening and closing deadlines

apply. (See page 1.)

1. Verify that the College has received the required high

school graduation documentation. This document must be

received and stored on the College’s database before a

candidate can petition. (See Requirement #4, page 5, How

To Verify)

2. Meet with the Program Director for Advisement. (See

Requirement #6, page 5.)

3. Choose an Entrance Option and properly complete the

requirements for that option. (See Requirement 7, page 6.)

4. Obtain and electronically store all three clearances on

Castle Branch. Note: Photocopies of all three background

clearances: FBI, Child Abuse & Statewide Criminal PA

Report must also be submitted at the time of petitioning.

(See Requirement #8, page 7 & 8.)

5. Maintain a Delaware County Community College overall

minimum GPA of a 2.0 or higher from the time of

petitioning to entrance into AHS 100 & 101. (See

Requirement #9, page 9.)

6. Be in compliance and in good standing with the College’s

Code of Conduct. (See Requirement #10, page 9.)

7. Provide proof of residency via a valid, current, legible

photocopy from the approved list of documents. (See

Requirement #11, page 9.)

8. Submit your petition form and all required

photocopied documents via email to:

petitioning@dccc.edu (

See Requirement #12, page 10.)

PAGE 2

REQUIREMENTS FOR ADMISSION

All admission requirements listed on the following pages, must be completed before a seat in the program or a position on the wait

list can be awarded. Please note, the program often fills prior to the deadline. Therefore, the Admissions Office encourages

candidates to complete and submit all requirements as soon as possible once the petitioning period opens.

#1 APPLY FOR GENERAL ADMISSION

Complete a Delaware County Community College application for admission. Current students, those enrolled or currently

registered for classes, do not need to apply to the College again. If you previously enrolled at the College and stopped attending

for one year or longer, you must submit another application and indicate that you are applying for readmission. It is important to

note that acceptance to the College does not guarantee acceptance into this special admission program.

Link to the application

page here:

https://www.dccc.edu/admissions-financial-aid/admissions/how-apply

DEMONSTRATE COLLEGE READINESS IN ENGLISH & MATH

All candidates must demonstrate college readiness by either 1) submitting official score reports with minimum scores achieved on

either the SAT or ACT tests, (see minimum score requirements below), or 2) transferring previously earned English Composition I

and/or a college level math from another college, or 3) take the College’s Placement Test and place college level or successfully

complete all remedial/developmental courses.

Review the options below and proceed with the appropriate option(s) needed to meet this requirement:

WAIVE THE PLACEMENT TEST:

1. SAT OR ACT scores may be used for placement in math and/or English courses. Students should have their official scores

sent to Assessment Services at Delaware County Community College. The school code for the SAT is 2125. The school code

for the ACT is 3542. Scores must be current within 5 years of the student starting classes at the College. To waive the

placement test, students must receive the following minimum scores:

English/Reading = SAT Verbal: 500; ACT Verbal: 18

Mathematic

s = SAT Math: 530; ACT Math: 20

2. Transfer Credits Earned: You may waive all or part of the placement test if you have successfully completed English

Composition I and/or a college level math with a grade of "C" or better and have transferred those courses into Delaware

County Community College. The process to transfer courses may take 4-8 weeks; please plan accordingly in order to make

petitioning deadlines. See Requirement #3 listed on page 4 for directions on how to transfer college credits into Delaware

County Community College.

TAKE THE PLACEMENT TEST:

Delaware County Community College’s placement test(s) are required for any student who has not completed a college-level math

and/or English Composition I with a grade of “C” or better, or for those students who have not met the SAT or ACT minimum scores.

Directions on how to schedule the placement test are outlined in the student’s Welcome Packet upon acceptance to the College.

Placement testing should be scheduled as soon as possible after receipt of the Welcome Packet.

COVID 19 UPDATE: The COVID 19 outbreak disrupted normal Placement Testing operations. Please email the Assessment

Services Office at:

testingcenter@dccc.edu or telephone 610-359-5322 for updated information on how to take the

Placement Test.

CREDIT FOR PRIOR LEARNING

Students may be eligible to receive or earn credit for knowledge acquired through life and work experiences that are closely related

to the learning objectives of the College’s credit courses. This knowledge may have come through on-the-job experiences, professional

workshops, non-credit classes, business or technical schools, personal study or other pursuits.

