CENTRAL TECHNOLOGY CENTER SURGICAL TECHNOLOGY

Transcription

1 CENTRAL TECHNOLOGY CENTER SURGICAL TECHNOLOGY APPLICATION PACKET Read admission procedures for application process. Admission procedures, eligibility, cost requirements are subject to change annually. Central Technology Center 3 CT Circle Drumright, OK

2 Dear Applicant: Thank you very much for your interest in Central Technology Center s Surgical Technology program. We are pleased that you are considering education in the field of Surgical Technology as there is a great need in the state of Oklahoma for healthcare providers at all levels. At Central Technology Center, we have a sincere interest in our students as individuals and in their successful completion of Surgical Technology. We have a strong Surgical Technology program which provides quality instruction both in theory (class lectures and presentations) and skills (clinical practice). We utilize a wide variety of clinical sites to provide our students with excellent hands-on surgical experiences. We wish you success in your application process! Sincerely, Todd Prough Surgical Technology Instructor

3 TUITION COSTS, FEES AND FINANCIAL ASSISTANCE (Cost Subject to Change) TUITION COSTS: Career Pathway Therapeutic Services Career Majors/Certifications Surgical Technology (Accredited Program) 1200 clock hours COST: $4, (In- District) COST: $6, (Out- of- District) Hrs Sequence of Courses 42 ORIENTATION TO SURGICAL TECHNOLOGY 30 INTRODUCTION TO SURGICAL TECHNOLOGY 20 BASIC SCIENCES FOR SURGICAL TECHNOLOGY I 52 BASIC SCIENCES FOR SURGICAL TECHNOLOGY II BASIC SCIENCES FOR SURGICAL 78 TECHNOLOGY III 87 ASEPTIC TECHNIQUE & SKILLS 50 SURGICAL PATIENT CARE & SKILLS 137 SUPPLIES/EQUIPMENT & SKILLS SURGICAL TECHNOLOGY CLINICAL 24 PRACTICUM I 16 SURGICAL PHARMACOLOGY 61 SURGICAL PROCEDURES I 66 SURGICAL PROCEDURES II SURGICAL TECHNOLOGY CLINICAL 201 PRACTICUM II SURGICAL TECHNOLOGY CLINICAL 336 PRACTICUM III TUITION: $ (In- District) $ (Out- of- District) FEES: $ BOOKS & SUPPLIES: $ STUDENTS MUST HAVE FINANCIAL ARRANGEMENTS MADE PRIOR TO THE FIRST DAY OF CLASS. NO ONE WILL BE ALLOWED TO PICK UP BOOKS, UNIFORMS OR SUPPLIES WITHOUT A RECEIPT OR CLEARANCE FROM THE FINANCIAL AID OFFICE.

4 CENTRAL TECHNOLOGY CENTER SURGICAL TECHNOLOGY INFORMATION SHEET 1. Surgical Technology provides the student with the knowledge and skills needed to function as a member of the surgical team assuming appropriate responsibilities before, during and after surgery. Instruction is provided in principles of aseptic techniques, patient care, basic sciences, supplies and equipment of professional preparation. Salary range for this area is $ $15.00/hour based on employment of 2010 graduates. 2. Surgical Technology is a full-time program that meets Monday through Friday. Class hours are usually from 8:25 a.m. to 3:35 p.m. and clinical hours are usually 6:00 a.m. to 2:30 p.m. These times will vary according to the clinical facility being used; therefore, the student MUST plan for some flexibility of the schedule. 3. A student must be present at least 94 percent of the scheduled time. Absences are not qualified as excused or unexcused. Personal and business appointments should be made so as not to conflict with classroom or clinical schedules. 4. Students are responsible for their own transportation to Central Tech and to the clinical sites. Therefore, it is imperative you have reliable transportation. 5. It is essential that students be well prepared for each classroom and clinical experience. Therefore, you must plan for adequate study time at home on average 3 to 4 hours per night. 6. All applicants tentatively accepted into the Surgical Technology will be required to submit to a drug screening and OSBI background check at the applicant s expense. A tentatively accepted applicant must test negative to the drug test and pass the OSBI background check, to be allowed entrance into the program. 7. Assessment Testing: All applicants must take the Test of Adult Basic Education before the application is considered complete. The cost for the TABE assessment testing is $35.00 and must be paid prior to scheduling of the assessment date. You may pay the fee in person to the Registrar at the Drumright campus, or you may mail your check to Central Tech, attention Student Services, Becky Rochon. Please note on your check that this is for the Surgical Technology assessment. 8. Interview: Professional dress is required for the interview. 9. Financial Arrangements: Please contact Charlotte Gaunt, Bursar, at , ext. 267, to discuss financial arrangements prior to your interview.

