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Washtenaw Community College Mammography (CPMAM) Winter 2021 Entry (Washtenaw Community College)

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Washtenaw Community College
Mammography (CPMAM)
Winter 2021 Entry (2020-21 Academic Year)
Priority Deadline for WCC Radiography Students Graduated Spring 2020: Friday, October 16, 2020 at 5pm
Application Deadline: Until all seats are filled or Friday, November 20, 2020 at 5pm (whichever comes first)
PROGRAM APPLICATION AND REQUIREMENTS CHECKLIST
Rev. 6/10/20 Health and Second Tier Admissions Office · Washtenaw Community College · 4800 East Huron River Drive, Ann Arbor, MI 48105
Phone: (734) 973-3596 or (734) 477-8998 · Fax: (734) 677-5408 · Email: healthadmissions@wccnet.edu · www.wccnet.edu
WCC Student ID: _________________________ Date: __________________
Last Name: _________________________ First Name: ________________________ Middle Name: __________________
Former/Previous Names: _______________________________________________________________________________
*Street Address: _____________________________________________________________________ Apt: _____________
City: __________________________________________ State: ______ Zip: __________ County: ___________________
Home Phone: (____)________________ Cell Phone: (____)________________ Work Phone: (____)__________________
WCC Email/netID: ___________________________________ Other Email: ______________________________________
Required Checklist
All of the requirements below must be successfully completed before submitting an application to the program.
___ 1. Admission to WCC
An admission application to the school can be submitted on WCC’s website at www.wccnet.edu/apply
.
___ 2. Graduate of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited
program
___ School(s) Graduated From: _____________________________________________ Year: _______________
You can verify that your school’s program is accredited by going to the following website:
JRCERT accredited programs: http://www.jrcert.org/find-a-program/
___ 3. Current American Registry of Radiologic Technologists (ARRT) Registration Card Showing Primary
Certification in Radiography
___ Must include copy of registration card showing primary certification in Radiography.
___ 4. Minimum Cumulative College GPA of 2.7
The total cumulative GPA of all schools* in which you completed your program discipline courses will be included in
the calculation.
*Students who graduated from a hospital based program in partnership with another college/university, must submit
official transcripts from both institutions.
___ 5. Program Application and Requirements Checklist (this form)
___ 6. Additional Information Form
___ 7. Abilities Statement
___ 8. Residency Verification
The student’s residency status may be updated accordingly based on the documentation submitted.
___ Include a copy of the front and back of your Driver’s License or State ID Card.
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PROGRAM APPLICATION AND REQUIREMENTS CHECKLIST continued for CPMAM Winter 2021 (2020-21 Academic Year)
Rev. 6/10/20 Health and Second Tier Admissions Office · Washtenaw Community College · 4800 East Huron River Drive, Ann Arbor, MI 48105
Phone: (734) 973-3596 or (734) 477-8998 · Fax: (734) 677-5408 · Email: healthadmissions@wccnet.edu · www.wccnet.edu
I have successfully completed all required checklist items and I have included all documentation needed to verify
these requirements.
Printed Name: ___________________________________________________ Student ID: _______________________
*Signature: ______________________________________________________ Date: ____________________________
*An electronic signature will be recognized ONLY IF this document is submitted directly from the students WCC email address.
SUBMITTING APPLICATIONS
Applications and all documentation can be submitted in one of the ways listed below. Applications must be received by
WCC’s Health and Second Tier Admissions Office on or prior to the application deadline. To confirm receipt, an email is sent
approximately 1-2 business days after an application is received.
While on-campus operations are suspended due to COVID-19, please be aware there will be a delay in receipt of any
documents submitted by mail or fax. Documents are collected from WCC’s main campus once (1) per week.
• Email: Send to healthadmissions@wccnet.edu
- Preferred method. Scan or take pictures of your documents.
