Application and Selection Criteria Rev. 2/2015 MINIMUM APPLICATION CRITERIA for the (RES). Applicants must have a high school diploma or GED, admission to Florence Darlington Technical College and at a minimum have completed the following courses to be eligible for consideration for admission to the program. o BIO 112 o MAT 110 o PHS 101 Attendance at Career Talk within one year of the application date of the program Applicants with college credit earned in high school must be completed with a C or better to get Transfer Credit (TR). The College Registrar grants TR credit. Applicants with previously completed college credit or degree must have an official transcript sent to Registrar s office. The College Registrar grants TR credit. MINIMUM SELECTION CRITERIA for the (RES). Students are advised that should there be a greater number of applicants than positions available: Florence, Darlington and Marion County residents and/or students completing the majority of the required Program credit hours (prerequisites and co-requisites) at FDTC are given preference in the selection process when all other requirements have been met. The Grades earned for BIO 112, MAT 110, and PHS 101 will be used in selecting applicants for admission and will be based on the average of the three courses. The number of program courses completed at FDTC In the event of a tie between students, the student s grades will be ranked for the following curriculum related courses in the order shown: o BIO 112 o MAT 110 o PHS 101 PROOF OF RESIDENCE Residents of South Carolina, as defined by state law, are independent or dependent persons who have domiciled in South Carolina for a period of no less than 12 months. Further proof of residency is required for the Allied Health Program Students, who do not reside in the Florence, Darlington or Marion Counties and have not taken the majority of the programs course work at FDTC. A driver s license will be accepted for proof of residency if it is at least 12 months old. STATUS NOTIFICATION The applicant will be notified electronically, by the, to their official Florence Darlington Technical College student email address. The applicants will be informed of their status regarding acceptance or rejection into the Fall 2015 class. Information regarding the status of the applicant s application will not be available from the Allied Health Programs nor from the Registrar s Office during the review of the applicants files. The applicant is asked to please make inquiries regarding the application only if the applicant becomes aware that an error or omission has occurred. The Administrative Assistants will be the contact in the 1
Allied Health Departments (843-661-8140). We wish each applicant the best in the application and selection process. Please note that it is the applicant s responsibility to ensure that all documents are provided to the school by the last business day of March at 4:00 p.m. Applications may only be mailed or submitted the first business day of March, through the last business day of March. Print the Application and Selection Criteria and Application Checklist to the RES Program and complete, when all of the instructions have been read. Mail or Submit to FDTC: Attention: Respiratory Therapy Program Mr. John Evans P.O. Box 100548 Florence, SC 29501-0548 Be sure to keep a copy for your records. The Application and Application Checklist may be submitted in person to John Evans, F356 in the Health Science Campus (HSC) at 320 West Cheves Street. If you would like proof of receipt you may send the Application and Application Checklist using certified mail or by Federal Express. Applications are accepted postmarked or submitted the first business day of March until the last business day of March, beginning at 9:00 a.m. and no later than 4:00 pm. Health Occupations Basic Entrance Test (HOBET) All Allied Health students that are accepted into the Fall Respiratory class will be participating in the Health and Sciences Educational Effectiveness initiative. Students will be tested during the third week of May using the HOBET test. More information will be provided in the Program Acceptance notification. Review books will be available to the applicant s accepted into their respective Allied Health Programs at the Health Science Campus beginning April 21 st, 2015. 2
Memo to Students March 9, 2015 TO: FROM: RE: Applicants John Evans, Director Florence Darlington Technical College Admission Process and Other Information Health Care Programs require a significant amount of additional information on your criminal history or substance abuse. Applicant background checks and drug screenings are part of the admission and retention process and are a result of the contract requirements by the clinical agencies used for training for the,. The background check will be completed once the applicant has been accepted to the Program. Applicants with specific conviction histories or positive drug screenings may ultimately not be accepted into the Respiratory Care Program. Positive background checks will be sent to the clinical agencies anonymously for their decision to allow the applicant to perform clinical in their institution or not. One agency denial is considered a denial from all agencies. The applicant cannot be admitted to the class because you will not be able to meet graduation requirements. Specific convictions or positive drug screens occurring after full admission and matriculation in the program will be addressed per Department policy, and may include dismissal from the program. Thank you for your interest in the and choosing Florence Darlington Technical College to meet your professional educational requirements. 3