5 CENTRAL TECHNOLOGY CENTER SURGICAL TECHNOLOGY STEP-BY-STEP APPLICATION PROCESS Step 1 Read the APPLICATION packet thoroughly. If you have questions, please call the Career Advisor at , ext. 208 Step 2 Step 3 ASSESSMENT TESTS Take the TABE and the CAPS & COPS Assessments. International applicants must also provide proof of a passing TOEFL score or meet requirements for exemption. Refer to International Applicants Only. REQUIRED DOCUMENTATION submit the following required documents to the Career Advisor: Central Technology Center Surgical Technology Admission Application Form Official high school transcript or GED scores Official copies of college transcripts from all colleges attended Transcripts generated by schools outside the United States must be evaluated by a credentialing agency in order to validate equivalency. (Contact the World Education Services at or check with local colleges and universities.) TABE Test & CAPS & COPS Indicator Assessment Test results International Applicants TOEFL scores (unless applicant meets exemption requirements) Three (3) work references from supervisors, verifying job experience, or former instructors. These work references must be from former or current supervisors, NOT co-workers or colleagues. Work references must be from supervisors or teachers within the last 5 years. Work reference must be submitted on the Central Tech applicant work reference forms provided. Hand written or typed letters will not be accepted. Central Tech reserves the right to contact former employers for additional information regarding the applicant. Step 4 Step 5 Step 6 Step 7 Schedule Interview (Please wear professional dress) NOTIFICATION OF ACCEPTANCE INTO PROGRAM & START DATE TUITION PAYMENT Payment arrangements must be made with the Bursar prior to the first day of class. Contact Bursar for Drumright campus at , ext 267. STUDENT ORIENTATION - Student will be notified of the date and time of student orientation. International Applicants Only A High School Equivalency Assessment letter indicating a foreign country education that is equivalent to a United States high school education is required as proof of high school equivalency. The evaluation and letter are available through the International Students Office at many colleges and universities. It can also be obtained from World Education Services at The TOEFL (Test of English as a Foreign Language) exam is required for admission of international students from non-exempt countries. Exempt countries for the TOEFL include Australia, Bahamas, British Isles, Canada, Guyana, Jamaica, Liberia, New Zealand, South Africa, and the West Indies. o A score >500 must be achieved on the paper-based exam to be considered for admission. In lieu of this requirement, the applicant may instead: o Achieve a score > 173 on the computer-based TOEFL o Achieve a score > 61 on the Internet-based TOEFL Provide proof of completion of 24 credit hours of college courses, taken in the United States, with a grade of C or higher in all courses Provide proof of graduation from a high school located in the United States Note: Institutional TOEFL scores are acceptable.

