Revised 4/23/19

School of Health, Education and Services Health Program Application Florida State College at Jacksonville 4501 Capper Road, Jacksonville, Florida 32218

Personal Information: Please Print Student Name: EMPL # (number on back of student ID) ______Last Four of Social Security #: ______In compliance with Florida State Statute 119.071(5), students should be aware that Florida State College at Jacksonville collects and uses social security numbers (SSNs) if specifically required by law to do so or if necessary for the performance of the College's duties and responsibilities. The College takes appropriate measures to secure SSNs from unauthorized access and does not release SSNs to other parties except as required to fulfill the College's duties and responsibilities. View full list of SSN collection purposes.

Street Address: City, State, Zip Personal Email ______FSCJ Email ______Home Phone: ______Cell Phone: ______Birthdate: ______Sex: Male ☐ Female ☐ Race: Black ☐ American Indian ☐ Alaskan Native ☐ White (Not Hispanic Origin) ☐ Asian Or Pacific Islander ☐ Hispanic ☐ Certification:

I, certify that all information given in this application is true and accurate to the best of my knowledge. I understand that if I have falsified any information, I am subject to immediate dismissal from the School of Health and Human Services program for which I am selected. I understand that all correspondence regarding the program will be sent to my Florida State College at Jacksonville email account. All applicants will be notified of their status 2 to 3 weeks after deadline date.

Signature: Date ______Participation in any health program requires a medical history and physical examination, including a record of immunizations. For programs that have clinical training components, students must complete a background check and drug screening. Students selected for admission into a program will be provided with the necessary health and screening forms. Students who are unable to complete the clinical requirements after acceptance into selective access programs are not eligible for refunds of tuition and fees.

Medical Lab Tech Revised 4/22/19 School of Health, Education and Human Services Health Program Application Florida State College at Jacksonville 4501 Capper Road Jacksonville, Florida 32218

Thank you for your interest in the Medical Technology program at Florida State College at Jacksonville. Please read the instructions carefully and complete the application in its entirety. The application deadline for admission into program is:

Fall term – May 15

How to apply to the College You must be a student of the college before applying to the program. Be sure to follow the instructions below: 1. Go to www.fscj.edu 2. Click on “Apply” button 3. Click on “Create a new application” 4. Complete the form to create an account 5. There is a $25 fee for each type of admission application submitted to the college (No fee for program applications) 6. If you graduated from a public high school in Duval County (after June 1989), St. Johns County (after June 1993) or Clay County (after June 1992) county, the College will request an official transcript after we receive your application. If our request is not honored by the high school, students will be notified by mail to request their own official transcript. If you graduated from a public or private high school outside of Duval, St. Johns or Clay counties, please have your high school send an official transcript indicating your graduation date to:

Admissions Office Florida State College at Jacksonville P.O. Box 40515 Jacksonville, FL 32203-0515

If you have attended any other college or university, please request each school to forward your official transcript to the above address. All post-secondary transcripts must be received and evaluated before a student can attend college credit orientation through FSCJ Smart Start. All transcripts must be received and evaluated to be approved for financial aid. 7. Apply for Residency 8. Complete College Assessment 9. Apply for Financial Aid and Scholarships 10. Schedule orientation through FSCJ Smart Start

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How to Apply to the Program

Before submitting this application, the following must be completed:

1. Complete all prerequisite courses for the Technology program. a. ENC 1101 English Composition I b. MAC 1105 College Algebra or higher MAC prefix course. c. CHM 1025C Introduction to General Chemistry. CHM 1032C or CHM 2045C may be taken in place of CHM 1025C. d. BSC2020C – Human e. MCB2010C – f. HSC1531 – Medical Terminology (for Health Professions)

2. Submit Health Program Application by one of the following methods: a. Email all documents to [email protected] (Preferred method) b. Hand deliver to the Health Career Information Center, North Campus, Building A Room 224. c. Mail to 4501 Capper Rd, Room A224, Jacksonville, FL 32218 Direct all questions to the Health Career Information Center at 904-713-4545

Status notifications will be sent to your FSCJ email account only.

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ADMITTING PROCEDURES FOR FLORIDA STATE COLLEGE AT JACKSONVILLE

1 Please contact the Student Success office on any campus for an application to the college. Alternatively, you can apply online through our website: www.fscj.edu.

