Allied Health Programs Competitive Selection

Spring 2020, Summer 2020, and Fall 2020 Semesters Valid from July 1, 2019 – June 30, 2020

www.OFTC.edu | OFTC is a unit of the Technical College System of Georgia and an Equal Opportunity Institution.

This Page Intentionally Left Blank

admissions@oftc.edu.

Admissions and Selection Process Admission to Oconee Fall Line Technical College and the competitive selection process are two separate processes; students are responsible for understanding both. This document provides instructions for both college admission and competitive selection. Please read this entire document thoroughly.

OFTC Admissions Process

To be accepted into the College and qualify for selection, students must complete all OFTC admissions requirements: • Submit a complete Application for Admission.

Applicants can apply online at oftc.edu & pay thenon-refundable application fee of $25.

• Submit an official copy of your high school, ALLcollege/university, and/or GED transcripts to theAdmissions Office. Applicants who have completed aminimum of 30 semester or 45 quarter hours at thedegree level may submit official college transcripts inlieu of high school diploma or GED. Service membersof the U.S. Air Force, Army, Coast Guard, Marines, orNavy may submit an official copy of their DD Form214 or other official documentation of military serviceindicating high school graduate or equivalent.

• Schedule placement test or provide a copy of testresults.

• Apply for Financial Aid.• Register for Class and Attend New Student

Orientation.Acceptance into the college does not guarantee admission into an allied health program. The competitive selection process is a separate process that must be completed to gain entry into the student’s desired program.

Participating Allied Health Programs

This booklet pertains only to the following Allied Health programs: • Associate Degree in Nursing Bridge• Diagnostic Medical Sonography• Practical Nursing• Radiologic Technology

• Computed Tomography (CT)• EMS Professions• Magnetic Resonance Imaging (MRI)• Medical Assisting• Pharmacy Technology• Pre-hospital EMS Operations• Respiratory Care

Competitive Selection Process

All steps below must be completed before the competitive selection deadline published for each program. Deadlines are listed online on the Competitive Admissions Programs web page at www.oftc.edu (go to Admissions, click Competitive Admissions Programs) and on the Designated Courses and Deadlines section of this booklet. To be considered for selection in an allied health program, a student must: • Successfully complete all designated courses and

additional curriculum/other requirements for selection(see the Designated Courses and Deadlines sectionin this booklet for information specific to eachprogram).

• The Test of Essential Academic Skills (TEAS) isrequired to compete for any nursing program,Diagnostic Medical Sonography, and RadiologicTechnology.

• When you are ready to compete for a seat in yourdesired program cohort, submit an Application forAllied Health Programs and Work Experience CreditVerification if applicable. Forms are available in thisbooklet and online on the Competitive AdmissionsPrograms web page at www.oftc.edu (go toAdmissions, click Competitive AdmissionsPrograms). All Applicants must submit theApplication for Allied Health Programs and WorkExperience Credit Verification if applicable at thesame time. Incomplete packets will not be accepted.

• Wait for notification from OFTC’s Admissions Office.Once selections are made, all applicants will benotified via mail of their acceptance or denial foradmission into a competitive program. Please verifythat Admissions has your current contact informationon file.

Questions?

For questions about the admissions & competitive selection process, please contact the Admissions Office at 478-553-2064 or (478) 478-274-7837 or

Page 3 of 12 3.10.20

which you are competing. If a student has failedAllied Health Programs out of any RN program, the student will not beGuidelines eligible for the Associate Degree in Nursing Bridge program unless the student completed an Competitive Criteria OFTC Practical Nursing program after the

• Students can only apply to one program and one location per semester.

• All designated courses must be completed prior to entering program courses.

• If designated core courses and additional curriculum/other requirements listed on pages 8 & 9 are not completed by the date listed under deadlines, the application will not be considered.

• Applications to compete must be completed by the documentation deadline listed on pages 8 and 9. Students without an application to compete on file in the Admissions Office will NOT be considered for competition. Applications to compete signify that you (1) have completed the designated courses, (2) will finish the designated courses by the indicated deadline, and (3) understand the competitive process, including deadlines for all documentation to include work experience forms and official college transcripts.