*Portfolio Development

*Credit for Military Training Schools

*College Level Examination Program (CLEP)

*Transfer Credits from Other Colleges

*Credit by Examination

*Advanced Placement

Students interested in pursuing credit for prior learning options should contact Assessment Services at: 610-359-5322 or email

assess@dccc.edu

PAGE 3

#3: TRANSFER COLLEGE CREDITS EARNED

If applicable, submit official transcript(s) from each college and/or university attended. Send all official, final,

transcript(s) to the following address: Delaware C

ounty Community College

901 South Media Line Road

Media, PA 19063

Attn: Admissions Office

Once evaluated and transferred into DCCC, evaluated credits will appear on the student’s Degree Works page marked

th a “T” indicating that the course(s) were accepted in transfer. The process to transfer courses may take 4-8 weeks;

please plan accordingly in order to meet petitioning deadlines.

INTERNATIONAL CREDENTIALS: If you attended a college or university outside the United States and want to transfer

those credits earned into the College, you must submit a course-by-course evaluation report from an approved

credential evaluation service. An approved evaluation service must be a member of The National Association of

Credential Evaluation Service (NACES). A current list of members can be found at www.naces.org. Please note, English

urses from foreign countries are not eligible for transfer into the College, therefore these students must take the

English and reading portions of the Placement Test (see page 3 on how to schedule the Placement Test).

If an electronic document sharing service is offered by the sending institution a final, official, e-transcript should be sent

to: records@dccc.edu Note: This is not an email, but an electronic document sharing platform such as Parchment or

e National Student Clearinghouse.

#4: HIGH SCHOOL CREDENTIALS

Submit a sealed, official, final document indicating successful high school graduation or its equivalency. This step must be

completed by all candidates regardless of post-secondary educational experience(s). If you have been a student at the

College in the past, please take note that a copy of your high school transcript may no longer be on file if you have had a

gap in your enrollment with the College for a year or longer. Follow the directions on the next page to verify that this

required document is on file with the College to assure that you have met this requirement. If you are in doubt about

this document being on file, we recommend that you have it sent again and follow through with a verification request

to the Admissions Office as noted on the next page.

CHOOSE THE SCENARIO APPROPRIATE FOR YOU and follow the directions accordingly:

1. HIGH SCHOOL TRANSCRIPT

Contact the Guidance Department of the high school where you graduated. Request an official and final

transcript to be sent directly to the College. (See the College’s mailing address on next page.)

2. GED TRANSCRIPT or 30-Credit Plan Diploma

Contact the Department of Education (DOE) in the state where you were granted your GED. Most DOE’s

offer a “Transcript Request Form” that can be accessed by using the “SEARCH BOX” on their website.

IMPORTANT NOTE: An open copy of your GED test scores indicating that you passed the GED test or a

copy of your diploma are not acceptable documents. You must order a separate, official copy of your

GED transcript from the DOE and have that document sent directly from the DOE to the College to fulfill

this requirement. (See the College’s mailing address on next page.)

3. INTERNATIONAL DOCUMENTATION

If you attended high school outside the United States, you must submit a document-to-document

evaluation report that indicates you earned credentials equivalent to a U.S. high school diploma. This

document must come from an approved credentialing evaluation service. An approved evaluation service

must be a member of The National Association of Credential Evaluation Service (NACES). A current list of

members can be found at

www.naces.org. (See the College’s mailing address on next page.)

PAGE 4

DIRECTIONS: WHERE TO SEND YOUR HIGH SCHOOL TRANSCRIPTS

Send all official, final, sealed envelopes containing the paper-copy of final transcripts/international evaluations to:

Delaware County Community College

901 South Media Line Road

Media, PA 19063

Attn: Admissions Office

an electroni

c document sharing service is offered by the sending institution a final, official, e-transcript should be sent

to: records@dccc.edu Note: This is not an email, but an electronic document sharing platform such as Parchment or

the Na

tional Student Clearinghouse.

