MANCHESTER COMMUNITY COLLEGEHEALTH CAREER PROGRAMS

APPLICATION

Occupational Therapy Assistant Respiratory Care

Radiation Therapy

Radiography

DENTAL ASSISTANT Surgical Technology

2018-2019 ACADEMIC YEAR

COMPLETED Applications for the Occupational Therapy Assistant, Radiation Therapy, Radiography, Respiratory Care, and Surgical Technology Programs are due on March 2, 2018. Applications for the Dental Assistant Program are accepted until the class is

full. For more information please visit: www.manchestercc.edu/health

APPLICATION PROCESSDENTAL ASSISTANT

2018-2019 ACADEMIC YEAR

COMPLETED Applications due on March 2, 2018

Application Process

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Program Prerequisites

All candidates should have a minimum GPA of 2.5. Program prerequisites include: Eligibility for MAT* 109: Quantitative Literacy or higher ENG* 101: Composition

Application Requirements

A completed application must be submitted and include:1. Health Careers Application2. Official Copies of Transcripts

a. Hard copies of official transcripts should be attached to the application. If the institution does not issue hard copies, then electronic copies can also be sent directly to the Program Coordinator.

Contact Information

For more information, please contact:Rosemary Ryan, Dental Assistant Program Coordinator

860-512-2705Rryan@manchestercc.edu

Health Careers Program ApplicationApplication Deadline is March 2, 2018

www.manchestercc.edu/health

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4) Submit Health Careers Application to STEM Division Office (LRC A237) by 3/2/18.

Applications can be placed in the drop box outside if the office is closed.

3) Submit MCC Application to Admissions Office (SSC L156) by 3/2/18.

2) Complete Program Prerequisites

1) Attend an Information Session (Before Application Deadline)

Program SelectionPlease indicate the program for which you are applying. Use a separate application form for each program you wish to apply.

Dental Assistant Occupational Therapy Assistant *See essay requirement on page 2 Radiation Therapy *See essay requirement on page 2 Radiography *See essay requirement on page 2 Respiratory Care Surgical Technology

Application Information Name:

Banner ID:

Current Address (including Apt/Unit #):

City: State: Zip Code:

Home Phone: Cell Phone:

Email:

Date Attended Information Session:

High School Information:High School Attended: City/State:

Date of Graduation: GED: Yes No

College Information:College Attended:

Degree Earned: Date of Graduation:

College Attended:

Degree Earned: Date of Graduation:

I certify that my answers are true and complete to the best of my knowledge.

Participant Signature: _____________________________ Date: _________________________

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