CRITERIA FOR ADMISSION TO MEDICAL LABORATORY TECHNOLOGY

1. Students entering the program must apply for admission to both Florida State College at Jacksonville and the Medical Laboratory Technology Program.

2. Students are required to furnish transcripts verifying their education. Official transcripts must be sent directly to the college registrar’s office for evaluation to FSCJ transcripts. Only FSCJ transcripts are used to verify completion of prerequisites.

3. Students must have a minimum GPA of 2.5.

4. Students who complete the application process, supply the required information, and have completed the prerequisite courses are eligible for acceptance.

5. Due to limited clinical training space, the number of students accepted into the MLT program each fall will vary.

6. Students must place at college algebra, college reading (REA 1105), and English Composition I on the Florida (CPT) College Placement Test (or comparable documentation) College preparatory coursework, if indicated as necessary by the (CPT) placement scores, must be completed to receive final program approval for continuation.

7. Students whose native language is other than English and wishing to complete a degree program must be counseled/tested by the (ESOL) English for Speakers of Other Languages. For more information, contact Instructional Program Manager Meredith Moore, [email protected].

8. The Medical Lab Program reserves the right to deny admission or require withdrawal of any student who, in the judgment of the department, gives evidence of being unable to perform the responsibilities and tasks required of the medical lab profession.

9. Once all applications have been reviewed, students with completed applications to MLT program on file and prerequisite coursework completed or in progress will be evaluated for acceptance to continue in the MLT program. All students will be notified of their status through FSCJ email (approximately 2 to 3 weeks). In the case that more students meet the criteria established above for continuation than there are spaces available, a selection process will be used, ranking students by the following factors: • Educational preparation • GPA

10. Students will be expected to complete a drug screen and background check prior to the MLT orientation. Details will be furnished in the acceptance letter. A positive drug screen or background check may prevent you from being placed in a clinical rotation and prevent you from being able to complete the program.

11. Students are required to submit health data, background checks, drug screens, and other information in MyClinicalExchange prior to clinical placement. 4

PROGRAM GOALS

The program goals are to:

1. Provide an integrated medical laboratory science curriculum for the benefit of our students and community health agencies;

2. Provide a program of continuing education in medical laboratory technology for the benefit of our graduates and other professional medical laboratorians practicing in community health agencies.

GRADUATE COMPETENCIES

Upon graduation from the program, graduates will be able to demonstrate:

Theoretical knowledge and technical skills in the clinical laboratory according to established laboratory standards

Error recognition, and the ability to integrate and interpret analytical data, and establish a course of action to solve problems

Professionalism and ethical behavior

Skills consistent with philosophies of quality assurance, and continuous quality improvement.

Safe laboratory practice to include maintenance of working environment, adherence to all safety rules and regulations, and appropriate test sample acquisition and handling

Communication skills to ensure correct, effective, courteous and appropriate information transfer

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Essential Functions Medical Laboratory Technology

Essential functions (or technical performance standards) represent the essential non-academic requirements of the AS-MLT program that students must master to successfully participate in the program. Students must be able to affirm their ability to comply with the following functions:

HEALTH: • Possess the physical, mental, and emotional health to maintain alertness and concentration during an 8-hour day under the stressful conditions of technical malfunctions, time constraints, and a distracting environment. • Move freely and safely around the laboratory and . • Possess normal, or correctable hearing. • Possess the ability to: o Bend, stoop, stand o Lift and move objects of at least 20 pounds o Grasp with one or both hands o Reach laboratory bench tops, shelves, patients lying in bed or seated in a specimen collection chair. o Perform moderately taxing repetitive tasks, often requiring prolonged sitting or standing over several hours.

MANUAL DEXTERITY: • Possess sufficient hand-eye motor coordination to allow delicate manipulations of specimens, instruments and tools. • Grasp and release small objects (specimen tubes, pipette tips, pipettes, reagent vials, inoculating loops) • Twist and turn dials/knobs • Utilize a computer keyboard and mouse to operate laboratory instruments and verify and transmit data. VISION: • Characterize the color, clarity, and viscosity of biological specimens, reagents, or chemical reaction end products. • Discriminate color, shading, and fine structural differences of microscopic specimens using a clinical grade binocular microscope. • Identify and distinguish objects macroscopically. • Read text, numbers, and graphs both in print and on a video monitor. • Judge distance and depth accurately.