DIRECTIONS: VERIFY THAT YOUR HIGH SCHOOL TRANSCRIPT IS PROPERLY ON FILE

Verify that your official, final, high school transcript is properly on file with the College. To verify the receipt of this

required document by the College, please email the Admissions Office (admiss@dccc.edu) with the information below.

Do no

t telephone the College for this information. Instead, please email the address above with the information below:

• Your full name as indicated by your permanent records at the College

• Maiden name, if applicable

• Date of Birth

• DCCC Student ID Number (P#)

• Name of school or agency

#5: APPLY FOR FINANCIAL AID (FAFSA)

This step is highly recommended. One of the keys to success in college is having a plan to pay for your education.

Applying for financial aid is easy when you follow the step-by-step guide offered on the College’s website at:

http://www.dccc.edu/admissions-financial-aid/financial-aid/application-process

Deadlines apply, so file your application without delay. If you have questions or need help regarding financial aid,

email finaid@dccc.edu

#6: MEET WITH THE PROGRAM DIRECTOR FOR ADVISEMENT

All applicants are required to connect with the Program Director, Jacqui Bak, for program advisement and course selection

prior to petitioning to the program. To schedule a telephone appointment with Ms. Bak, email her at

jbak1@dccc.edu

PAGE 5

#7: CHOOSE AN ENTRANCE OPTION

All candidates must choose and fulfill one (1) of the following entrance requirements prior to the July 8, 2021,

deadline to be awarded a seat in the 2021 Surgical Technology Program or a position on the wait list.

OPTION ONE: TESTING (ACT or SAT)

Candidates can opt to take and submit the following minimum ACT or SAT scores prior to the July 8, 2021, deadline.

Please note: Scores must be current within five years of beginning clinical work, therefore, taken September 2016

or after.

ACT Composite – 17 or higher OR SAT – 830 or higher

For students taking the SAT with writing section and total score value of 2400, only the math and critical reading

sections (not the writing section) will be used in calculating the score requirement of 830 or higher. To schedule the

ACT or for more information regarding the test, call Assessment Services: 610-359-5322.

OPTION TWO: COURSE CREDIT (COMPLETE FIVE COURSES)

Achieve a “C” or better and a cumulative GPA of 2.5 or higher in all five (5) of the following courses. Please note, the

GPA will be calculated using only the following five (5) courses below:

1. English Composition (ENG 100) 3 credits

2. General Psychology (PSY 140) 3 credi

3. Humanities Elective 3 credi

4. Human Anatomy & Physiology I (BIO 150) 4 credits

Body Structure and Function I or II (AHM 104 or 105) 3 credits

(Note: AHM 104/105 have pre/co-requisites of AHM 233, Medical Terminology)

5. Applied Microbiology (AHM 220) 1 credit

If you plan to qualify with the Course Credit Option, all five (5) courses listed above must be completed and the grades

posted on delaGATE and/or transferred into the College via the directions outlined in Requirement #3, page 4, before the

petition can be considered complete. All pre-requisite courses must be completed prior to petitioning. No petition will

be accepted beyond July 8, 2021.

Important Note: Candidates must complete all required courses no later than the end of the Summer I semester ending

June 30, 2021. Course grades for classes taken in the 10-week Summer 1 semester format and the Summer II semester

will not be available by the deadline.

Students choosing to submit courses completed at other colleges/universities to fulfill this Course Credit Option should

note that their GPA will be recalculated according to the College’s grading system and credit value for admissions

purposes only. That recalculation will be conducted using all five of the “Credit Option” courses taken.

According to College policy, students may only repeat a course to improve their grade point average if the initial grade

was “D”, “N”, “W”, or “F”. Please see the College’s Student Handbook for more information:

http://www.dccc.edu/studenthandbook T

o search for available classes, please visit www.dccc.edu/spring. For more

information or assistance with advising and registering for classes, please contact

registration needs.

DIRECTIONS: CALCULATE GRADE POINT AVERAGE (GPA) ON PRE-REQUISITE COURSES

1. Determine the points earned in each course. Must earn a “C” or better. (A=4 points, B=3 points, C=2 points).

2. Multiply the number of credits by the number of grade points for each course to determine the quality points.

3. Divide the sum of the qualify points by the total number of credits.

4. The result is the GPA for the pre-requisites.

COURSE/GRADE

Must earn a “C” or better

CREDITS EARNED IN

COURSE

GRADE POINTS

QUALITY POINTS

English Composition I

General Psychology 3

Humanities Elective 3

BIO 150 or AHM 104 or 105

4 or 3

Applied Microbiology

TOTAL # OF Credits:

SUM:

PAGE 6

#8:

OBTAIN BACKGROUND CLEARANCES

Castle Branch has been contracted by the College to assist students in obtaining and storing required background clearances.

Petitioning students are required to create a Castle Branch account, called myCB/CP, a secure platform that offers students

directions on how to obtain the required clearances. The fee for this service is $39.00 payable to Castle Branch. The fee includes

the cost for the Statewide Criminal PA Report which will automatically be posted on the student’s myCB/CP account. Once the

order has been placed, students may use their login to access additional features including document storage, portfolio builders

and reference tools.

A total of three (3) background clearances are required to properly petition to the program. Additional clearances may be

required for out-of-state candidates.

1. Statewide Criminal PA Report (included with the $39.00 fee)

2. Federal Criminal History (FBI) Report – (IdentoGO/IDEMIA – see below & page 8).

3. Child Abuse History Clearance – (see below & page 8).

All clearances must be dated August 1, 2020, or after, to be eligible for the Fall 2021 program. Clearances must be completed,

sent to, and stored on the candidate’s myCB/CP account before submitting a petition to the program. Plan accordingly to meet

deadlines as it can take several weeks for clearances to be processed by government agencies.

COVID 19 UPDATE: Securing clearances may be delayed during the current pandemic environment. Plan accordingly when

securing clearances so as to meet deadlines.

DIRECTIONS: SECURING AND STORING CLEARANCES WITH CASTLE BRANCH

1. Go to: www.castlebranch.com

2. Click the blue box “Place Order” at the top right-hand side of the landing page.

3. Enter DD75r in the Package Code box.

4. Click “SUBMIT”

5. Review the contents on this page, check off the boxes required to proceed and click: “CONTINUE”

6. Fill out all the required fields to set up your account.

IMPORTANT NOTE: If you set up an account previously with Castle Branch and need to post updated clearances for a new

entrance year, contact Castle Branch’s Customer Service Department for assistance:

888-914-7279.

PAYMENT INFORMATION- At the end of the online order process, you will be prompted to enter your Visa or MasterCard

information. Money orders are also accepted, but will result in a $10 fee and additional turn-around-time.

CLEARANCES NEEDED

Statewide Criminal PA Report – This report will be run by Castle Branch and stored in your myCB/CP account. You

will need to go into your account and print out a copy to submit with your petition.

Fingerprinting (IdentoGO/IDEMIA) – To secure this report, follow the directions on the following page. Castle

Branch will also email you directions. This report must be ordered through the Department of Human Services. Please

note, you will be required to pay a separate fee for your fingerprints.

Child Abuse Clearance - To secure this report, follow the directions on the following page. Castle Branch will also email

you directions. This report must be ordered through the Department of Human Services. Please note, you will be required

to pay a separate fee for your Child Abuse Clearance.

POST YOUR RESULTS

Check all criminal history reports for accuracy prior to posting onto your myCB/CP account. Upload your documents to

your account via the directions received from Castle Branch.

VIEW YOUR RESULTS

You will be notified by Castle Branch if there is any missing information needed to process your order. Your order will show as

“In Process” until it has been completed in its entirety. Administrator’s at the College an also securely view your results online

with their unique username and password. Remember, all clearances must be completed, sent, and stored by Castle Branch,

before you may submit your petition.

If you need assistance with any of the above processes, please contact Castle Branch

888-914-7279 or email: cpservicedesk@certifiedprofile.com

PAGE 7

FBI Report

Child Abuse Clearance

Average time to obtain: 2-3 weeks (may take longer)

Average time to obtain: On-line ordering will take 2-3 weeks to get

results back. Paper submissions could take longer than this.

How to obtain:

• Go to the IdentoGO/IDEMIA website at

https://www.identogo.com/locations/pennsylvania

• Scroll down and choose “Digital Fingerprinting”

• Enter the “Service Code” provided by Castle Branch

• Follow the directions to complete your registration.

• For Reason Fingerprinted select: EMPLOYMENT WITH

A SIGNIFICANT LIKELIHOOD OF REGULAR

CONTACT WITH CHILDREN

• Results will be returned to you via U.S. Postal Service, use

ur current, legal address.

• Once the final FBI report is mailed back to you via the U.S.

stal Service, open the letter and check for accuracy.

• Upload this document to your Castle Branch account.

• All Rap Sheet reports (if applicable) must be posted as well

fulfill this requirement.

How to obtain:

ON-LINE SUBMISSION:

• This document is required even if you have never lived in

Pennsylvania

• Go To: https://www.compass.state.pa.us/cwis/public/home

• First Time User Click On: CREATE INDIVIDUAL

ACCOUNT

• Review the Welcome page and click: NEXT

• Follow the directions on the website to complete your

clear

ance submission.

• Use your current, legal address.

• Under Purpose of Certification check off: An individual 14

years of age or older applying for or holding a paid

position as an employee with a program, activity, or

service.

• All information must be completed in full. They will ask for

all previous names, addresses and household members since

1975. This information must be provided to the best of your

knowledge and belief.

• Your results are available electronically and you may print

the

m out upon completion.

• Upload this document into your Ca

stle Branch account.

(See directions on how to set up a Castle Branch account on

page 7.)

• All Rap Sheet reports, if applicable, must be posted with

Cas

tle Branch to fulfill this requirement.

SUBMITTING VIA U.S. MAIL: Candidates can submit a paper-

copy of the PA Criminal Form instead, by connecting to the link below

and following the directions. Results will take longer when using this

hardcopy form as results must be processed manually:

http://www.dhs.pa.gov/cs/groups/webcontent/documents/form/s_001762.pdf

What it looks like:

PAGE 8

Criminal Convictions

All Surgica

l Technology applicants are required to submit a PA Criminal History Report, Federal Criminal History Report

(FBI) and a Child Abuse Clearance report. An applicant with any history of conviction of a misdemeanor or felony crime

or pending charges [any criminal misdemeanor or felony charges as yet unresolved by the courts] cannot be placed in

the position of working in a health career environment and may not petition for acceptance to the Surgical Technology

Program.

Students who are not free of convictions of a prohibitive offense prior to petitioning may not be able to complete their

studies because clinical experiences needed for course/program success may be prohibited. If a student cannot

complete their clinical studies, they will not be accepted into the Surgical Technology Program.

NOTE: Once awarded a seat in the program, due to health care providers’ policies, the College requires a drug screening

for all newly accepted students prior to beginning their clinical experiences. If you are awarded a seat in the program,

you will receive more detailed information on this requirement at a special College Planning session.

#9: MAINTAIN A MINIMUM OVERALL GPA = 2.0

At the time of petitioning and through the start of AHS 100 and AHS 101, students must meet and maintain an overall

minimum grade point average (GPA) of a 2.0 or higher for all college course work completed at DCCC to be considered

for a seat in the program or to be offered a position on the wait list.

If the student’s overall GPA falls below the minimum

2.0 requirement at any time, the offer of admission to the Surgical Technology program or the position on the wait list will be

revoked and they will not be permitted to register for, or begin, AHS 100 and AHS 101.

#10: CODE OF CONDUCT

All candidates to the program must be in compliance and in good standing with the College’s Code of Conduct as defined

in the Student Handbook. Students must be in good disciplinary standing with the College to be considered a candidate

for the program. Students who have outstanding sanctions or violations filed with the Office of Student Affairs will not

be admitted to the program. If your standing at the College falls below Good Standing at any time after you are

admitted to the program, or are offered a position on the wait list, your offer will be revoked and you will not be

permitted to register for, or begin AHS 100 or AHS 101. A copy of the Student Handbook can be downloaded from:

http://www.dccc.edu/studenthandbook

#11: PROOF OF RESIDENCY

Provi

de proof of residency via a valid, current, legible photocopy of one (1) of the following items:

1. Permanent driver's license or State ID (Please note: Temporary update cards & duplicate licenses are not acceptable.)

2. Utility bill with your name listed on the bill. (Gas, electric, water or sewer only; cell phone bills are not acceptable.)

