Petition Process for Dental Hygiene, Surgical Technology and Medical Assistant programs



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Petition Process for Dental Hygiene, Surgical Technology and Medical Assistant programs WCTC s Dental Hygiene (DH), Surgical Technology (ST) and Medical Assistant (MA) programs use a petition process to move students into core program courses. The petition process is important in securing core classes necessary to individual programs, and it is more effective than a waitlist approach. Core courses can be clinical, or clinical and theory, depending on the program. All have a course number which begins with the following: 508-XXX (DH), 509-XXX (MA) and 512-XXX (ST). The petition window is held once a year. For DH, MA and ST students: Feb. 1 15. Acceptance / deferral to core courses Students who are prepared to begin core courses should submit a petition packet. If a petition is accepted and the student chooses not to begin, their petition will be voided. They must submit a new petition packet during a petition window when they are ready to enter. All petition documents are destroyed after status notification. Students who petition and do not get into classes are required to submit a petition packet during the designated petition window until they are admitted into the core courses. More detailed program specific instructions are included on the program specific petition document. Student selection for petition process Students will: Be selected based on completion of program requirements and date of program application completion. Dental Hygiene will follow the DH Weighted Petition Process documents included in this PDF packet. Receive an email from the program advisor within 60 days of the petition window deadline. Additionally, a notice will be posted on the student portal to confirm that emails have been sent. Students should not call to inquire about the selection process. Additional information and requirements Students are encouraged to attend an information session Orientation to the Petition Process which provides further details. Additionally, all documents are available on the portal. Once a student is accepted, they will need: An acceptable Criminal Background check. Some violations prohibit obtaining clinical placement and subsequent employment in career paths. For questions regarding histories, speak with the Allied Health coordinator. To complete a health requirements document as outlined on the program petition form. To attend a mandatory program specific orientation session held on campus, prior to the start of classes. Specific dates and times are noted on petition documents. MA Students are required to pass a typing test 30 words per minute with 95% accuracy. http://wctc.edu/testing click on keyboarding skills. Core program course readiness The program material within core courses for DH, ST and MA is demanding and requires a solid commitment from the student. Below are considerations for determining if a student is ready for the workload. Working while completing core courses. Core courses demand an extraordinary amount of time, both in and out of class. It is recommended that students focus solely on their studies or work part time. Completion of general education courses. All general education courses must be completed with a grade of C or better before a student can consider taking core courses. See the petition form for program details. Timing. Students need to consider if the timing is right, given other non-school obligations, such as work and family. The right fit. Students are encouraged to fully research their career field before determining if their program choice is the proper fit. WCTC s Counseling and Career Center staff can help with career exploration.

***Must have an official admitted application on file for MA before you can petition PETITION F ENTRY FM - CE MEDICAL ASSISTANT COURSES PLEASE PRINT LEGIBLY Name: ID: Date: WCTC Email: Priority admission will be given through use of the weighted process to students who completed the following requirements: General Education Requirements with a grade of C or better - X as complete or IP if in progress: 501-101 Medical Terminology 509-309 Med Law Ethics & Professionalism 501-107 Intro to Healthcare Computing 509-302 Human Body in Health & Disease 501-104 Healthcare Customer Service 501-308 Pharmacology for Allied Health Provide written documentation / copies of the following: All Transfer of Credit from other colleges must be posted by petition date. If you are currently enrolled in a course at a different college, provide proof of that enrollment and submit an official transcript upon completion of that course. Attach - Copy of OIS unofficial college transcript with courses highlighted (mywctc - my account OIS ) If I am selected and choose not to begin the Core MA courses, my petition will be voided and I must submit a new petition packet when I am ready. Deferring to another year is not an option. If I am selected and have accepted placement and choose not to enroll, I am required to notify the WCTC Allied Health Department, 262-691-5375, at least two weeks prior to the start of orientation. If I fail to provide such notification or drop core courses during the first two weeks of the semester, I will not be able to re-petition until 2/2018. I will be notified via WCTC email on or before March 15, 2016 if I have been selected or not for Core MA courses. DO NOT call to inquire about your status. As a SELECTED ALTERNATE STUDENT I must attend a mandatory orientation held on campus Tuesday, August 16, 2016 from 900-1300 in H222. The following items ae due as listed: Item Due Due Date Where to Deliver 2nd Criminal Background Check and check payable to WCTC for $20 June 1, 2016 H102 Allied Health Office Current CPR Card (Healthcare Provider 531-480) June 1, 2016 H102 Allied Health Office Current First Aid Card June 1, 2016 H102 Allied Health Office Completed and signed yellow health requirements form available in H102 June 1, 2016 H102 Allied Health Office With the signed Petition Form on the top, staple your transcript in the upper left corner. Forms are accepted only between 2/1/2016 and 2/15/2016 on weekdays only. Place your packet in a sealed envelope with your name, ID number, phone number and program name and return to the Counseling and Advising office (C021) Attn: Lauri Fialkowski, no later than the 4:30 PM deadline on 2/15/2016 (weekdays only). Mailed packets must be postmarked no later than 2/15/2016. Late or incomplete packets WILL NOT be considered. Student signature: Date: Rev. 1/2016 pg. 1

