SURGICAL TECHNOLOGY NWCC OXFORD CENTER

SURGICAL TECHNOLOGY NWCC OXFORD CENTER Surgical Technology is a two-year program offered at the Lafayette-Yalobusha Center in Oxford. The student will receive an Associate of Applied Science degree upon successful completion of the required curriculum. ADMISSION REQUIREMENTS 1. The applicant shall be at least 18 years of age. 2. The applicant must be a high school graduate (diploma) or have made equivalent scores on the GED test. A transcript of all previous schooling must be on file. ACT scores are required for students under 21 years of age. 3. The applicant shall make satisfactory scores on the Otis-Lennon and Adult Basic Education Tests. These tests are given at Lafayette-Yalobusha Center. Test dates will be mailed to each applicant. 4. After testing, the applicant shall appear before an Admissions Committee for review of qualifications. 5. If accepted into the Surgical Technology program, the application must have on file a health examination certificate, a record of immunizations, and a Criminal History Background Affidavit. Lafayette-Yalobusha Center 1310 Belk Drive Oxford, MS 38655

ESTIMATED COST OF 1 ST YEAR SURGICAL TECHNOLOGY PROGRAM FIRST SEMESTER: TUITION $1,275.00 BOOKS.. 1,535.00 SURGICAL TECH KIT.. 500.00 CPR (First Aid).. 40.00 UNIFORMS. 200.00 INSURANCE 15.00 TOTAL FIRST SEMESTER. $3,565.00 SECOND SEMESTER: TUITION... $1,275.00 TOTAL SECOND SEMESTER.....$1,275.00 SUMMER SEMESTER: TUITION... $880.00 TOTAL THIRD SEMESTER.......$880.00 TOTAL ESTIMATED COST OF 1 ST YEAR SURGICAL TECHNOLOGY PROGRAM. $5,720.00 * Mandatory Physical (not included in estimated cost of program).. $ 90.00-110.00 * NCCT Certification Exam... $ 155.00

Northwest Mississippi Community College SURGICAL TECHNOLOGY Advisor: Shirley Surgical Technology is an instructional program that prepares an individual to serve as a member of the surgical team to work with surgeons, anesthesiologists, certified registered nurse anesthetists, registered nurses, and other surgical personnel in delivering patient care and assuming appropriate responsibilities before, during, and after surgery. This program includes the education of all aspects of surgical technology including the role of second assistant and circulator. FRESHMAN YEAR FIRST SEMESTER SEMESTER HOURS SECOND SEMESTER SEMESTER HOURS SUT 1113, Fundamentals of Surgical SUT 1518, Basic and Related Surgical Technology 3 Procedures 8 SUT 1216, Principles of Surgical Tech. 6 SUT 1528, Specialized Surgical Procedures 8 SUT 1314, Surgical Anatomy 4 SUT 1413, Surgical Microbiology 3 ENG 1113, English Composition I 3 Total 19 Total 16 SUMMER TERM (8-WEEKS) SUT 1538, Advanced Surgical Procedures 8 Total 8 ***CERTIFICATE*** SOPHOMORE YEAR FIRST SEMESTER SEMESTER HOURS SECOND SEMESTER SEMESTER HOURS BIO 1513, Anatomy & Physiology I 4 BIO 1523, Anatomy & Physiology II 4 SPT 1113, Public Speaking 3 CSC 1113, Computer Concepts 3 Humanities/Fine Arts Elective 3 Social/Behavioral Science Elective 3 Math/Science Elective 4 *Approved Electives 3 Total 14 Total 13 *APPROVED ELECTIVES: BIO 1134 General Biology I BIO 1144 General Biology II EPY 2533 Human Growth & Development SOC 2113 Introduction to Sociology SOC 2143 Marriage & Family PSY 1513 General Psychology HPR 1213 Health BOT 1613 Medical Office Terminology I BOT 1623 Medical Office Terminology II HIS 2213 American History I MUS 1113 Music Appreciation MAT 1113 College Algebra SPT 2233 Theatre Appreciation 2013-2014

MISSISSIPPI VOCATIONAL & TECHNICAL EDUCATION HEALTH OCCUPATIONS EDUCATION Social Security Number NAME: Last Name First Name Middle Initial Maiden Name ADDRESS: Street City State ZIP Telephone WHOM TO NOTIFY IN CASE OF EMERGENCY Name Telephone ADDRESS NAME OF COURSE REQUESTING: SURGICAL TECHNOLOGY HAVE YOU HAD ANY OCCUPATIONS TRAINING? NAME OF PROGRAM YOU WERE TRAINED FOR: HOW LONG WERE YOU TRAINED? WHERE? WORK EXPERIENCE: HOW LONG? WHERE? WRITE A PARAGRAPH EXPLAINING WHY YOU WANT TO TAKE THIS COURSE AND TO BECOME A MEMBER OF THIS OCCUPATION.