6 Central Technology Center does not administer the TOEFL examination. The applicant may register for the examination online or over the phone. (Select TOEFL from the list of exams) GO-TOEFL ( ) If the applicant has completed the Institutional TOEFL at a college or university, this score is acceptable and meets the testing requirement. Other applicants wishing to be exempt from the TOEFL exam must make an appointment with the Career Advisor and present the reason for requesting an exemption. The Career Advisor s determination of the need to take the TOEFL is final. Application and Selection Process Applications and all supporting documents are to be submitted to the Career Advisor. It is the applicant s responsibility to verify the completeness of the application file with the Career Advisor. Only completed files with all documents, transcripts, and test scores verifying eligibility requirements will be accepted. If not selected and wish to be considered for the next class, you must re-apply. Non-Academic Admission Requirement Criteria taken into account when admitting first-time or transfer students: Whether the applicant has been expelled, suspended or denied admission by any educational institution. Whether the applicant has been dismissed from employment by any hospital, nursing home, doctor s office or other healthcare facility. Resignation in lieu of termination. Criteria taken into account when readmitting withdrawn students: Reason for withdrawal Faculty recommendation In good academic standing and financial standing with Central Tech Actions taken to correct deficiencies Class Start Dates School year begins August 14, 2014.

7 CENTRAL TECHNOLOGY CENTER Please check to see that you have all of the required documents. Incomplete applications will not be considered. Documents Required From All Applicants Surgical Technology Application Official completed high school transcript with GPA and graduation date or GED scores College Transcript(s) If applicable TABE scores and CAPS & COPS scores Three (3) completed work reference forms from supervisors or teachers International Students Only TOEFL Score **Once complete please submit to the Career Advisor at 3 CT Circle, Drumright, OK **

8 SURGICAL TECHNOLOGY APPLICATION PLEASE TYPE OR PRINT INFORMATION: In Which School District Do You Reside: SS# - - (Optional - Required at enrollment) Full Legal Name: (First) (Middle) (Maiden) (Married) (Street # & Name, or P.O. Box) (City) (State) (Zip) Home Telephone Number: ( ) Work Number: ( ) Cell Phone Number: ( ) Address: In case of emergency, please notify: (Please list someone who will always know your whereabouts) (Name) (Relationship) (Home Phone) (Work/Cell Phone) Present Occupation: Employer: Current Employer's Address: (Street # & Name, or P.O. Box) (City) (State) (Zip) Past Employer's Address: (Street # & Name, or P.O. Box) (City) (State) (Zip) Circle highest grade completed: GED College: (Attach an official copy of your high school transcript or GED SCORES and college transcripts as applicable.) Have you ever enrolled in and/or graduated from a Surgical Technology program before? Yes No If yes, name of School: Dates of Attendance: If you did not graduate, reason for leaving previous school : Have you ever attended a career and technology center in the past? Yes No

9 If yes, name and date of school and program attended: Name of school: Date Program attended: Are you seeking financial aid? Yes No If you are seeking financial aid from any agencies such as W.I.A., V.A., B.I.A., or Voc-Rehab, please list the agency and your counselor's name: How did you hear about Central Technology Center? Radio/TV Newspaper Friend Website Will you need accommodations or modifications in order to successfully perform the essential functions of the assessment and/or occupational program in which you enroll? If yes, please describe: Have you ever been arrested for any offense other that traffic violation or minor offense? Yes No_ Have you ever been convicted of any offense, including a deferred sentence, within the past five years, with the exception of any offense expunged under ? Yes No Do you have a record of a felony conviction, even if conviction has been expunged? No Yes (If yes, you will need to provide an official copy of your conviction record) I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF ENROLLED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR TERMINATION. DATE: SIGNATURE: Central Technology Center, in compliance with Title VI of the Civil Rights Act of 1964, Title VII and Title IX of the Education Amendments of 1974, Section 504 of the Rehabilitation Act and the Americans with Disabilities Act (ADA), does not discriminate on the basis of race, color, religious creed, national origin, age, sex/gender, disability or veteran status in any of its policies, practices or procedures. These equal opportunity provisions include, but are not limited to, admissions, employment, financial aid, and educational services.

