Pharmacy Technician Career Studies Certificate Program* Information and Application Form Apply Now for Fall 2015 Accepting the first 15 qualified applicants Elaine Beale RPh, Pharmacy Technician Program Director For further information and questions, please contact ebeale@pdc.edu or 757-569-6731 Paul D. Camp Community College 100 North College Drive Franklin, VA 23851 *Official high school transcripts, GED scores, or college transcripts are REQUIRED for admission, unless you are a current PDCCC student with transcripts on file. High school or college biology and chemistry are extremely beneficial but not required. Pharmacy Technician Program 1
Certificate: Pharmacy Technician Career Studies Certificate Program Length of Program: One year involving 2 continuous semesters (25 credit hours) The Pharmacy Technician Program is designed to prepare students to assist and support licensed pharmacists in providing health care and medications to patients. Students will obtain a broad knowledge of pharmacy practice and be skilled in the techniques required to order, stock, package, prepare, and dispense medications under the supervision of a licensed pharmacist. Program graduates will be eligible to take the Virginia Pharmacy Technician Exam and the National Pharmacy Technician Certification Examinations. Steps for Applying to the PDCCC Pharmacy Technician Program Note: Application to the Pharmacy Technician Program requires a separate and additional process beyond being admitted to the College. 1. College Application: Complete and submit a college application to PDCCC. a. If you have not attended within the last three years, complete a new application. b. If you have attended within the last three years but have a different address, name, or phone number, complete a Change of Student Information Form and submit it to the Admission s Office. 2. Pharmacy Technician Program Application: Complete the attached Pharmacy Technician Application and submit to the PDCCC Nursing Office or mail it to: Paul D. Camp Community College c/o Elaine Beale 100 North College Drive Franklin, VA 23851 3. Financial Aid: Complete the online FAFSA Form. To apply for financial aid or scholarships, call the Financial Aid Office in Franklin at 757-569-6715 or in Suffolk at 757-925-6346 or visit the website at http://www.pdc.edu/financial-aid. 4. Official Transcript: Request an official transcript of the following to be submitted to the Nursing Office or mailed to the above address: a. High school transcript or GED certification scores or b. College transcript (other than PDCCC or Virginia Community College transcripts that are online) 5. College Placement Testing: If required (see admission criteria below), schedule an appointment to take the math, reading and writing, and computer skills placement tests by visiting or calling one of the following campus Admissions Offices: Franklin Campus: 757-569-6707 Hobbs Suffolk Campus: 757-925-6312 PDCCC at Smithfield: 757-925-6340 Pick up the following placement test study guides from Admissions and review them prior to testing: Assessment for New Students (yellow cover) for reading and writing skills Math VPT test (blue cover) Take your 7-digit student ID number and a photo ID to the testing 2
6. Developmental Courses: Successfully complete the developmental courses recommended by the placement test scores. 7. Letters of Recommendation: Ask for two letters of recommendation to be sent directly to PDCCC, Attn: Mrs. Elaine Beale, Pharmacy Technician Program Director, 100 North College Drive, Franklin, VA 23851. Do not use clergy, friends, or family members and please ask the writer to identify their relationship to you. 8. Deadline for Pharmacy Tech Application: The first 15 qualified students will be accepted per year. All transcripts, letters of recommendation, and application materials must be submitted before being considered for acceptance. It is the applicant s responsibility to confirm that the Workforce Development Office has received all documents for this application. If you have completed the above steps you have met the MINIMUM QUALIFICATIONS for the Pharmacy Technician Program and your application will be reviewed for acceptance into the Program. Admission Criteria PDCCC Pharmacy Technician Program Overview Applicant must pass required math developmental tests (MTE 1-5) or have completed College Algebra with at least a C. If either has been over 2 years ago, the applicant may be asked to take a math placement test. Students must test high enough to take ENG 111 or have passed the equivalent of ENG 111 with at least a C. Once all required paperwork is submitted to the Workforce Development Office and all prerequisite classes are completed, each applicant will be considered for admission. Criteria for admission will include a review of academic background, achievements, and letters of recommendation. Priority will be given to students who attend or have attended PDCCC and reside in its service area. Students will receive written notification, once they have completed all of the steps, regarding the status of their admission. Enrollment Details Students accepted into the program will receive additional information including: a. Meeting with Ms. Elaine Beale to schedule classes; b. Ordering uniforms; c. Completing the required physical examination and laboratory testing; d. Undergoing Official State Police Criminal Records Background Check (Criminal History Request and Sex Offender Crimes against Minors) and urine drug testing required by clinical facilities. An independent agency will conduct these checks, at the student s expense. * * Results from these may affect the student s ability to continue in this program. 3