• Drug screen and criminal background checks will be required prior to any clinical rotation. The student is responsible for the payment of the drug screen fee and criminal background check fee that will be assessed when students register for classes with such requirements.

• Students assigned to clinical rotations at sites with requirements in addition to those covered by OFTC fees will be personally responsible for the charges associated with clinical placement.

• If a student is not selected and would like to compete in the next selection cycle, the student must submit a new application to compete and any applicable work experience form each time.

• All newly accepted students will be required to attend an orientation session prior to the beginning of the program.

Competitive Applications for: 1. Associate Degree in Nursing Bridge

• A work experience form documenting at least one year’s experience working as either a Licensed Practical Nurse (LPN) or a Licensed Paramedic is required to compete for the ADN Bridge program. Work experience must be current by the term start date of the cohort for

unsuccessful RN attempt.

2. Diagnostic Medical Sonography • Please meet with your program adviser to

develop a plan for completion of core as certain classes are only offered one time a year.

3. Practical Nursing • Completion of the courses in the Health Care

Assistant Technical Certificate of Credit is required prior to competition for the Practical Nursing program.

• All students accepted into the Practical Nursing cohort will be required to attend Math Boot Camp and a Program Orientation during the break prior to term of entry. Attendance at these events is mandatory, and dates will be listed in the student’s program acceptance letter. If a selected applicant does not attend both Orientation and Math Boot Camp, his/her slot will be forfeited. No students will be added after the orientation session occurs.

• Current American Heart Association Basic Life Support/First Aid certification will be required on the first day of class. Certification must remain current throughout program.

4. Radiologic Technology • Completion of the Imaging Science Technical

Certificate of Credit is required prior to competition for the Radiologic Technology program.

Competitive Applications for: 1. Computed Tomography (CT) 2. EMS Professions 3. Magnetic Resonance Imaging (MRI) 4. Medical Assisting 5. Pharmacy Technology 6. Pre-hospital EMS Operations 7. Respiratory Care

• If more students apply to compete than there are seats available, the competitive process will be followed with the exception of TEAS testing.

Page 4 of 12 3.10.20

• EMS Professions students may begin core classes during any semester. However, the competitive application must be completed prior to program classes in the specified semester listed on pages 8 and 9.

• Computed Tomography (CT) - Prospective students must hold a current certification in good standing with: (1) American Registry of Radiologic Technologist (ARRT) as either a registered Radiologic Technologist or Radiation Therapist, or (2) Nuclear Medicine Technology Certification Board (NMTCB) as a registered nuclear medicine technologist. OFTC Radiologic Technology graduates/students will receive first option for available seats. However, if additional seats remain after OFTC graduates/students are accommodated, other credentialed professionals in good standing with ARRT or NMTCB will be placed on a first-come, first-served basis.

• Magnetic Resonance Imaging (MRI) - Prospective students must hold a current certification in good standing with: (1) American Registry of Radiologic Technologist (ARRT) as either a registered Radiologic Technologist or Radiation Therapist, (2) American Registry for Diagnostic Medical Sonography (ARDMS) as a registered diagnostic medical sonographer, or (3) Nuclear Medicine Technology Certification Board (NMTCB) as a registered nuclear medicine technologist. OFTC Radiologic Technology graduates will receive first option for available seats. However, if additional seats remain after OFTC graduates are accommodated, other credentialed professionals in good standing with ARRT, ARDMS, or NMTCB will be placed on a first-come, first-served basis.

Designated Courses & Time Expiration • Each program has designated courses and additional

curriculum/other requirements that must be completed in order for the student to compete (refer to the Designated Courses and Deadlines Section). The GPA is calculated using grades earned in the designated courses.

• ALHS, BIOL, CHEM, and PHYS courses must have been completed within the past five (5) calendar years (January-December), and if these courses have been repeated, the last two grades within the previous five (5) calendar years (January-December) will be used in the GPA calculation. If the student

has been continuously enrolled at OFTC, the five-year period will not apply.

• OFTC will accept the following courses completed within the past three (3) calendars years (January-December): DMSO, EMSP, IMSA, MAST, NAST, PHAR, PNSG, RADT, and RESP.

• General education core courses, such as English, math, and psychology do not expire. The highest attempt of these general education core courses will be used in the GPA calculation.