10 CENTRAL TECH SURGICAL TECHNOLOGY WORK HISTORY 1. Have you ever been discharged from employment or resigned to avoid such discharge? Yes No 2. Have you ever been arrested for any offense or convicted of any offense, including a deferred sentence, within the past five years with the exception of any offense expunged under 63 O.S ? Yes No 3. Work References: (List most recent within last 5 years) a) Name of Employer Supervisor Business Address City State Zip Dates of Employment b) Job Title Name of Employer Supervisor Reason for Leaving Business Address City State Zip Dates of Employment c) Job Title Name of Employer Supervisor Reason for Leaving Business Address City State Zip Dates of Employment d) Job Title Name of Employer Supervisor Reason for Leaving Business Address City State Zip Dates of Employment Job Title Reason for Leaving

11 Reference for: CENTRAL TECH SURGICAL TECHNOLOGY APPLICANT S WORK REFERENCE The address of the person you are requesting the reference from goes below. TO: Mr. Ms. has applied for admission to Surgical Technology at Central Technology Center and has given us your name as a reference. In order to be considered for this instruction, we need your candid opinions as to the applicant s suitability to perform the duties required of a surgical technologist. ALL INFORMATION WILL BE KEPT CONFIDENTIAL. PLEASE RETURN THIS REFERENCE TO ONE OF THE CAREER ADVISORS BELOW. Joni Carroll, 3 CT Circle, Drumright OK Thank you for your time. 1. How long have you known the applicant? 2. In what relationship have you known the applicant? Supervisor Teacher Other (specify) Attendance Tardiness Work Ethic Enthusiasm Loyalty Confidentiality Professionalism Ability to manage stress Maintains appropriate working relationships with peers and employer 1 Poor 2 Average 3 Above Average 4 - Exceptional Please use the back of this form to make any additional comments you may have. Thank you. Signature: Title: Phone: Date:

12 Reference for: CENTRAL TECH SURGICAL TECHNOLOGY APPLICANT S WORK REFERENCE The address of the person you are requesting the reference from goes below. TO: Mr. Ms. has applied for admission to Surgical Technology at Central Technology Center and has given us your name as a reference. In order to be considered for this instruction, we need your candid opinions as to the applicant s suitability to perform the duties required of a surgical technologist. ALL INFORMATION WILL BE KEPT CONFIDENTIAL. PLEASE RETURN THIS REFERENCE TO ONE OF THE CAREER ADVISORS BELOW. Joni Carroll, 3 CT Circle, Drumright OK Thank you for your time. 1. How long have you known the applicant? 2. In what relationship have you known the applicant? Supervisor Teacher Other (specify) Attendance Tardiness Work Ethic Enthusiasm Loyalty Confidentiality Professionalism Ability to manage stress Maintains appropriate working relationships with peers and employer 1 Poor 2 Average 3 Above Average 4 - Exceptional Please use the back of this form to make any additional comments you may have. Thank you. Signature: Title: Phone: Date:

13 Reference for: CENTRAL TECH SURGICAL TECHNOLOGY APPLICANT S WORK REFERENCE The address of the person you are requesting the reference from goes below. TO: Mr. Ms. has applied for admission to Surgical Technology at Central Technology Center and has given us your name as a reference. In order to be considered for this instruction, we need your candid opinions as to the applicant s suitability to perform the duties required of a surgical technologist. ALL INFORMATION WILL BE KEPT CONFIDENTIAL. PLEASE RETURN THIS REFERENCE TO THE CAREER ADVISORS BELOW. Joni Carroll, 3 CT Circle, Drumright OK Thank you for your time. 1. How long have you known the applicant? 2. In what relationship have you known the applicant? Supervisor Teacher Other (specify) Attendance Tardiness Work Ethic Enthusiasm Loyalty Confidentiality Professionalism Ability to manage stress Maintains appropriate working relationships with peers and employer 1 Poor 2 Average 3 Above Average 4 - Exceptional Please use the back of this form to make any additional comments you may have. Thank you. Signature:_ Title: Phone: Date: