I have: |
On This Date: |
Completed the WCTC Admissions process on |
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Requested my high school/college transcripts be sent on |
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Completed the admissions testing on |
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| Attended an informational meeting
on |
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| Completed all my program readiness course(s) in the Learning
Place (if needed) on |
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| Completed the program prerequisites (ie. chemistry, biology,
etc.) (if needed) on |
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| Passed the typing test
(only for Medical Assistant, Medical Transcription, and Phlebotomy
programs) (six months from the date of application) on |
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| Read the Allied Health Handbook
containing the program’s essential functions on |
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| Filled out the Background Information
Disclosure BID (HFS-64) (only for Dental
Hygienist, Medical Assistant, Surgical Technology, Phlebotomy,
& Radiography) |
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| Filled out the Medical Coding Specialist & Phlebotomy
program computer skills evalution/assessment
(required for all Medical Coding students) (waived
only for Phlebotomy) (download
Adobe Acrobat) |
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| Have read and are able to meet the Medical
Assistant Program Technical Standards and have signed the
receipt form. (download
Adobe Acrobat) |
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| Filled out the Criminal History Request
CHR (DJ-LE-250) (only for Dental Hygienist
(at clinical orientation meeting), Medical Assistant, Surgical
Technology, Phlebotomy, & Radiography) |
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| Read the Program Information Contract
on |
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| Filled out the Health Requirement Forms |
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| Student Name |
| SS # or ID # |
| Name of Program |
| Address
City / Zip |