The above-named items are the ONLY acceptable forms of proof of residency. The address listed on the proof of residency

submitted must match the 1) address listed on the program petitioning form, 2) the address listed in the College’s database,

and 3) the address submitted on all background clearances. The Admissions Office reserves the right to request additional proof

of residency documents as necessary.

PAGE 9

#12:

SUBMIT YOUR PETITION

Upon completion of all requirements, upload the items below and email to: petitioning@dccc.edu

The items to submit at the time of petitioning are listed below. All other requirements must be completed, stored,

and approved by the College or Castle Branch prior to this final step.

1. The Petition Form – page 15 of this packet

2. A photocopy of an approved Proof of Residency – See Requirement #11.

3. Photocopies of all three clearances posted and approved with Castle Branch

NOTIFICATION OF THE STATUS OF YOUR PETITION

1. It can take 6 to 8 weeks to evaluate a petition. The Admissions Office will notify students by U.S. mail regarding

the status of their petition. Please refrain from contacting the Admissions Department on the standing of your

petition during the review period. You will be notified as timely as possible via U.S. Mail.

2. If a petition is incomplete, the candidate will be notified by U.S. mail regarding the missing items/requirements.

Any missing items must be submitted by the deadline date of July 8, 2021, to be considered for a seat in the

program (if any remain) or a position on the wait list.

3. The wait list is dissolved at the end of July each year. Students on the wait list are not carried over from year-

to-year. Students will be notified by U.S. mail when the wait list is dissolved. If a student is interested in petitioning

for a future entrance year, they must meet any new admission requirements published in the Entrance

Requirements Packet for that entrance year.

4. Students are not permitted to defer their enrollment into the Surgical Technology Program for a future

enrollment date. Students must petition again and meet all admission requirements in accordance with the

policies and procedures required for the new petitioning year.

5. If offered a seat in the program, candidates are required to pay a $100.00 deposit by May 1, 2021. The $100.00

will hold a seat for the Fall 2021 program only. All previous balances due to the College must be paid in-full prior

to submitting the deposit. Deposit refunds will be issued only if the student: 1) remains enrolled in AHS 100

and AHS 101 for the first three full weeks of the semester, and 2) does not have any outstanding balances due to

the College at that time. If the student drops out of the program, at any time before the end of the third week,

the deposit will not be refunded.

PAGE 10

OTHER IMPORTANT INFORMATION

1. Qualified students will be offered a seat for the program, if one is available, after all steps have been successfully

completed by the July 8, 2021, deadline.

2. Credits received for BIO 150 and BIO 151 (Human Anatomy and Physiology I & II) prior to enrollment in AHS 100

and 101 for Fall 2021 must be dated Summer I, 2016, or later to be considered current. Courses taken before

this deadline will need to be repeated. The College will not accept the transfer of any anatomy & physiology

courses that contain a virtual lab. Candidates must a

chieve a minimum of a “C” or better in BIO 150 and BIO

151.

3. Once accepted to the program, a required special college planning session for admitted students will be held in

April or May 2021. During this session, students will participate in an advisement session and register for program

course work. Admitted students will be notified by U.S. mail regarding the date of this required session.

4. Accepted students to the program are required to purchase a second package from Castle Branch. The package

includes: 1) drug screening 2) Nationwide Healthcare Fraud & Abuse scan, and 3) document management.

5. Admitted students must pass a drug test to be eligible for the clinical experience. Instructions on how and where

to take the drug test will be explained to admitted students during the required special college planning session.

6. In addition to normal tuition, fees, and books, students are required to purchase insurance and items specific

for clinical rotation.

7. It is the student’s responsibility to notify both the Admissions and Records Offices of any changes in address or

one number. It is important that the correct contact information is on file at all times.

8. If a student fails or withdraws from any one of the surgical technology courses and wishes to repeat the course,

the

y must petition for readmission through the Allied Health, Emergency Services, and Nursing Division; not the

Admissions Office. See the current Delaware County Community College catalog for more information or contact

the Allied Health, Emergency Services & Nursing Division at 610-359-5353.

