Respiratory Care Associate Degree Program Application by mercy2beans118

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									                                                                     New or Transfer Students must submit
                                                                     an NVCC Application along with this
                                                                             Program Application.
                                                                    Current or Former NVCC students need
                                                                     only submit this Program Application.

       Respiratory Care Associate Degree Program Application
                               Application Deadline: January 15, 2010*
                                                   Margaret Guerrera: Director

                                  (203) 596-8662 email: mguerrera@nvcc.commnet.edu

Name

Address

City                                       State                              Zip

Telephone (Daytime)                                         (Evenings)

E-mail:                                                     Banner Student ID @
                                                                    or
                                                            Social Security Number
 Academic Background

 1.      High School                                                 Year of Graduation

 2.     College(s) attended

 3.     List your most recent course in:

        COURSE                                                         GRADE WHERE COMPLETED DATE COMPLETED
       Algebra (NVCC MAT*H137 or college level equivalent)
       General Biology with lab (BIO*H105 or college equivalent)
       English

 4.     NVCC Basic College Skills Placement Test date
 5.     Present grade point average:

Prerequisite courses:     Completion of prerequisite courses within 5 years (since 2005) include Algebra, General Biology with
                          lab or equivalent. Chemistry background preferred. Applicants that are enrolled in and plan to complete
                          prerequisite course work (e.g. BIO*H105 and /or MAT*H137) during the Spring Semester are encouraged
                          to apply for program selection. Please indicate the date your course will be completed.

          Applicant's Signature                                               Date
CRT Applicant:
      NBRC Proof of Certification
          Year of Graduation from Respiratory School                          QPA of Respiratory Care Courses

            Return Application to NVCC Admissions Office by January 15, 2010
  *Late applications for the Fall 2010 term will be considered after January 15, 2010 on a case-by-case basis dependent upon program
        vacancies. Applications received prior to January 15 will be pre-screened when they are received. Call (203) 575-8121 or
                                   email: bmattheis@nvcc.commnet.edu with any admissions questions.
rev. 2/12/09
                          Naugatuck Valley Community College
                     Respiratory Care Program Application
                                     Fall 2010 Admission

  Admission to the Respiratory Care Program at NVCC is selective. By successfully
  completing the necessary prerequisites and other program admission requirements,
  you may qualify for this program.

  Instructions:
  Read all criteria for admission to the Respiratory Care program. These are minimal
  admissions criteria and exceptions to criteria will only be made on a case-by-case basis.

  Applicants currently enrolled in General Biology with lab (BIO*H105), Human Biology
  with lab (BIO*H115), Intermediate Algebra (MAT*H137) and/or Fundamentals of
  Writing (ENG*H063) who will complete the course by December 2009 must submit
  end of year grades. You must successfully complete these courses with a minimum of
   a “C” to be considered for admission.

  If you believe that you will fulfill all admissions criteria by June 1, 2010 complete this
  application indicating how the admissions criteria are being met. The admissions office
  will verify applicant information through review of the applicant's entire academic record
  as it is on file in the admissions or record offices.

  Applicants who are not admitted to the Respiratory Care Program for 2010 and who wish
  to seek admission in succeeding years must reapply.

  rev. 2/12/09




New or Transfer Students must submit
an NVCC Application along with this
  Program Application. Current or
 Former NVCC students need only
  submit this Program Application.                   RESPIRATORY CARE
                                                     ASSOCIATE DEGREE PROGRAM
                                                     ALLIED HEALTH/NURSING/
                                                     PHYSICAL EDUCATION DIVISION
                                                     COORDINATOR: Margaret Guerrera, BS, RRT
                                                     Ekstrom Hall 600b
                                                     Telephone: (203) 596-8662

                                                     Email: mguerrera@nvcc.commnet.edu

                                                     DIVISION DIRECTOR:
                                                     Joanne Ottman, RN, MSN

								
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