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Dear Medical Laboratory Technology Program Applicant, Congratulations on entering the process for admissions into the Spartanburg Community College Medical Laboratory Technology Program! You will find the pertinent forms and instructions necessary for completion of your applicant packet at the links below. Only forms marked as “Official Forms 2018” will be accepted. Application packets must be submitted Monday May 21, 2018 at 8:00AM - Tuesday May 22, 2018 at 5:00PM. Packets are to be placed in a sealed envelope with the student’s name, college ID, and Medical Laboratory Technology Program noted on the outside of the envelope in the Applications Box located in the HSB Lobby outside of room 146. Do not give, or leave packets for the Administrative Specialists or program faculty to place in the box. All packets must be in the Applications Box by 5:00PM Tuesday, May 22, 2018. All students submitting an application packet will receive e-mail notification through the SCC Student E-Mail Account indicating their admissions status by mid-June 2018. Those accepted into the program will receive additional information regarding mandatory orientation The criminal background investigation and drug testing sheet is for your information only. Upon acceptance into the program you will receive more information on the process for completing the criminal background investigation and drug testing as well as registering for Fall Term classes during the mandatory Program Orientation scheduled during Summer Term. Please follow all directions carefully. The completion of this packet is a self-directed task. If you have questions, please contact your Medical Laboratory Technology Program faculty advisor. Sincerely, Medical Laboratory Technology Faculty (10/4/2017) Official Forms 2018

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Dear Medical Laboratory Technology Program Applicant,

Congratulations on entering the process for admissions into the Spartanburg Community College

Medical Laboratory Technology Program!

You will find the pertinent forms and instructions necessary for completion of your applicant packet at

the links below. Only forms marked as “Official Forms 2018” will be accepted.

Application packets must be submitted Monday May 21, 2018 at 8:00AM - Tuesday May 22, 2018

at 5:00PM. Packets are to be placed in a sealed envelope with the student’s name, college ID, and

Medical Laboratory Technology Program noted on the outside of the envelope in the Applications Box

located in the HSB Lobby outside of room 146. Do not give, or leave packets for the Administrative

Specialists or program faculty to place in the box. All packets must be in the Applications Box by

5:00PM Tuesday, May 22, 2018.

All students submitting an application packet will receive e-mail notification through the SCC Student

E-Mail Account indicating their admissions status by mid-June 2018. Those accepted into the program

will receive additional information regarding mandatory orientation

The criminal background investigation and drug testing sheet is for your information only. Upon

acceptance into the program you will receive more information on the process for completing the

criminal background investigation and drug testing as well as registering for Fall Term classes during

the mandatory Program Orientation scheduled during Summer Term.

Please follow all directions carefully. The completion of this packet is a self-directed task. If you have

questions, please contact your Medical Laboratory Technology Program faculty advisor.

Sincerely,

Medical Laboratory Technology Faculty (10/4/2017)

Official Forms 2018

Checklist for Medical Laboratory Technology Student Applications

The following items must be included in your application packet prior to returning it on the

designated day. Omission of any of the following items may cause your packet to be deemed

incomplete.

______ 1. The official Medical Laboratory Technology Program selective ranking

score sheet. This score sheet must be completed in its entirety – neatly and

legibly in ink.

2. A printed GPA calculator to show a grade point of 2.5 or higher. Use only the

GPA calculator accessed through the Medical Laboratory Technology Program

website.

3. Transcripts of all previous college course work submitted for

consideration to support the grades reflected on the official score sheet.

(For courses in which you received transfer credit, you must submit a

“Transfer Equivalency Report” issued by Spartanburg Community

College Records Office identifying the courses for which you received credit

and the grade earned.)

**You do not need to submit a high school transcript. It should be on file

as part of your admissions process to Spartanburg Community College.

Program faculty will verify points for high school courses. You may want to

verify that a copy is on file.

4. Copy/proof of any previous academic degrees earned to support the points

reflected on the official score sheet. (Copy of actual degree or copy of official

transcript listing degree/date awarded.)

5. Proof of employment in a Health Related Professions site to include date

of hire, length of employment, and job capacity to support the points reflected

on the official score sheet, OR proof of volunteer work to include agency, dates

of volunteer work and volunteer position capacity. This should be from the

supervisor on company letterhead.

You do not need to return this checklist. It is for your benefit only. (10/4/2017)

Official Forms 2018

CRIMINAL BACKGROUND INVESTIGATIONS (CBI)/DRUG TESTING POLICY

HEALTH AND HUMAN SERVICES DIVISION

SPARTANBURG COMMUNITY COLLEGE

A criminal background investigation (CBI) and drug testing are required for each Health and Human

Services student who has been accepted into a curriculum program of study with the exception of ITP

and ECD (only CBI required).

