Medical Assisting Application for Admission

Applications are validated by completing an information session September 11, 2019 to February 25, 2019.

Deadline for submission of the Health Science application is March 15, 2020.

Do not submit this application after March 15, 2020.

First Name *

Your answer

Last Name *

Your answer

Student ID Number *

Your answer

Street Address *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Phone Number *

Your answer

Personal Email Address *

Your answer

MYEDGE Email Address

The MYEDGE email account is created upon application to the school. This is the address all faculty and staff will use to contact you once your application to the college has been submitted. Example: First Initial, Last Name, Date of Birth (jdoe0612@myedge.cc)

Your answer

Have you completed an admissions application to Edgecombe Community College? *

You must complete the ECC application for admission: https://www1.cfnc.org/Applications/NC_Community_College/apply.html?application_id=1496

Yes

Educational Experience *

High School Graduate

GED

High school or GED completion date *

YYYY

College/Training Previously Attended *

Include all (1) colleges attended, (2) degrees/diplomas/certificates awarded, and (3) years attended.

Your answer

Official Transcripts *

I understand that I am responsible for having official copies of all transcripts sent to ECC, including high school or GED. It is my responsibility to check with the Office of Admissions to verify all transcripts have been received at admissions@edgecombe.edu.

Required

Do you have work experience related to the medical field? *

Yes

If you answered yes to the question above, list (1) Employer (2) Modality (3) Date/s you worked

Your answer

Do you have any active certifications (excluding CPR)? *

Yes

If you answered yes to the question above, list (1) Certifying agency (2) Certificate earned (3) Date earned

Your answer

Edgecombe Community College serves the public without regard to race, creed, color, religion, national origin, or sex.

When did you attend a health science information session? *

ECC Health Sciences Admission Policies and Requirements *

I understand ECC’s admission policies and requirements for the program, and that I must meet these requirements to be considered for selection. I understand if admitted I will be required to submit to a drug screen and background check in order to perform the clinical rotations necessary to successfully complete this program of study.

Required

*All required fields must be completed for successful submission of this application.

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