BEHAVIOR: • Possess the ability to be independent, flexible, creative and adaptable to change. • Possess the willingness to work with sharp objects, hazardous chemicals, and infectious or biohazardous materials. • Recognize potentially hazardous materials, equipment, and situations and proceed safely minimizing risk of injury to patients, self and co-workers.

• Demonstrate honest, compassionate, ethical and responsible conduct at all times. • Be honest and forthright about error or uncertainty. • Promote a team approach to learning, task completion, problem solving, and patient care by respecting, supporting and promoting the activities of fellow students and professionals. • Project an image of professionalism. 6

INTELLECTUAL: • Apply knowledge and skills to new situations. • Apply complex thought processes to problem solving and/or troubleshooting. • Use reasonable judgment under stressful conditions to recognize and correct performance deviations. • Organize, prioritize, and perform task productively, with accuracy and within feasible time limits. • Work concurrently on two or more different tasks. • Recognize emergency situations and take appropriate action.

COMMUNICATION: • Follow verbal and written instruction in Standard English. • Read and comprehend text, numbers, and graphs in professional and technical materials (e.g., textbooks, internet, handbooks and procedure manuals). • Independently study and prepare papers, reports or posters. • Deliver oral presentation to fellow students and health care professionals as required. • Take paper, computer, and laboratory practical examinations at the post-secondary level. • Interact and communicate effectively, sensitively and confidentially with all patients, healthcare professionals and coworkers. • Use applicable computer software and the internet for communication, education and professional purposes.

AFFILIATE ASSIGNMENTS

Regional and private participate in offering student rotations in the medical laboratory. Students are assigned to a hospital by decision of the program director using the following criteria:

a) Completion of all General education requirements. b) Completion of all core courses. c) Successful completion of all MLT courses. d) Completion of MyClinicalExchange e) Clinical affiliate approval f) Florida Training License g) Student G.P.A.

Students not placed in practicum due to the lack of clinical space will be placed on a practicum waiting list according to the above criteria and G.P.A. Each student will be placed according to his or her ranking on the waiting list. Once assigned, the student will adhere to all regulations mandated by the clinical affiliate in conjunction with the regulations of the Medical Laboratory Technology program at Florida State College at Jacksonville.

The student in the assigned medical laboratory will be taught by practicing licensed Medical technologist on duty, who are also responsible for the effective operation of their department in the delivery of patient care. They will give the student tutorial as well as 'hands on' instruction in medical laboratory techniques. It is the responsibility of the practicum student to learn his/her future occupation by following instructions explicitly. Clinical instructors provide the daily technical instruction in the performance of medical laboratory techniques, evaluate student's progress in mastering medical lab assignments, and judge the level of competence. Florida Clinical Board Rule 64B3- 3.002 (3) forbids students to be a substitution for a licensed clinical laboratory personnel, and report

7 clinical laboratory results. Students are only permitted to perform tests when a laboratory director, supervisor or technologist is in the immediate bench area where the student is performing tests.

Students that refuse the assigned clinical rotation will be placed at the end of the rotation list until a site becomes available.

Rotation through the medical laboratory will vary with the clinical affiliate and the calendar length of the practicum.

The clinical practicum rotation schedules will be designed to adequately accomplish the objectives of MLT 2800L and MLT 2801L, Medical Laboratory Technology Practicum I and II.

FSCJ MEDICAL LABORATORY TECHNOLOGY CLINICAL AFFILIATES

Baptist Medical Center Founded 1955 800 Prudential Drive Beds – 601 (includes Children’s Hospital) Jacksonville, FL 32207 Full Service Education Coordinator: Private, not-for-profit Marsha Pace Serves Baptist Regional Cancer Institute, Eye Institute

Baptist Medical Center- Beaches Founded 1961 1350 13th Ave. South Beds – 146 (no OB, Ped, Psych) Jacksonville Beach, FL 32250 Private, not-for-profit Laboratory Manager: General acute care Eric Stubbs

Baptist Medical Center Nassau Founded in 1942 1250 South 18th Street Beds: 48 Fernandina Beach, FL 32250 Private, not-for-profit Lab Manager: Kenneth Jeffers

Baptist Medical Center South Founded 2005 14550 Old St. Augustine Road Beds: 225 Jacksonville, FL 32258 Acute care Lab Manager: Kim Torres Clinical Coordinator: Lori Caudle

Department of Health Central Public Health Lab for State of FL - 1217 Pearl Street Bureau of Laboratories Jacksonville, FL Departments, State of Florida Education Coordinator: Serves as a referral lab for Doctor’s office and hospitals Marie Clare Rowlinson

Florida Hospital Flagler Founded 1973 60 Memorial Medical Parkway Not-for-profit Palm Coast, FL 32164 Beds: 99 Clinical Supervisor: Shirley Pearson

Mayo Clinic Labs at Jax Founded 1986/Jacksonville; Hospital: 2008 4500 San Pablo Road Beds: 214 Jacksonville, FL Duval Co, SE Region & International Lab Coordinator: not-for-profit Carleen VanSiclen 8

Memorial Hospital Founded 1969 3625 University Blvd. South Beds: 353 (no Pediatrics) Jacksonville, FL For-profit, Serves outpatient center Clinical Supervisor: Chest Pain Center, Southside Cancer Center Tim Sellen

Naval Hospital, NAS Jax Founded 1941 2080 Child Street Beds – 141; full service Jacksonville, FL military treatment center Educational Coordinator: United States Navy Elida Morgan Serves clinics, three bases

One Blood Founded 1942 7595 Centurion Pkwy. Not-for-profit, charitable Jacksonville, FL 32256 community transfusion service Laboratory Supervisor: Shelley Marlowe

One Blood 400 Health Park Blvd. St. Augustine, FL 32086 Supervisor: Shelley Marlowe

Orange Park Medical Center Founded 1974 Kingsley Avenue Beds 224 (full service) Orange Park, FL Tax paying hospital Lab Director: Serves multiple counties— Martha Marshall Clay, S.W. Duval, Baker, St. Johns, Putnam Educational Coordinator: Diana Piasecki

St. Vincent’s Medical Center Founded 1916 1800 Barrs Street Beds – 528 (full service) Jacksonville, FL Private, not-for-profit Education Coordinator: Michael Songer

UF Health at Jacksonville Founded: 1870 653 West 8th Street Private, not-for-profit hospital Jacksonville, FL 32209 Beds: 695 Education Coordinator: Ann Ruby

Vista Clinical Labs Independent reference lab 3824 U.S. 90 Lake City, FL 32055 Student Coordinator: Bertha Coles

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SERVICE WORK

By Florida law (F.S. 483), students with a trainee license are at no time to be used as substitutes for licensed clinical laboratory personnel nor receive a salary as a trainee.

Employment, such as that performed by phlebotomist, laboratory clerical staff, computer clerks, or technical assistants, is occasionally available to students needing additional financial resources while enrolled in the MLT Program. However, the students are cautioned to minimize the number of hours worked while enrolled in the program, particularly during the practicum phase. Employment during program enrollment is strictly the responsibility of the student; scheduling of work hours must not at any time conflict with the assigned practicum hours or campus course schedule.

Students enrolled in MLT 2800L and MLT 2801L, MLT Practicum I and II, are registered as "trainees" with the State of Florida, and as trainees, they are present in the clinical laboratory workplace to learn and practice the skills required for career entry into the field of medical laboratory technology. Students may be asked on a reasonable basis to assist the laboratory staff in procedures of cleaning/keeping safe the work area and in filing procedures related to maintenance of required laboratory records. However, students are not to be used as substitutes for regular staff in the laboratory, as this is in direct violation of the Standards governing NAACLS* clinical laboratory science programs. Any questions concerning this policy should be addressed to the MLT program director.

