Operating Students 3 - 4

Pre-Admission Checklist

ALL NECESSARY ADMISSION ELIGIBILITY REQUIREMENTS MUST BE COMPLETED BEFORE THE START OF THE SEMESTER:

  • Certified Surgical Technologist (CST) or Certified Nurse-Operating Room (CNOR) or documented experience in Surgical Assisting.
  • Proof of professional liability insurance. ($22.00 must be purchased through school ) This is added to your tuition bill.
  • Current CPR or BLS certification (copy of certification)
  • Application to Madisonville Community College
  • Fall Class Registration Form
  • Clinical Facility Information Form (this will be sent in the spring)
  • Memorandum of Agreement (MOA) (if a current one is not on file at MCC) (form sent in spring)
  • Letter from clinical facility stating you are allowed to perform clinicals (on facility letterhead)
  • Preceptor Form(s) (minimum 1 surgeon) - will be sent in spring
  • Employee Health record (MMR, TB, Hep-B --copy of employee health records)
  • Drug Screen/Background Check (more info to come on this in the spring.)
  • 2 letters of recommendation
  • Copy of Driver’s License
  • Copy of Employee Badge
  • Copy of Certification/License if a CST currently
  • Paid Liability Insurance (this will be purchased through the school)
  • Handbook signature page (Handbook and form will be sent to you in July/Aug)

Please send transcripts from previous schools/colleges to: 

Records Office
2000 College Drive
Madisonville, KY 42431

Payment: There will be more info regarding this and a due date for payment. Meeting this deadline is imperative to avoid be dropped from the program.