***Must have an official admitted application on file for ST before you can petition PETITION F ENTRY FM - CE SURGICAL TECHNOLOGY COURSES PLEASE PRINT LEGIBLY Name: ID: Date: WCTC Email: Priority admission will be given through use of the petition process to students who completed the following requirements: General Education Requirements with a grade of C or better - X as complete or IP if in progress: 501-101 Medical Terminology 801-136 English Composition 1 Or 801-195 Written 809-196 Introduction to Sociology 806-177 General Anat & Phys 801-196 Oral/Interpersonal 806-179Advanced Anat & Phys 809-199 Psychology of Human Relations 806-197 Microbiology Provide written documentation / copies of the following: 3 credit AD Elective All Transfer of Credit from other colleges must be posted by petition date. If you are currently enrolled in a course at a different college, provide proof of that enrollment and submit an official transcript upon completion of that course. Attach - Copy of OIS unofficial college transcript with courses highlighted (mywctc - my account OIS ) If I am selected and choose not to begin the Core ST courses, my petition will be voided and I must submit a new petition packet when I am ready. Deferring to another year is not an option. If I am selected and have accepted placement and choose not to enroll, I am required to notify the WCTC Allied Health Department, 262-691-5375, at least two weeks prior to the start of classes. If I fail to provide such notification or drop core courses during the first two weeks of the semester, I will not be able to re-petition until 2/2018. I will be notified via WCTC email on or before March 15, 2016 if I have been selected or not for Core ST courses. DO NOT call to inquire about your status. As a SELECTED ALTERNATE STUDENT I must attend a mandatory orientation held on campus Wednesday May 18, 2016 from 9:00-3:00 in H117A. The following items ae due as listed: Item Due Due Date Where to Deliver 2nd Criminal Background Check and check payable to WCTC for $20 June 1, 2016 H102 Allied Health Office Current CPR Card (Healthcare Provider 531-480) June 1, 2016 H102 Allied Health Office Completed and signed yellow health requirements form available in H102 June 1, 2016 H102 Allied Health Office With the signed Petition Form on the top, staple your transcript in the upper left corner. Forms are accepted only between 2/1/2016 and 2/15/2016 on weekdays only. Place your packet in a sealed envelope with your name, ID number, phone number and program name and return to the Counseling and Advising office (C021) Attn: Lauri Fialkowski, no later than the 4:30 PM deadline on 2/15/2016 (weekdays only). Mailed packets must be postmarked no later than 2/15/2016. Late or incomplete packets WILL NOT be considered. Student signature: Date: Rev 1/2016 pg. 1

***Must have an official admitted application on file for DH before you can petition PETITION F ENTRY FM - CE DENTAL HYGIENE COURSES PLEASE PRINT LEGIBLY Name: ID: Date: WCTC Email: Priority admission will be given through use of the weighted process to students who completed the following requirements: General Education Requirements with a grade of C or better - X as complete or IP if in progress: 809-172 Intro to Diversity Studies Or 809-195 Economics 801-136 English Composition 1 Or 801-195 Written 809-196 Introduction to Sociology 806-177 General Anat &Phys 801-196 Oral/Interpersonal 806-186 Intro to Biochemistry 809-199 Psychology of Human Relations 806-197 Microbiology Provide written documentation / copies of the following: 2 credit AD Elective All Transfer of Credit from other colleges must be posted by petition date. If you are currently enrolled in a course at a different college, provide proof of that enrollment and submit an official transcript upon completion of that course. Attach - Copy of OIS unofficial college transcript with courses highlighted (mywctc - my account OIS ) If I am selected and choose not to begin the Core DH courses, my petition will be voided and I must submit a new petition packet when I am ready. Deferring to another year is not an option. If I am selected as an alternate and successfully complete the Dental Health Safety course and a seat does not become available I will automatically be granted a seat the next academic year, and will not need to re-petition. If I am selected and have accepted placement and choose not to enroll, I am required to notify the WCTC Allied Health Department, 262-691-5375, at least two weeks prior to the start of classes. If I fail to provide such notification or drop core courses during the first two weeks of the semester, I will not be able to re-petition until 2/2018. I will be notified via WCTC email on or before March 15, 2016 if I have been selected or not for Core DH courses. DO NOT call to inquire about your status. As a SELECTED ALTERNATE STUDENT I must attend a mandatory orientation held on campus Friday April 22, 2016 from 8:30-3:30 in H117A. The following items ae due as listed: Item Due Due Date Where to Deliver 2nd Criminal Background Check and check payable to WCTC for $20 June 1, 2016 H102 Allied Health Office Current CPR Card (Healthcare Provider 531-480) June 1, 2016 H102 Allied Health Office Completed and signed yellow health requirements form available in H102 June 1, 2016 H102 Allied Health Office With the signed Petition Form on the top, staple your transcript in the upper left corner. Forms are accepted only between 2/1/2016 and 2/15/2016 on weekdays only. Place your packet in a sealed envelope with your name, ID number, phone number and program name and return to the Counseling and Advising office (C021) Attn: Lauri Fialkowski, no later than the 4:30 PM deadline on 2/15/2016 (weekdays only). Mailed packets must be postmarked no later than 2/15/2016. Late or incomplete packets WILL NOT be considered. Student signature: Date: Rev. 1/2016 pg. 1