Application Checklist Name: Student ID#: The following are minimum requirements or necessary steps for consideration for admission to the Respiratory Care Program. Complete each step/requirement and certify by initialing on this form that the step/requirement has been met. Submit this form with your completed application. Each item must be initialed by the applicant indicating the requirement has been met: Admission as a credit degree- seeking student to Florence-Darlington Technical College. High School diploma or GED is on file with the Registrar. College transcripts of all transfer credits are on file with the Registrar. Attendance at Career Talk within one year of the application date of the program Overall cumulative credit grade point average of 2.0 or higher has been earned. A minimum GPA of 2.0 must be maintained in the, as a C or better is required in all Respiratory Care courses and in all General Education courses. Prerequisite and General Education Program Support Courses Please write in an E if you are enrolled, the grade earned if the course has been completed, and an NE if you are not enrolled nor has the course been previously completed. Completion of a prerequisite course in progress at the time of application must be completed with a grade of C or better for final acceptance and enrollment. ENG 101 MAT 110 PSY 201 BIO 112 PHS 101 SPC 205 Elective College Composition I College Algebra or Higher (Statistics will not be accepted) (Prerequisite) General Psychology Basic Anatomy & Physiology (Prerequisite) Physical Science I (Prerequisite) Introduction to Speech Humanities/Fine Arts (Music, Art, Foreign Language, Philosophy) I have completed all of the above requirements. I affirm that all information submitted for the application process is truthful and accurate. Falsification of any requirements may disqualify the applicant for the RES Program. Student s signature: Date: 4
Application PLEASE PRINT CLEARLY AND PROVIDE THE INFORMATION REQUESTED IN ALL SECTIONS. INCOMPLETE APPLICATIONS CANNOT BE CONSIDERED IN THE SELECTION PROCESS. Name: (Last) (First) (Middle) Any Former Names: Student ID Number: Home Mailing Address:** **Note: If mailing address is PO Box, you must also provide a physical address. City: County: State: ZIP Code: Home Telephone Number: ( ) Work or Cell (specify): ( ) FDTC E-mail Address: The applicant can expect the application for licensure as a respiratory care practitioner in the State of South Carolina to include the questions below. If any of the questions below can be answered yes by the applicant, the applicant is advised to contact John Evans at 843-661-8148 for an appointment with the Program Director to review state rules and regulations regarding licensure. This appointment must be made prior to March 29 deadline for application to the. 1. Have you ever been convicted, pled guilty, or nolo contendere for violation of any federal, state, or local law, or do you have charges pending (other than a minor traffic violation)? 2. Have you ever had any investigation, formal complaint, disciplinary action, or consent order filed against you by any person, hospital, or respiratory care committee in any jurisdiction? 3. Have you ever received disciplinary action by an employer for your job performance? 4. Have you developed any disease or condition, physical, mental, or emotional that might interfere with your ability to competently and safely perform the essential functions of practice as a respiratory care practitioner? DO NOT WRITE IN THIS SPACE. TO BE COMPLETED (IF NECESSARY) BY THE DIRECTOR OF THE RESPIRATORY CARE PROGRAM. I have counseled the above identified applicant regarding the licensing process in the State of South Carolina in relation to previous criminal convictions. Director, Florence Darlington Technical College Date 5
State Board of Medical Examiners (http://llr.state.sc.us) Respiratory Care Practice Act: 40-47-630. Grounds for disciplinary action; recommendations of committee as to disciplinary action; appeal. (A) The committee may recommend to the board that it revoke, suspend, issue a public or private reprimand, or impose any other reasonable limitation or practice where the unprofessional, unethical, or illegal conduct of the respiratory care practitioner is likely to endanger the health, welfare, or safety of the public. This conduct includes a license: (1) using any false, fraudulent, or forged statement or engaging in any fraudulent, deceitful, or dishonest act in connection with any of the certifying requirements; (2) having an addiction to alcohol or drugs to such a degree as to render the licensee unfit to practice respiratory care; (3) having been convicted of the illegal or unauthorized practice of respiratory care; (4) knowingly performing an act which in any way assists an unlicensed person to practice respiratory care; (5) having sustained any physical or mental disability which renders further practice by the licensee dangerous to the public; (6) having violated the code of ethics or regulations as adopted by the committee and the board; (7) guilty of engaging in any dishonorable, unethical, or unprofessional conduct that is likely to deceive or harm the public; (8) guilty of the use of any false or fraudulent statement in any document connected with the practice of respiratory care; (9) having intentionally violated or attempted to violate, directly or indirectly, or assisting in or abetting the violation or conspiring to violate any provisions of this article; (10) guilty of the commission of any act, during the course of practice conducted pursuant to a license issued under this article, that constitutes fraud, dishonest dealing, illegality, incompetence, or gross negligence. (B) The suspension, revocation, reprimand, or imposition of probationary conditions upon a respiratory care practitioner may be recommended by the committee to the board after a hearing is conducted in accordance with the Administrative Procedures Act. A transcribed record of the hearing must be made. (C) A respiratory care practitioner aggrieved by a decision of the committee or board under this section may appeal the decision to an administrative law judge as provided under Article 5 of Chapter 23 of Title 1 on the record made before the committee or board. I certify that I have read and understand the above standards regarding licensure as a respiratory care practitioner in the State of South Carolina. Applicant Signature Date 6
Respiratory Care Department Associate Degree Certification and Authorization to Investigate CERTIFICATION AND AUTHORIZATION TO INVESTIGATE I hereby certify that the facts set forth in the above application are true and complete to the best of my knowledge, and I understand that discovery of the falsification of this information will result in my being denied admission and/or my prompt dismissal from the. The Florence Darlington Technical College Respiratory Care Department is hereby authorized to make any investigation concerning information that is deemed necessary by the Department to determine my suitability to practice as a respiratory care practitioner during the selection process, and/or during my tenure as a student, if admitted to the. Applicant Signature Date 7