• In-person: Submit to Student Connection (2
nd
floor, Student Center)
• Fax*: (734) 677-5408 (Attn: Health & Second Tier)
• Mail**: Health & Second Tier Admissions, Washtenaw Community College, 4800 E Huron River Dr, Ann Arbor, MI 48105
*We recommend calling to confirm legibility of documents if faxing. If requested, original documents must be submitted to
complete your application.
**We recommend tracking your application if sending by mail.
Students with questions or concerns regarding WCC’s admission process or submitting an application to the
program should contact the Health and Second Tier Admissions Office at (734) 973-3596, (734) 477-8998, or
healthadmissions@wccnet.edu
.
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Washtenaw Community College
Mammography (CPMAM)
Winter 2021 Entry (2020-21 Academic Year)
ADDITIONAL INFORMATION FORM
Rev. 6/10/20 Health and Second Tier Admissions Office · Washtenaw Community College · 4800 East Huron River Drive, Ann Arbor, MI 48105
Phone: (734) 973-3596 or (734) 477-8998 · Fax: (734) 677-5408 · Email: healthadmissions@wccnet.edu · www.wccnet.edu
Additional information is provided below that is important and pertains to the program. Please carefully read all statements.
1. The requirements outlined in this packet are based on the academic year/semester indicated above. Admission
requirements/criteria are reviewed annually and subject to change. You are expected to meet all admission requirements for
each semester you apply, and if offered admission, you must meet all program requirements of the catalog term in which you
first begin the program.
• Mammography (CPMAM): https://www.wccnet.edu/learn/departments/alhd/programs/cpmam/
a. Program applications are semester specific and only valid for the semester in which you applied. If your application is
closed for any reason and wish to be reconsidered for admission to the program, you will need to meet current
admission requirements and submit a new application to a future semester.
b. Each semester, approximately 12 students are accepted to the program for a Winter semester start. This is a full-time
program and no part-time option is available.
2. This program utilizes WCC’s Limited Enrollment Admission Process for determining admission to the program. Applicants
are required to meet all admission prerequisites/criteria and are admitted to the program on a first-qualified, first-admitted
basis until all seats are filled. If there are more qualified applicants than seats available for two or more consecutive
admission cycles, WCC reserves the right to utilize our Competitive Admission Process for determining admission to this
program in future semesters. Details regarding WCC’s admission processes can be found on WCC’s website below.
• Health and 2
nd
Tier Admissions & Competitive Admission Process (including Point Scales for All Programs):
https://www.wccnet.edu/start-now/degree/2nd-tier/
• Admission to High Demand Programs: https://www.wccnet.edu/about/policies/2005.php
3. Please read and review the information found on the department’s website below for more important information regarding the
program.
• Radiography: http://health.wccnet.edu/radiography/
4. WCC sends all communications regarding application and admission statuses directly to your WCC student email address. It
is extremely important that you check your WCC email on a regular basis so you do not jeopardize your status. Please be
aware that WCC assumes any information sent to your WCC email has been received and reviewed. It is also important to
keep your contact information current in the College system (including addresses, emails, phone numbers). If WCC is unable
to contact you regarding your application and/or you do not respond to any contacts made by WCC, your application be
closed. Contact information can be update online through your WCC Gateway account by clicking on MyWCC and then
Personal Information, at Student Connection (2
nd
floor, Student Center), or by calling (734) 973-3543.
5.
Residency is verified upon submission of your program application. For information on WCC’s policies and procedures
regarding residency or to learn of additional documentation that can be submitted to verify residency, please visit WCC’s
website below.
•
Residency: https://www.wccnet.edu/afford/cost/residency.php
6. Official transcripts must be submitted before any transfer credit can post to your WCC record and/or count towards
application requirements. Information regarding transfer credit can be found on WCC’s website below:
• Transfer Credit: https://www.wccnet.edu/start-now/degree/transfer-to-wcc.php
3 of 6
ADDITIONAL INFORMATION FORM continued for CPMAM Winter 2021 (2020-21 Academic Year)
Rev. 6/10/20 Health and Second Tier Admissions Office · Washtenaw Community College · 4800 East Huron River Drive, Ann Arbor, MI 48105
Phone: (734) 973-3596 or (734) 477-8998 · Fax: (734) 677-5408 · Email: healthadmissions@wccnet.edu · www.wccnet.edu
a. All defined courses plus any substitutions approved by the department prior to the application deadline will be used to
meet prerequisites requirements. If a course is not clearly stated on your transcript and/or the course cannot be
determined an equivalent based on the course description, you must provide a course syllabus for further review.