Once Enrolled in Pharmacy Courses Students will be Required to Maintain: a. A 2.5 cumulative and curricular GPA; b. Satisfactory clinical performance; c. Satisfactory physical and mental health; d. Attendance standards for classes and clinical experiences. PHARMACY TECHNICIAN PROGRAM REQUIREMENTS SEQUENCE OF CLASSES Semester I HLT 105 or EMT 109 Cardiopulmonary Resuscitation 1 ENG 111 College Composition 3 HLT 250 General Pharmacology 3 HLT 295 Math Calculations for Pharmacy Technicians 2 HLT 141 Medical Terminology 2 SDV 100 College Success Skills 1 Semester Total 12 Semester 2 CST 100 Principles of Public Speaking 3 HLT 261 Basic Pharmacy I 3 HLT 262 Basic Pharmacy II 3 HLT 263 Basic Pharmacy I Lab 1 HLT 290 Internship for Clinical Practice 3 Semester Total 13 Minimum Credits Required: 25 25 APPROXIMATE COSTS* (BASED ON 25 CREDIT HOURS) FOR STUDENTS IN THE PHARMACY TECHNICIAN PROGRAM In-State Tuition & Fees $3,453.75 Books (Estimate is for all new textbooks. Some can be purchased used or $550.00 rented to decrease costs) Uniform (Polo shirt, khaki pants, shoes) $100.00 National Pharmacy Technician Certification Exam $129.00 Medical Examination (varies with practitioner and insurance coverage) $300.00 CPR Certification $10.00 Criminal History & Sex Offender Background & Drug Screening Checks $91.25 Approximate Total Costs: 4,634.00 The approximate costs for the program do not include additional classes such as ITE 115 and developmental courses. Rates subject to change per the State Board for Community Colleges. 4
Application for Admission to the PDCCC Pharmacy Technician Program Deadline: March 31 Name - Last First Former/ Middle Date of Birth PDCCC ID# Street City State Zip Last 4 SS# Home phone Email Address Used Regularly/PDCCC email address Cell Phone Work Phone # PDCCC History: Please answer yes or no Have you attended Paul D. Camp Community College in the past? If so, when: Have you taken PDCCC placement tests in the last 3 years? If you have not taken classes at PDCCC within the last three years, you should complete a new Application to the College and take the placement tests again. Educational Background Level Institution Location Attendance/ Graduation/ Completion Year(s) Degree/ Major/ Certificate GPA or License Current? HS/GED # 1 College/ Higher Ed. #2 College/ Higher Ed. Previous Work Experience Job Employer Years Is there any reason you might have difficulty working in a safe manner (chronic illness, abuse of alcohol or prescription medications, illegal drug use)? If so, explain. 5
Have you committed, or been convicted of, any act which is a felony under Virginia or US law or any act which is a misdemeanor under such laws and involves moral turpitude, a legal concept that refers to "conduct that is considered contrary to community standards of justice, honesty or good morals? If so, explain. In the space below you may give additional information, which you feel is pertinent to your application. You may include additional employment history, volunteer work, certificates, scholastic awards, work achievements, and/or professional organizations. Attach additional sheets if needed. Carefully read the following paragraphs before signing: I certify that this information is accurate and complete. I understand that giving incomplete or false information is grounds for denial of the application. I authorize Paul D. Camp Community College to request such information as necessary to verify my qualifications/suitability for the Pharmacy Technician Program. I hereby release from all liability or damage those individuals who provide information related to my education or character and waive any rights of inspection of such information. Any student found guilty of a misdemeanor or felony prior to or during the Pharmacy Technician Program will need to meet with administration to discuss whether they will be permitted to continue in the program. I understand that the responsibility for providing all transcripts and required documentation to the Workforce Development Office lies with the applying student. Failure to provide required documents will be grounds for non-acceptance. With my signature, I acknowledge reading and understanding the information presented on this application and agree to abide by the requirements specified. Signature: Date: Print Name: 6