9. The National Certification Exam outcomes assessment exam (OAE) participation for the class of 2019 was

eported as 100%. The OAE pass rate for the National Certification Exam for surgical technology (CST) was 73%

for the class of 2019.

10. The clinical case requirement of 120 surgical procedures is required of all surgical technology students. Students

must complete a minimum of 30 General Surgery cases with 20 in the first scrub role and a minimum of 90 cases

in various specialties, with 60 in the first scrub role.

Delaware County Community College is an equal employment and educational opportunity institution conforming to all

applicable legislation that prohibits discrimination. The College does not discriminate on the basis of race, color, religion, sex, age,

national origin, disability, veteran status, sexual orientation, or any other characteristic protected by state or federal laws in its

educational programs, activities, admission or employment policies, as required by Title IX of the Educational Amendments of

1972, Section 504 of the Rehabilitation Act of 1973 and other applicable statutes. Inquiries concerning Title IX and/or 504

compliance should be referred to Title IX Coordinator: Sara Evans, Vice President of Human Resources & Organizational

Development (610-359-5092). TTY for the hearing impaired: 610-359-5020. Inquiries related to accessibility services for students

should be directed to the Office of Disability Services, (abinder@dccc.edu

), 610-359-5229.

Delaware County Community College is accredited by the Middle States Association of Colleges and Schools, Commission on Higher

Education, 3624 Market St., Philadelphia, PA 19104. The Surgical Technology program is accredited by the Commission on

Accreditation of Allied Health Education Program (CAAHEP), www.caahep.org

, 25400 US Highway 19 N., Clearwater, FL 33763,

pho

ne (727) 210-2350, FAX: (727) 210-2354.

PAGE 11

Surgical Technology Associate Degree Curriculum

Prerequisite to AHS 100 (Surgical Technique I): AHM 220 Applied Microbiology … 1 credit

Semester 1: (16-17 credits) CREDITS

ENG 100- Composition I 3

PSY 140- General Psychology 3

BIO 150-Human Anatomy and Physiology I or

AHM 104- Body Structure and Function I 4/3

AHM 220-Applied Microbiology

… 1

SOC 110-Introducti

on to Sociology 3

MAT 121-Introduction to Probability and Statistics 3

Semester 2: (15-16 credits) CREDITS

AHM 233-Medical Terminology

…… 3

BIO 151-Human Anatomy and Physiology II or

AHM 105- Body Structure and Function II 4/3

AHA 207-Ethical/Legal Aspects of Health Care Management 3

COMM 100-Introduction to Interpersonal Communication 3

Humanities elective 3

Semester 3: (13 credits) Fall Only*

CREDITS

AHS 100*- Surgical Technology I 5

AHS 101*- Surgical Technology Practicum I 5

DPR 100- Introduction to Information Technology 3

Semester 4: (10 Credits) Spring Only* CREDITS

AHS 102*- Surgical Technology II 4

AHS 103* Surgical Technology Practicum II 6

Semester 5: (7 Credits) Summer I Only* CREDITS

AHS 200*- Surgical Technology III 1

AHS 201* -Surgical Technology Practicum III 6

…………………….............................................

……………..............................................

……………………………….

…………………………………………..…….

…………………………………………….…

………………………

…………………………………….………..

……………..……………….

……….

............

……………………………………………………………..…..…

…………………………………………………..

………………………………....

..……..………..…...

…………………………………………………

……………………………….…

……………………………………….………

……………………………...

TOTAL CREDITS: 61/63

Surgical Technology Program Curricular Sequence:

First Semester Second Semester Third Semester Fourth Semester Fifth Semester

ENG 100

PSY 140

BIO 150 or AHM 104

AHM 220 (pre-requisite

o AHS 100)

SOC 110

MAT 121

AHM 233

BIO 151 or AHM 105

AHA 207

COMM 100

HUMANITIES Elective

AHS 100* (Pre-

quisite AHM 220

must be completed

prior to entering

AHS 100)

AHS 101*

*(Fall Only)

DPR 100

AHS 102*

AHS 103*

*(Spring Only)

AHS 200*

AHS 201*

*(Summer Only)

Total Credits: 16 or 17 Total Credits: 15 or 16 Total Credits: 13 Total Credits: 10 Total Credits: 7

PAGE 12

PAGE 13

SURGICAL TECHNOLOGY CLASSES/CLINICAL SCHEDULE

SURGICAL

TECHNOLOGY

COURSES

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

(Fall)

AHS 100

AHS 101

7:00 a.m.-3:00 p.m.