• Practicing Certified Pharmacy Technicians who were graduates of the OFTC Pharmacy Technology diploma program may return to OFTC and complete the associate degree-level core courses to be granted an Associate of Applied Science Degree in Pharmacy Technology within five (5) years of graduation. An employment verification form and a diploma-level capstone exam with skills check off will be required prior to admission and can be obtained/ scheduled with the program faculty member. The student must be enrolled continuously through completion of all core classes to avoid expiration of certain courses.

• The Registrar will calculate GPAs for all students. • Transfer students must submit All final transcripts by

the designated deadline listed on pages 8 & 9. • Each applicant is responsible for providing a copy of

current CNA license if exemption credit is desired for NAST 1100-Nurse Aide Fundamentals.

Exemption Exam Exempted course credit will not be used for calculating the GPA for a competitive allied health program acceptance. Students may only exempt two courses in competitive allied health programs.

Competitive ProgramEntrance Tests • Students applying for competitive programs must

complete the entrance test requirement specific to the desired program. The Test of Essential Academic Skills (TEAS) is a requirement for entry into any nursing program, Diagnostic Medical Sonography, and Radiologic Technology.

• These tests may be taken only three times per academic year (the academic year begins each fall semester). The test must be taken and scored prior to acceptance. The highest overall score will be used in the competitive process. The TEAS must be taken

Page 5 of 12 3.10.20

within the last 12 calendar months prior to the start date of the cohort for which you are competing.

• A minimum TEAS scores of 59.5 must be attained for competition for Practical Nursing. A minimum TEAS score of 65 must be attained for competition for the Associate Degree in Nursing Bridge, Diagnostic Medical Sonography, and Radiologic Technology.

• Students should contact OFTC’s Assessment Center at either North or South campus to make an appointment to register. The TEAS test fee must be paid in advance of the test.

Bonus Points • With the exception of the ADN Bridge, bonus points

may be earned through documented, program-specific, paid work experience. One (1) bonus point for every year of work experience will be awarded with a maximum of three (3) bonus points for consecutive work experience. Only work experience from the past five years will be considered for bonus points. Work experience will be evaluated by program faculty.

• Three (3) bonus points will be awarded in Practical Nursing competition for applicants who completed the Health Care Assistant Technical Certificate of Credit at OFTC.

• Three (3) bonus points will be awarded in ADN Bridge competition for applicants who completed the Practical Nursing or Paramedicine program at OFTC.

Competitive SelectionProcess Following the successful completion (which means a grade of “C” or higher) of all designated courses, students will enter into a competitive process for determining eligibility to progress into occupational program courses. The formula used for the competitive process is: Formula (Designated courses & additional curriculum GPA x 50%) + (TEAS x 50%) + possible bonus points = Total Score • All students’ total scores will be ranked from the

openings. If all seats are not filled through the competitive admissions requirements, consideration may be given to students who did not make the required GPA or TEAS cut scores based on the number of available seats.

• In the event of a total score tie, the student with the highest GPA will be selected.

Residency Requirements forGraduation In order to graduate from Oconee Fall Line Technical College allied health programs, the student must complete a minimum of fifty percent (50%) of the course work of a particular program of study at OFTC. See the OFTC Handbook.

Re-entering or Transfer Students Students who have been unsuccessful or have withdrawn from an Allied Health program at HGTC, STC, OFTC, or another TCSG school and desire to re-enroll must compete for re-entry.

Re-entry to first semester

• Students who wish to reenroll in the first term of a program must follow the same guidelines listed above. TEAS scores already on file in the admissions office will be used in calculating the total score using the formula above as long as the former TEAS test was taken within the last 12 calender months prior to the start date of the cohort for which you are competing. Students previously in programs that did not require TEAS scores must take the exam to be considered for reentry into a competitive program.

• Students must resubmit Work Experience Credit Verification forms.

• Students wishing to transfer into the Associate Degree in Nursing Bridge program must compete and, if selected, will be placed in first semester (RNSG) program classes.