Dental Hygiene Categorical Weighted Petition Process WCTC/LTC petition process incorporates a categorical weighting system for science courses. Petition eligibility: 1) Only students that are officially admitted to WCTC s Dental Hygiene program will be eligible to petition. 2) Students petitioning with all general education and science courses complete (28 credits) with an earned C or higher in each will be selected before students who are inprogress with their general education and science courses. Criteria for order of selection: 1) Weighted 16 point system for completed science courses and Dental Assistant experience. 2) Extra points will be awarded for taking courses at WCTC. Students will be assigned points (for a maximum of 16 total points) based upon the following grades received in science courses: Course/Experience Weights Taken WCTC General A&P 806-177 4 pts (A, A-) 3 pts (B+,B,B-) 0 Pts (C+, C) 1pt Microbiology 806-197 4 pts (A, A-) 3 pts (B+,B,B-) 0 Pts (C+, C) 1pt Biochemistry 806-197 4 pts (A, A-) 3 pts (B+,B,B-) 0 Pts (C+, C) 1pt DA Experience 1 point (1 yr full time work experience) 1 point (2 years part time work experience) 1 point (graduate of a Dental Assisting Program) TOTAL POINTS /16 3) Student admissions application date to the Dental Hygiene program 4) Student admissions completion date

STUDENT NAME (Please print clearly): PHONE: EMAIL: STUDENT ID: Dental Assistant Experience 1. I have worked as a Dental Assistant Full-Time for one full year (2,080 hours). 2. I have worked as a Dental Assistant Part-Time for two full years (2,080 hours). 3. I have completed a Dental Assistant Program. (Please attach transcript.) (If you are currently in the program this does NOT count.) I certify that the above named student has worked the hours listed above as a Dental Assistant Supervisor s Signature: Dental Office Name and Phone Number:

PETITION F ENTRY CE RADIOGRAPHY TECH COURSES Name: ID: Date: College email: Priority admission will be given to student who have completed the following requirements: Mark X if complete or IP if in progress: 801-136 English Composition 1 809-199 Psychology of Human Relations 801-196 Oral/Interpersonal 809-195 Economics 801-198 Speech 809-166 Intro to Ethics: Theory & App 809-196 Introduction to Sociology 806-177 General Anatomy & Physiology 804-107 College Math 809-197 Contemporary American Society You must be able to answer YES to all questions below: 1. Y/N I have an official admitted Radiography application on file. 2. Y/N I am in good academic standing meeting all MATC grade requirements. 3. Y/N I have achieved a cumulative GPA of 2.0; Completion of 806-177 General Anatomy and Physiology or College 804-107 with a Grade of B- or better. 4. Y/N If selected I will have to submit the following info to MATC Essential Function Verification Form Health Certification Form Hepatitis Release Form Criminal Background Check Form 5. Y/N I have completed all my General Education/Pre-req coursework. 6. Y/N All Transfer of Credit from other colleges must be posted by petition date. If you are currently enrolled in a course at a different college, provide proof of that enrollment and submit an official transcript upon completion of that course. 7. Y/N Attach Copy of OIS unofficial college transcript with courses highlighted (mywctc- my account OIS ) 8. Y/N I have taken the HESI Allied Health (HP-A2) entrance exam at MATC Milwaukee: https://sites.google.com/a/matc.edu/healthscienceresourcecenters/pre-admission-examinfo