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Surgical Technology Application for Admission
Applications are validated by completing an information session September 2024 to March 2025.
Deadline for submission of the Health Science application is March 15, 2025.
Do not submit this application after March 15, 2025. Reach out the admissions counselor for inquiries.
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Health Science Information Sessions
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Student ID
*
DO NOT USE SOCIAL SECURITY NUMBER
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Email Address
*
Your answer
Student Email Account
Student email accounts are 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@my.edgecombe.edu
)
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
. *DO NOT SIGN UP FOR TEAS UNLESS YOU HAVE COMPLETED THE ECC APPLICATION FOR ADMISSION
Yes
No
Do you have a high school diploma or GED?
*
Yes
No
High school or GED completion date
*
MM
/
DD
/
YYYY
Are you a high school senior or GED student who will graduate by June of this year?
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Yes
No
Are you an ECC Early College student who will be 18 years of age by the time surgical technology clinical rotation begins (week 17 of the semester)?
*
Yes
No
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
No
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
No
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?
*
MM
/
DD
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YYYY
ECC Health Sciences Admission Policies and Requirements
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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
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