Re-entry to other semesters

highest to the lowest. Students with the highest total • All students applying for reentry into other semestersscores, a GPA of at least 3.0 and the required must first meet OFTC’s first-term entry requirements.minimum TEAS score (see “Entrance Test” section) If ALHS, BIOL, CHEM, and PHYS courses have beenwill be accepted. The total number of students repeated, the last two grades within the previous five accepted is based on the number of available

Page 6 of 12 3.10.20

(5) calendar years (January-December) will be used in the GPA calculation.

• OFTC will accept the following courses completed within the past (3) three calendar years (January-December): DMSO, EMSP, IMSA, MAST, NAST, PHAR, PNSG, RADT, and RESP.

• The highest attempt of other designated core courses will be used in the GPA calculation. Student will be ranked from the highest to the lowest based on the normal competitive process. Students with the highest ranking will be accepted, up to the maximum of available openings. This option is only available if vacant slots exist in the advanced program cohort for the semester student needs to re-enter.

• There are no advanced placement slots for transfer into the ADN Bridge program.

• Students transferring into the Practical Nursing program will be required to successfully complete the applicable ATI (Assessment Technologies Institute) exam(s) with a score of a level 2 or higher as well as a skills-based exam at 100% with OFTC faculty prior to being allowed to compete for an advanced slot. Students are allowed one attempt on the ATI and skills-based exams. Successful completion of the ATI exam is required before the skills-based exam is administered. The fee for the ATI exam must be paid with a credit card by the student during the testing process. All skills validation testing must be successfully completed by the competitive application deadline for chosen term of entry.

• In order to meet the 50% residency requirement for graduation, PNSG 2010- Introduction to Pharmacology and Clinical Calculations and PNSG 2030-Nursing Fundamentals are the only nursing classes that are eligible for transfer credit.

Appeals • Applicants who feel that they were unjustly denied

admission have the right to appeal any decision regarding acceptance to Oconee Fall Line Technical College. Appeals should be made in writing to the Dean for Student Affairs within three (3) business days of receiving notification of their admission status. The written document must include specific details supporting the appeal. A further appeal may be made to the Vice President for Student Affairs. This appeal also must be made in writing to the Vice President within three (3) business days of receiving notification of the Dean for Student Affairs' decision. The decision of the Vice President is final.

• If a student has been extended two offers of acceptance into a specific allied health program at HGTC, STC, and/or OFTC and does not complete the program, the student will be denied admittance into the program. Students who have extenuating circumstances may appeal via the admissions appeal process.

Page 7 of 12 3.10.20

Non-Discrimination Statement The Technical College System of Georgia and its constituent Technical Colleges do not discriminate on the basis of race, color, creed, national or ethnic origin, sex, religion, disability, age, political affiliation or belief, genetic information, disabled veteran, veteran of the Vietnam Era, spouse of military member or citizenship status (except in those special circumstances permitted or mandated by law). This nondiscrimination policy encompasses the operation of all technical college-administered programs, programs financed by the federal government including any Workforce Innovation and Opportunity Act (WIOA) Title I financed programs, educational programs and activities, including admissions, scholarships and loans, student life, and athletics. It also encompasses the recruitment and employment of personnel and contracting for goods and services. The Technical College System and Technical Colleges shall promote the realization of equal opportunity through a positive continuing program of specific practices designed to ensure the full realization of equal opportunity. The following person(s) has been designated to handle inquiries regarding the nondiscrimination policies: • TITLE IX Coordinator: Janet Smith, Office: South

Campus WRS 112, 478-274-7836, jrsmith@oftc.edu

• ADA/504 Coordinator: Saketta Brown, Office: South Campus WRS 112, 478-274-7643 or 478-553-2124, sdbrown@oftc.edu

• EEOC Officer: Rosemary Selby, Office: North Campus 205, 478-553-2055, rselby@oftc.edu

The Technical College System and Technical Colleges shall promote the realization of equal opportunity through a positive continuing program of specific practices designed to ensure the full realization of equal opportunity.

College Accreditation Institutional Accreditation

Southern Association of Colleges and SchoolsCommission on Colleges Oconee Fall Line Technical College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award Associate Degrees, Diplomas, and Technical Certificates of Credit. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, GA 30033-4097 or call (404) 679-4500 for questions about the accreditation of Oconee Fall Line Technical College. The Commission is to be contacted only if there is evidence that appears to support Oconee Fall Line Technical College’s significant non-compliance with a requirement or standard. Normal inquiries about Oconee Fall Line Technical College, such as admission requirements, financial aid, educational programs, etc., should be addressed directly to the College at 1189 Deepstep Road, Sandersville, GA 31082 or call 877-399-8324.