Students who have been found guilty, by a court of law, or pled no contest (nolo contendere) to a

crime, when conviction has occurred within the last 7-10 years, of the following crimes are deemed

unqualified to attend clinical training.

Crimes include, but not limited to the following:

1. Child or adult abuse

2. Sexual assault

3. Assault with a deadly weapon

4. Neglect

5. Mistreatment of residents, patients/clients

6. Misappropriation of resident/patient/client property

The clinical affiliate may exercise discretion regarding other convictions.

A criminal background check must be completed for each state the student has been a resident in the

last 12 months. Both the criminal background check and drug test will only be conducted at the

students expense after he/she has been accepted into a curriculum program of study. The results of the

background check and drug test must be obtained before the student will be allowed into the clinical

site. If the results of either of these procedures document a violation as indicated above, the results will

be sent to the clinical facility to be reviewed and a determination of whether the student will or will not

be allowed in clinical by that facility. The healthcare facility will send in writing a statement whether

the student has approval to attend clinical rotations within their facility. A student with a positive drug

test will be dismissed from the program for 1 year. This will count as one program attempt. He or she

may recycle into a program only once. Upon readmission to the Program, drug testing at the student’s

expense will be required each semester until he or she completes the Program.

Any student unable to attend a clinical affiliate will be required to withdraw from his or her

program of study.

If a student has a documented offense after completing the CBI check, he/she must notify the

department head or program coordinator in writing within 24 hours of the offense occurring.

If the department head or program coordinator is not appropriately notified in writing within the time

limit, disciplinary action will be taken against the student if this information has been documented in

the public domain.

*This form is for your information only – do not return it in the application packet. (10/4/2017)

Official Forms 2018

Criteria Considerations Scoring Grade Points

Completion of High School Level Pre-Calculus or Trigonometry, Algebra II, or equivalent with a grade of C or higher.

Review student's transcript to verify points

(1) Trigonometry or Pre-Calculus,and Algebra IIcompleted = 2 points(2) Algebra II completed = 1 point

Completion of High School Level Biology, Chemistry, BIO 100, CHM 100 or equivalent with a grade of C or higher.*

Review student's transcript to verify points (1) Biology and Chemistry = 2 points

COL 101* College Orientation

Review student's transcript to verify points

1 point for completion of course

ENG 101*English Composition I

Review student's transcript to verify points

A = 3B = 2C = 1D,F,W,WF = 0

MAT 110* College Algebra

Review student's transcript to verify points

A = 5B = 3C = 1D,F,W,WF = 0

SPC 205* Public Speaking

Review student's transcript to verify points

A = 3B = 2C = 1D,F,W,WF = 0

PSY 201 or other Social Science

Review student's transcript to verify points

A = 3B = 2C = 1D,F,W,WF = 0

Humanities Elective ____________ (list course here)

Review student's transcript to verify points

A = 3B = 2C = 1D,F,W,WF = 0

Health Related Professions experience within last 5 years, excluding observation hours (minimum one year employment)

(Select only one) Maximum points = 2(Must provide proof from supervisor on company letterhead, to include start date, length, and job duties)

(1) Employed within the Laboratory Department = 2 points(2) Employed in area other than Laboratory in a healthcare facility = 1 point(3) Volunteered in Health Related Professions Area(at least six consecutive months) =1 point

Previous Education

(Select only one) Maximum points = 3(Must show proof of degree, certifcate or diploma.)

Masters or Bachelors Degree in Biology, Chemistry, or a Health Profession = 4 points Masters, Bachelors, or Associate Degree in any other discipline = 2 points Health or Non-Health related Certificate or Diploma = 1 point

Medical Laboratory Technology Program Information Session

Maximum 2 points, Review attendance record to verify.

Attendance at a SCC Medical Laboratory Technology Program Information Session = 2 points

Total Score

* Courses required in Phase I and for eligibility to apply to the Medical Laboratory Technology Program.

Student's  Signature : _____________________________________  Date:________________

Initials of MLT Faculty verifying scores:____________________________ Date:__________________ R evised : 10 / 4 / 2 0 17

SPARTANBURG COMMUNITY COLLEGEMedical Laboratory Technology Program-Associate in Applied Science Degree

Selective Ranking Score Sheet

STUDENT STUDENT COLLEGE ID DATE

Students must complete Phase I of the Medical Laboratory Technology Program with a minimum GPA of 2.5 (4.0 scale).

Applicants must calculate their points on the Selective Ranking Score Sheet and provide supporting documentation for

each score. The sheet will be verified by the Program Faculty. Students with the highest points will be selected for

admission, up to the maximum number of slots allowed.

Medical LaboratoryTechnology Program Applicants will receive points toward admission based on the following criteria:

Maximum Possible Score = 30 points

Official Forms 2018