AHS 100

1:45 p.m. – 4:45 p.m.

AHS 100

8:00 a.m. – 10:00 a.m.

AHS 101

10:15 a.m. - noon

(Spring)

AHS 102

AHS 103

AHS 102

8:00 a.m. -12:00 p.m.

AHS 103

7:00 a.m. -1:00 p.m.

AHS 103

7:00 a.m. - 1:00 p.m.

(Summer I)

AHS 200

AHS 201

AHS 20

8:00 a.m. - 10:30 a.m.

AHS 201

7:00 a.m. - 3:30 p.m.

AHS 201

7:00 a.m.-3:30 p.m.

AHS 201

7:00 a.m.-3:30 p.m.

REQUIREMENTS CHECKLIST

______ 1. Submit an application for admission to Delaware County Community College,

if not enrolled within the past year. (See page 3.)

2. Demonstrate College Readiness. (See page 3.)

3. If applicable, transfer previously earned college credits into the College. (See page 4.)

4. High School credentialing on file with the College. (See pages 4 & 5.)

5. Apply for Financial Aid (Recommended). (See page 5.)

6. Meet with the Program Director, Jacqui Bak, for course advisement (See page 5.)

7. Complete one (1) of the two Options for Admission. (See page 6.)

8. Secure & store background clearances with Castle Branch. (See pages 7 & 8.)

9. Maintain Good Academic Standing (2.0 GPA) at the College at all times. (See page 9.)

10. Be in compliance and in good standing with the College’s Code of Conduct at all

times. (See page 9.)

11. Photocopy an approved Proof of Residency for petitioning file. (See page 9.)

12. Make photocopies of all pertinent documents for your personal records.

13. Submit your petition. (See pages 10 & 15.)

______

___________

______

PAGE 14

? QUESTIONS ?

Please direct questions regarding the admissions process to:

Nancy Wheel

er, Assistant Director of Admissions

Email: nwheeler@dccc.edu (best method)

Phone: 610-359-5005

Please direct questions regarding the field of Surg. Tech. or questions regarding advisement to:

Jacqui Bak, Program Director, Surgical Technology, Perioperative & RNFA Programs

Ema

il: jbak1@dccc.edu

(best method)

Phone:

610-359-5286

Surgical Technology Petition

FALL 2021

Delaware County Community College

901 South Media Line Road

Media, PA 19063

610-359-5050

Applicants will only be offe

red an available seat in the program or be assigned to the wait list once all admission

requirements have been completed and submitted. Applicants are admitted on a first come, first qualified basis.

See page 10, Requirement #12, for specific directions regarding the required documents needed to properly petition.

This petitioning form and documents are to be emailed to:

petitioning@dccc.edu

Student ID # P00_ ____________________________________________

Legal Name: ____________________________________________________________________________

Last First Middle

Maiden Name: ___________________________________________________________________________

Last

Legal Address: __________________________________________________________________________

Street Address

__________________________________________________________________________

City State ZIP

Primary Phone #: __________________________________Alt

ernative Phone: ______________________

Primary Email: ___________________________________________________________________________

CC Email:_____________________________________________________________________________

PLEASE RESPOND TO ALL OF THE FOLLOWING:

1. I submitted a petition to the Surgical Technology program previously.

 No  Yes - indicate year: ________

(This information will not be used in evaluating your petition; it is merely used to locate any previously submitted paperwork still available.)

2. Please indicate:

 High school graduate  GED certification  International Evaluation

(The “paper copy” of your official, final High School transcripts or GED results MUST be on file with DCCC’s Records Office.)

3. I chose to qualify by this option (check one only):

 Credit Option

List the colleges from which the transcripts are being sent

 Testing Option

Indicate:  SAT or  ACT

__________________________________________

________________________________________________________ ________________________

Signature of Petitioner Date

PAGE 15

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