Program Accreditation

Visit www.oftc.edu/about-oftc/institutional-effectiveness/program-accreditation/ for a complete list of program accreditations.

Page 8 of 12 3.10.20

Designated Courses and Deadlines Program Designated Core

Courses Additional Curriculum/Other Requirements

Term of Entry Deadlines

ASSOCIATE DEGREE PROGRAMS Associate Degree in Nursing Bridge

BIOL 2113 BIOL 2113L BIOL 2114 BIOL 2114L BIOL 2117 BIOL 2117L

ENGL 1101 ENGL 1102 ENGL 2130 MATH 1111 or MATH 1103 PSYC 1101

One of the following courses: HIST 2111, HIST 2112, POLS 1101, SOCI 1101

And LPN unrestricted license or paramedic licenseAnd Work Experience form documenting at least one year of work experience as either a License Practical Nurse (LPN) or Licensed Paramedic. And Current CPR Card will be required on first day of class

Fall 2020 (North Campus) June 3, 2020

Diagnostic Medical Sonography

ENGL 1101 ENGL 2130 MATH 1111 MATH 1127 PSYC 1101

BIOL 2113 BIOL 2113L BIOL 2114 BIOL 2114L PHYS 1110 PHYS 1110L

Fall 2020 (South Campus) June 3, 2020

Pharmacy Technology ENGL 1101 ENGL 2130 MATH 1111 or MATH 1103 PSYC 1101 COLL 1060

ALHS 1040 ALHS 1090 BIOL 2113 BIOL 2113 L BIOL 2114 BIOL 2114 L

One of the following: ENGL 1102 HIST 2111 POLS 1101 SOCI 1101

Fall 2020 (South Campus) June 3, 2020

Radiologic Technology

ENGL 1101 ENGL 2130 MATH 1111 or MATH 1103 COLL 1060 PSYC 1101 ALHS 1090

BIOL2113 BIOL 2113L BIOL 2114 BIOL 2114L IMSA 1100 RADT 1010

*Completion of the Imaging Science Assistant Technical Certificate of Credit is required prior to competition.

Spring 2020 (South Campus)- November 6, 2019

Respiratory Care ENGL 1101 ENGL 2130 MATH 1111 COLL 1060 BIOL 2113 BIOL 2113L BIOL 2114

BIOL 2114L BIOL 2117 BIOL 2117L CHEM 1151 CHEM 1151L PSYC 1101

n/a Fall 2020 (South Campus) June 3, 2020

DIPLOMA PROGRAMS EMS Professions n/a n/a Fall 2020 (South Campus) June 3, 2020 Medical Assisting ENGL 1010

MATH 1012 PSYC 1010

COLL 1060 ALHS 1011 ALHS 1090

n/a Spring 2020 (South Campus)-

Fall 2020 (South Campus)

November 6, 2019

June 3, 2020 Pharmacy Technology ENGL 1010

MATH 1012 PSYC 1010 COLL 1060

ALHS 1011 ALHS 1040 ALHS 1090

n/a Fall 2020 (South Campus) June 3, 2020

Practical Nursing ENGL 1010 PSYC 1010 MATH 1012 COLL 1060 ALHS 1011

ALHS 1040 ALHS 1090 ALHS 1060 NAST 1100 or current Georgia Nurse Aide Registry

Program Orientation & Math Boot Camp upon each acceptance into cohort. And Current Basic Life Support /First Aid Certification required first day of class

Spring 2020 (South Campus)-

Fall 2020 (North & South Campus)

November 6, 2019

June 3, 2020

Page 9 of 12 3.10.20

Program Designated Core Courses

Additional Curriculum/ Other Requirements

Term of Entry Deadlines

TECHNICAL CERTIFICATE OF CREDIT PROGRAMS Computed Tomography (CT)

n/a Current certification in good standing with: (1) ARRT as e ither a registered Radiologic Technologist or Radiation Therapist, or (2) NMTCB as a registered nucl ear medici ne technologist.

