Surgical Technology Program Application for Admission - Non SSO

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Surgical Technology Program Application for Admission

Questions? Send to Katie Goolsby, Program Director, Surgical Technology Program (katie.goolsby@sjcd.edu)

Fall Application Period: April 1 – June 1

Spring Application Period: September 1 – October 20

No applications will be accepted after 12 noon on the due date. No exceptions.

* Indicates Required Field

Today's Date

Term Applying For

San Jacinto College G#

First Name

Middle Initial

Last Name

List other names under which records and may be found, including maiden names

Phone

Email Address:

Street Address

City

State

Postal/Zip Code

Have you made formal application to San Jacinto College?

Have you had official transcripts for ALL colleges you have attended sent to Admissions and requested a transcript evaluation?

Have you attended a mandatory information session?

STOP! If you answered NO to any of the above questions, you are not eligible to apply to the Surgical Technology Program at this time.

Coursework

Course Grade

Select BIOL Class

HPRS 1206

HPRS 1201

MATH 1332 or MATH 1314

ENGL 1301

Grade Point Average at San Jacinto College

GPA at other colleges/universities

Cumulative GPA must be 2.0 or higher

Explain why you want to be a Surgical Technologist
If you are a veteran, and/or have at least one year of experience in a medical field, please note those items in this paragraph.

As proof of experience in the medical field click on this link, complete the “Health Related Experience Verification” form, and submit it with your application and transcript.

Health Related Experience Verification

Forms to upload:

Upload Unofficial Transcript

Upload Verification of Healthcare Employment

Upload Documentation of Your Military Service and Discharge

Applicant Acknowledgement

This application will be used in the accumulation of points for the admission process. Final decisions on point allocation will be determined by the program director.

I hereby certify that the information in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or falsification is cause for denial of admission or expulsion from the college.

I Acknowlege

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