Social Security Number: - - Phone Number: ( Application for admission Registrar s office 4975 Hwy 51 north P.O. Box 7047 Senatobia, ms 38668 ) - - X E-mail: @ Intended Major: Major Code: (mark one) Senatobia DeSoto Oxford Online (See reverse for codes) Campus you plan Degree Seeking Non-degree Seeking* to attend: *Non-degree seeking students are not eligible for financial aid. Personal Information Name: Last First Middle Maiden Physical Address: Street City State Zip County Mailing Address: if different from physical Street or P.O. Box City State Zip County Date of Birth: / / Gender: City/State/Country of Birth: MS Resident? Race/Ethnicity: Are you Hispanic/Latino? Male Female U.S.Citizen? What is your race? (You may choose more than one) White Black or African American Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Family Information **If you choose guardian, you must mail in official guardianship documents. Choose One: Parent Guardian** Spouse Name: Last First Mailing Address: Street or P.O. Box City State Zip High School information If any of your transcripts are from out of state, you must provide proof of residency. Official high school transcript or GED and ACT scores (see NWCC catalog for exceptions) are required for admission to be complete. High School: Graduation Date: Location: (Month/year) GED Information City State Do you have a GED diploma? If yes, graduation date: State where GED was completed: (Month/Year) College Information All official college transcripts are required for admission to be complete. Have you ever attended NWCC? Dates attended: Name at time attended: List all colleges previously attended: Last First Failure to list complete and accurate information could result in the cancellation of your enrollment. What semester do you plan to attend NWCC? Fall Spring Summer What year? Applicant s Signature: Date: I certify the information I have provided on this application is accurate and that I have not intentionally withheld information requested. I further understand that falsification of information is a basis for denying admission or for immediate termination of enrollment. My signature above also authorizes the release of my transcripts from all schools previously attended to Northwest s Registrar s office.

ASSOCIATE OF ARTS DEGREE 205 Accountancy 120 Animal Science 405 Art 704 Biology 220 Business & Computer Teacher Education 218 Business Administration 708 Chemistry 416 Communications/Public Relations 410 Communications/Broadcasting 415 Communications/Journalism 213 Computer/Management Information Systems 712 Computer Science 515 Criminal Justice 305 Elementary Education 345 Exercise Science 130 Forestry 510 General College Curriculum 105 General Agriculture ASSOCIATE OF APPLIED SCIENCE 6005 Accounting Technology 6022 Agricultural Business & Mgmt Tech/Animal Husbandry 6010 Agricultural Tech/John Deere Tech 8014 Automotive Technology 8014 Automotive Tech/Chrysler College Auto Program 6012 Aviation Maintenance Tech 6045 Business & Marketing Management Tech 6098 Cardiovascular Technology 6030 Civil Engineering Technology 6032 Civil Engineering Tech/Pre- Surveying/Geomatics MSU CODES FOR MAJORS 724 General Science 340 Health & Physical Education 505 Liberal Arts 417 Marketing Communications/PR Mgmt 784 Mathematics 420 Music, Music Education, Music Performance 423 Music Business/Industry 605 Nursing (Associate Degree) 240 Office Administration 131 Outdoor Recreation & Mgmt 788 Physics 720 Pre-Architecture 744 Pre-Clinical Laboratory Sciences 347 Pre-Communicative Disorders 730 Pre-Cytotechnology 732 Pre-Dental 734 Pre-Dental Hygiene 716 Pre-Engineering 710 Pre-Forensic Chemistry 6052 Drafting & Design Engineering Tech/Arch Eng 6025 Early Childhood Education Technology 6070 EMT-Paramedic 6085 Funeral Service Technology 6035 Graphic Design Technology 6079 Health-Care Data Technology 8015 Heating, Air Conditioning & Refrigeration Tech 6065 Hotel & Restaurant Mgmt Tech 6056 Industrial Electronics Engineering Tech 6038 Information Systems Tech/ Computer Networking 127 Pre-Health Information Management 742 Pre-Health Sciences 726 Pre-Horticulture 718 Pre-Landscape Architecture 722 Pre-Landscape Contracting 736 Pre-Medical 748 Pre-Nursing (BSN) 752 Pre-Occupational Therapy 738 Pre-Optometry 756 Pre-Pharmacy 760 Pre-Physical Therapy 764 Pre-Radiological Sciences 768 Pre-Veterinary Medicine 770 Pre-Veterinary Medical Technology 520 Psychology 342 Recreation 307 Secondary Education 535 Social Work 425 Theatre 6041 Information Systems Tech/ Computer Programming 6009 Microcomputer Technology 6014 Office Systems Technology 6090 Paralegal Technology 6099 Paralegal Tech/Pre-Paralegal Studies UM 2+2 Option 6093 Respiratory Therapy 6092 Surgical Technology 7005 Precision Manufacturing and Machining Technology CAREER CERTIFICATE 6031 Civil Engineering Technology (One-Yr Certificate) 8005 Collision Repair Technology 8075 Commercial Truck Driving 8035 Cosmetology 8036 Cosmetology/Nail Technician Option 6071 EMT-Basic 8062 Health Care Assistant 6013 Office Systems Technology (One- Yr Certificate) 8060 Practical Nursing 8070 Welding And Cutting AFFIRMATIVE ACTION Northwest Mississippi Community College does not discriminate on the basis of race, color, national origin, sex, religion, age, disability or status as a veteran or disabled veteran in employment, programs, or provision of services. Compliance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act is coordinated by Mr. Michael Dottorey, Disability Support Services Coordinator, McLendon Student Center, P.O. Box 5555, Highway 51 North, Senatobia, Mississippi 38668, telephone number 662-562-3309, email address mldottorey@northwestms. edu. Compliance with Title II of the Age Discrimination Act and Title IX of the Education Amendments of 1972 is coordinated by Mr. Gary Mosley, Vice President for Fiscal Affairs, James P. McCormick Administration Building, P.O. Box 7017, 4975 Highway 51 North, Senatobia, Mississippi, 38668, telephone number 662-562-3216, email address gtmosley@northwestms.edu.