Also, please be aware that if two (2) or more transfer courses are completed to meet the equivalent of one (1) of
WCC’s required courses, you must meet the minimum grade requirement in each course (grades are not averaged
between the two courses). WCC is not responsible for your application being delayed due to lack of
clarification or approval of a substitution.
7. Upon acceptance to the program, the Entrance Requirements below must be successfully completed to be eligible to begin
the program. Students who fail to comply or meet these requirements will forfeit their seat in the program.
a. Mandatory attendance at the new student orientation session. Details will be included in the program
acceptance and alternate candidate letters.
b.
Obtain a criminal background check from the college-designated vendor and submit completed health records.
Any student found to have a positive drug screen for drugs prohibited by State of Michigan or Federal law
(including marijuana) or controlled substances will not be admitted to the program. Specific details and
deadlines will be included in the program acceptance and alternate candidate letters and/or provided at the
mandatory orientation.
i. Individuals who have been charged or convicted of a misdemeanor or felony must undergo the ethics
pre-application review process through the American Registry of Radiologic Technologists (ARRT) and
receive clearance from ARRT to take the national board examination prior to applying for the
program. Contact the ARRT at (651) 687-0048 or visit their website at www.arrt.org for more
information. Please note that the ARRT ethics pre-application process may take up to 12 weeks to
complete.
8. WCC Radiography students who are currently enrolled in the final year of their program and who are expected to
graduate (or who have graduated) in the Spring/Summer 2020 semester are given priority only if their completed
application is submitted by the deadline stated on the first page of the application packet. Students who submit their
application after the stated deadline will forfeit their priority status.
By signing this form, I acknowledge that I have completely read and understand the statements above.
Student’s Printed Name: _______________________________________________ Student ID: ___________________
*Student’s Signature: __________________________________________________ Date: ________________________
*An electronic signature will be recognized ONLY IF this document is submitted directly from the students WCC email address.
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Washtenaw Community College
Mammography (CPMAM)
Winter 2021 Entry (2020-21 Academic Year)
ABILITIES STATEMENT
Rev. 6/10/20 Health and Second Tier Admissions Office · Washtenaw Community College · 4800 East Huron River Drive, Ann Arbor, MI 48105
Phone: (734) 973-3596 or (734) 477-8998 · Fax: (734) 677-5408 · Email: healthadmissions@wccnet.edu · www.wccnet.edu
Admission to the Mammography program is contingent upon students declaring that they have specific psychomotor, affective,
and cognitive abilities. These requirements are detailed below. WCC reserves the right to request that students successfully
demonstrate the specific cognitive and physical abilities related to the Mammography program.
Abilities necessary to ensure attainment of competencies in the Mammography program. The student must be able
to:
1. Communicate, both verbally and in writing, at a professional level.
a. Demonstrate English language proficiency with sufficient skill to communicate.
b. Provide clear and audible directions to patients face-to-face and from the mammography control booth area, which
may be 20 feet away from the patient.
c. Read and interpret the physician’s orders and corresponding paperwork.
2. Demonstrate sufficient locomotor skills to move from room to room and maneuver in small spaces.
a. Be able to push, pull, and lift 50 pounds.
b. Push and adjust a stretcher and/or wheelchair without injury to self, patient, or others.
c. Lift and transfer patients from a wheelchair or stretcher.
d. Move and adjust mammography equipment, accessories, and ancillary devices as needed for patient imaging.
e. Assist in the care of patients without obstructing the positioning of necessary equipment or other health care
workers vital to the treatment of the patient.