Summer 2020 Campus)

(South March 4, 2020

Magnetic Resonance Imaging (MRI)

n/a Current certification in good standing with: (1) ARRT as e ither a registered Radiologic Technologist or Radiation Therapist, (2) ARDMS as a registered diagnostic medical sonographer, or (3) NMTCB as a registered nuclear medicine technologist.

Fall 2020 (South Campus) June 3, 2020

Pre-hospital EMS Operations

n/a n/a Fal l 2020 (South Campus) June 3, 2020

Page 10 of 12 3.10.20

-

_______________________________________ ______________________________________

Application for Allied Health Programs

Students can only apply to one program, one location per semester. Check the program and term for which you are applying. Programs marked with asterisk may become competitive if the number of competitors exceeds available seats. COMPETITIVE PROGRAMS: NON COMPETITIVE PROGRAMS: • Associate Degree in Nursing Bridge (ADN)

• Fall 2020—North Campus (Sandersville) • Computed Tomography (CT)

• Summer 2020—South Campus (Dublin) • Pharmacy Technology Degree*

• Fall 2020—South Campus (Dublin) • Diagnostic Medical Sonography

• Fall 2020—South Campus (Dublin) • EMS Professions*

• Fall 2020—South Campus (Dublin) • Pharmacy Technology Diploma*

• Fall 2020—South Campus (Dublin) • Practical Nursing

• Spring 2020—South Campus (Dublin) • Fall 2020—North Campus (Sandersville) • Fall 2020—South Campus (Dublin)

• Magnetic Resonance Imaging (MRI) • Fall 2020—South Campus (Dublin)

• Pre-hospital EMS Operations* • Fall 2020—South Campus (Dublin)

• Radiologic Technology • Spring 2020—South Campus (Dublin)

• Medical Assisting* • Spring 2020—South Campus (Dublin) • Fall 2020—South Campus (Dublin)

• Respiratory Care* • Fall 2020—South Campus (Dublin))

Full Legal Name _____________________________________________________ Student ID No. 900_____________________ (Last) (First) (Middle)

Previous Names (if any) ______________________ County _____________________ Last 4 digits of SS# ______________________

Home Phone ______________________ Work Phone _______________________ Cell Phone_____________________________

Mailing Address____________________________________________________________________________________________ (Street or Box) (City) (State) (Zip)

Email Address_____________________________ Circle highest level of education completed: GED 12 13 14 15 Bachelor

YOUR STUDENT STATUS Please check the description that applies to you:

______ 1. First time applicant. If you are a first time applicant to OFTC, you must submit an application for admission to OFTC and pay a $25.00 fee. All final transcripts showing completion of designated courses must be received by the posted deadline.

______ 2. Current student at OFTC. I will complete all designated courses by the end of the current term. ______ 3. Former OFTC student, HGTC student, or STC student re-applying for admission, who has completed all designated courses. ______ 4. Applicant who is transferring all designated classes from another college(s). ______ 5. Re-entry: (Allowed for all programs except ADN), Circle Semester: 1st 2nd 3rd 4th

WORK EXPERIENCE FORMS Have you submitted work experience documentation and taken the TEAS exam? TEAS is required to compete for any nursing program, Diagnostic Medical Sonography, and Radiologic Technology. You must resubmit work experience documentation every time you compete.

• Yes • No, but plan to do so by the posted deadline. • I have no related work experience.

REQUIRED FOR ADN APPLICANTS: Unrestricted LPN License or Paramedic License Number_______________________________ Have you previously been admitted to an RN Program? _____Yes _____No If “yes,” please provide college name, dates, and reason for withdrawal: _______________________________________________________________

I understand that the Admissions office of OFTC will notify me by mail whether or not I am admitted to the program. I understand that I am responsible for submitting all transcripts, TEAS scores, and work experience credit documentation by the required deadline to compete for my chosen program.

Student’s Signature Date

The Technical College System of Georgia and its constituent technical colleges do not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political affiliation or belief, genetic information, disabled veteran, veteran of the Vietnam Era, or citizenship status (except in those special circumstances permitted or mandated by law). This nondiscrimination policy encompasses the operation of all educational programs and activities, including admissions policies, scholarship and loan programs, athletic and other Technical College System and College-administered programs, including any Workforce Investment Act of 1998 (WIA) Title I financed programs. It also encompasses the employment of personnel and contracting for goods and services.

For more information, contact: TITLE IX Coordinator Janet Smith, Office: South Campus WRS 112, 478-274-7836 jrsmith@oftc.edu, ADA/504 Coordinator Saketta Brown, Office: South Campus WRS 112, 478-274-7643, sdbrown@oftc.edu, EEOC Officer Rosemary Selby, Office: North Campus 205, 478-553-2055, rselby@oftc.edu Send completed form to one of the following: North Campus –1189 Deepstep Road, Sandersville, GA 31082, Phone: 478-553-2064, Fax: 800-373-4783, Email: admissions@oftc.edu

South Campus – 560 Pinehill Road, Dublin, GA 31021, Phone: 478-274-7837, Fax: 800-373-4783, Email: admissions@oftc.edu

Oconee Fall Line Technical College is a unit of the Technical College System of Georgia and an Equal Opportunity Institution | www.OFTC.edu Updated 3.10.20 Page 11 of 12 3.10.20

-

_____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________

______________________________________________________ ______________________________________________

______________________________________________________ ______________________________________________

______________________________________________________ ______________________________________________

______________________________________________________ ______________________________________________

Work Experience Credit Verification IMPORTANT: Use a separate form for each employer. NOTE: This form is REQUIRED for ADN students and OPTIONAL for other Allied Health programs as credit.

COMPETITIVE PROGRAMS: NON COMPETITIVE PROGRAMS: • Associate Degree in Nursing Bridge (ADN)

• Fall 2020—North Campus (Sandersville) • Computed Tomography (CT)

• Summer 2020—South Campus (Dublin) • Pharmacy Technology Degree*

• Fall 2020—South Campus (Dublin) • Diagnostic Medical Sonography

• Fall 2020—South Campus (Dublin) • EMS Professions*

• Fall 2020—South Campus (Dublin) • Pharmacy Technology Diploma*

• Fall 2020—South Campus (Dublin) • Practical Nursing

• Spring 2020—South Campus (Dublin) • Fall 2020—North Campus (Sandersville) • Fall 2020—South Campus (Dublin)

• Magnetic Resonance Imaging (MRI) • Fall 2020—South Campus (Dublin)

• Pre-hospital EMS Operations* • Fall 2020—South Campus (Dublin)

• Radiologic Technology • Spring 2020—South Campus (Dublin)

• Medical Assisting* • Spring 2020—South Campus (Dublin) • Fall 2020—South Campus (Dublin)

• Respiratory Care* • Fall 2020—South Campus (Dublin))

Student’s Name________________________________________ Student ID 900____________________

I certify that the above named person has been employed by this facility as a paid employee within the last five years. For Allied Health students (does not include ADN students): “Bonus” points equaling one point for each year of work experience directly related to the program of study will be awarded, up to a maximum of 3 (three) bonus points.

Employer, please list major duties and dates (month/year) of employment for each position held. If the individual is still employed, please write “still employed” as the end date. Additional space is provided in the event the employee held more than one position in the company.

(1) HIRE DATE / END DATE: _________________________ POSITION/JOB TITLE:____________________________________ Duties:_______________________________________________________________________________________________________________

(2) HIRE DATE / END DATE: _________________________ POSITION/JOB TITLE:____________________________________ Duties:_______________________________________________________________________________________________________________

Name of Person completing this form (Please print) Position/Job Title

Signature of Person Completing this form) Business Address

Date City State Zip

Name of Business Phone

Send completed form to one of the following: North Campus –1189 Deepstep Road, Sandersville, GA 31082, Phone: 478-553-2064, Fax: 800-373-4783, Email: admissions@oftc.edu South Campus – 560 Pinehill Road, Dublin, GA 31021, Phone: 478-274-7837, Fax: 800-373-4783, Email: admissions@oftc.edu

Oconee Fall Line Technical College is a unit of the Technical College System of Georgia and an Equal Opportunity Institution | www.OFTC.edu 3.10.20 Page 12 of 12 3.10.20