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Southern Crescent Technical College
➤
Programs
➤
Allied Health Program Application
Allied Health Program Application
Students desiring to apply to an Allied Health Program should submit this form in advance of their target admission date.
Campus
*
-- Select Your Campus --
Griffin
Flint River (Thomaston)
Butts
Fayette COI
Henry
Jasper
Any Campus
In which Allied Health Program do you have the intention to enroll?
*
Advanced Emergency Medical Technician (certificate)
Cardiovascular Technology (degree)
Central Sterile Supply Processing Technician (certificate)
Computed Tomography Specialist (certificate)
Dental Assisting (diploma)
Electrocardiography Technology (certificate)
EMS Professions (diploma)
Emergency Medical Responder (certificate)
Emergency Medical Technician (certificate)
Hemodialysis Patient Care Specialist (certificate)
Magnetic Resonance Imagine Specialist (certificate)
Medical Assisting (diploma)
Nursing (degree)
Nurse Aide (certificate)
Orthopedic Technology (degree)
Paramedicine (degree)
Phlebotomy Technician (certificate)
Paramedicine (diploma)
Patient Care Assistant (certificate)
Phlebotomy Technician (certificate)
Practical Nursing (diploma)
Radiologic Technology (degree)
Respiratory Care (degree)
Surgical Technology (degree)
Have you successfully completed all general education core courses required for your desired program?
*
Yes
No
I will have finished these required courses by the end of the semester.
Are your grades posted in the Banner Web system?
*
Yes
No
Which required entrance exam have you taken?
*
PSB (Psychological Services Bureau Health Occupations Aptitude Exam)
TEAS (Test of Essential Academic Skills)
I have not taken either of these required entrance exams.
Upload (attach) your examination report, including the scores, here.
Drop files here or
Select files
Max. file size: 8 MB, Max. files: 2.
If you have attended another Allied Health program at SCTC or any other school, please list it here along with the dates of attendance.
Date of application submission
*
MM slash DD slash YYYY
Name
*
First
Middle
Last
Student Identification Number (SCTC enrolled students)
Preferred phone number
*
SCTC student email address
*