3. Possess sufficient gross and fine motor abilities to provide safe and effective patient care.
a. Manipulate dials, buttons, levers, switches and keyboard of various sizes as needed to operate mammography
equipment and ancillary devices.
b. Properly palpate anatomical landmarks as needed to position the patient for a mammography procedure.
c. Physically place patients in proper positions for mammography procedures according to established standards.
d. Must be able to align the patient, x-ray tube, and image receptor in a timely manner for all mammography
procedures.
e. Load sterile contrast media and other solutions without contaminating the syringe, infusion set, or other infusion
equipment.
f. Ability to apply and wear protective gloves and personal protective devices for the purpose of universal or standard
precautions.
g. Properly manipulate all locks on the mammography equipment.
h. Physically be able to administer emergency care including performing CPR.
i. Physical ability to work standing on your feet 90% of the time.
j. Ability to use computers and computer systems to enter and process data.
k. Possess good eye/hand/foot coordination in order to operate mammography equipment properly and in a timely
manner.
l. Assist patient in dressing and undressing for a mammography procedure.
5 of 6
ABILITIES STATEMENT continued for CPMAM Winter 2021 (2020-21 Academic Year)
Rev. 6/10/20 Health and Second Tier Admissions Office · Washtenaw Community College · 4800 East Huron River Drive, Ann Arbor, MI 48105
Phone: (734) 973-3596 or (734) 477-8998 · Fax: (734) 677-5408 · Email: healthadmissions@wccnet.edu · www.wccnet.edu
4. Possess auditory abilities sufficient to monitor and assess patient needs, and to provide a safe environment for self,
patient, and others.
a. Hear equipment alarms, monitor alarms, emergency signals, and cries for help.
b. Respond to codes over hospital intercoms (i.e. fire, child abduction, cardiac arrest…)
c. Ability to distinguish sounds and voices over background noise such as patient monitoring equipment, intercom,
and exposure signal.
d. Monitor equipment operation or dysfunction which may be indicated by low-sounding bells or buzzers.
e. Hear a patient talk in a normal tone from a distance of 20 feet.
5. Possess the visual acuity that is necessary to provide optimal patient care while operating mammography equipment.
a. Read the text and numbers on the mammography control panel.
b. Recognize symbols within the healthcare facility and on mammography equipment.
c. Possess full peripheral vision (e.g., side vision) to ensure patient safety.
d. Be able to observe and assess the condition of a patient from a distance of 20 feet.
e. Be able to determine subtle differences in gradual changes in blacks, grays, and whites for purposes of assessing
the technical quality of a mammography exam.
f. Perform necessary mammography procedures in rooms that require dim lighting.
6. Think critically and perform and follow protocols for a wide range of procedures.
a. Identify cause-effect relationships in clinical situations.
b. Evaluate finished mammograms to ascertain that they contain proper identification and are of diagnostic value.
c. Select exposure factors and accessory devices for all mammography procedures with consideration of patient size,
age, and extent of disease.
d. Adjust mammography equipment and ancillary devices and modify patient positioning as needed to obtain
diagnostic mammograms.
e. Assess patient’s condition and needs.
f. Initiate proper emergency care protocols, including CPR.
g. Utilize hospital/medical imaging department information systems to process and archive images.
h. Ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules.
7. Possess interpersonal, behavioral, and social skills to interact with a variety of individuals from a variety of social,
emotional, cultural, and intellectual backgrounds.
a. Establish a positive rapport with patients, families, and colleagues.
b. Function rationally and quickly in emergency situations.
c. Possess ability to deal effectively with stress.
I have read these statements and believe I meet the above requirements.
Printed Name: ___________________________________________________ Student ID: _______________________
*Signature: ______________________________________________________ Date: ____________________________
*An electronic signature will be recognized ONLY IF this document is submitted directly from the students WCC email address.
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Washtenaw Community College Mammography (CPMAM) Winter 2021 Entry (Washtenaw Community College)

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Completed 18 September 2020

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