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Revised 4/23/19 MEDICAL LABORATORY TECHNOLOGY

The program in Medical Laboratory Technology offers you an opportunity to enter a challenging profession. A medical laboratory technician is essential to the practice of modern . As members of the health care team, medical laboratory technicians perform the many laboratory tests used to provide physicians information for testing and diagnosing disease. In their work, medical laboratory technicians employ the most sophisticated techniques and automated equipment. As students gain the competencies of their chosen profession, they discover new avenues for growth and self-fulfillment and realize a great sense of responsibility for quality patient care. Hospital laboratories vary from small to large sophisticated operations and afford one an opportunity to develop as a generalist or specialist through work experience. Medical Laboratory Technicians are in constant demand nationally. The Medical Laboratory Technology Program also provides the foundation for opportunities in related areas such as medical sales, research, veterinary lab work, commercial laboratories and education.

SERVICES AVAILABLE TO ASSIST YOU: Florida State College at Jacksonville provides a variety of services to assist you, including:

COUNSELING: You will receive assistance in planning your program of study when you enter Florida State College at Jacksonville and help will continue to be available to you while you are enrolled. See the MLT Faculty Program Director for advising.

FINANCIAL AID: Loans, grants, scholarships and part-time jobs may be available if you need financial assistance. Our financial aid advisors will help you find the best means of financial help if it is needed.

WHAT WILL YOU STUDY? To become a medical laboratory technician an individual must undertake a two-year program, such as the one offered at the North Campus of Florida State College at Jacksonville. This six-semester program consists of course work in the general education areas of science, mathematics, English, and the humanities as well as courses in the medical laboratory areas of , microbiology, clinical chemistry, and immunohematology.

WHAT DO YOU NEED TO DO TO ENTER THE PROGRAM? To enter the Medical Laboratory Technology Program, you must have a high school diploma. If you like science, enjoy mental challenges and are manually dexterous, then medical laboratory technology will appeal to you. Apply to Florida State College at Jacksonville and to the Medical Laboratory Technology Program and let us help you get started!

WHAT WILL A CAREER IN MEDICAL LABORATORY TECHNOLOGY OFFER? 1. You will have the pleasure of working with people who “speak your language” - who are dedicated, intelligent, and friendly. 2. You will have the job security that comes with being a degree-holding state-licensed professional. 3. Your professional abilities “travel well.” If you or your spouse relocates, your new community will surely welcome your skills.

Medical Laboratory Technology Immunizations Health care professionals must keep ALL immunizations current. OSHA requires immunization against Hepatitis B for all individuals in a work place environment where the potential exposure to blood exists. Immunization against Hepatitis B is required in the medical lab program, unless the student signs a waiver. Further information on the Hepatitis B vaccination will be supplied to students once accepted into the program.

Students admitted to the program must have a physical and have an immunization record on file and a current TB test before they can enter Practicum. Hepatitis B vaccinations must be completed before entering Practicum.

MLT Program Outcomes

7/1/14-6/30/15 7/1/15-6/30/2016 7/1/16/6/30/17 3-year Average ASCP Pass 100% 100% 78% 88% Rate AAB Pass Rate 93% 91% 75% 88%

7/1/15 – 6/30/16 7/1/16-6/30/17 7/1/17-/6/30/18 3-yr Average

Graduation 24% 72% 100% 65.3% Rate* Attrition Rate* 7% 28% 0% 17.5% Placement 65% 86% 100% 83.7% Rate* *from 2018 NAACLS Annual Report

The program in Medical Laboratory Technology offers you an opportunity to learn the technical and clinical skills of medical technology. The college awards the Associate in Science Degree in Medical Laboratory Technology to students who complete the program of study. Program graduates are eligible for state licensure and national professional certification.

The program is accredited by: National Accrediting Agency for Clinical Laboratory (NAACLS) 5600 N River Road, Suite 720 Rosemont, IL 60018 Tel. (773) 714-8880 www.naacls.org

The program accepts students in the Fall term.

We thank you for your interest in the college and the Medical Laboratory Technology Program. We will be happy to assist you in applying to the college and the Program. Please call the Health Career Information Center at 713-4545 for more information.

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NOTICE TO STUDENTS INTERESTED IN PURSUING A BACCALAUREATE DEGREE:

If you are interested in continuing your college education upon completion of the AS Medical Laboratory Technology Program, there are several things you must consider:

The AS degree program is a terminal degree program and is designed to prepare you for immediate entry into the medical laboratory workforce. This degree does not transfer into a university or upper division of college unless a specific articulation agreement exists with a specific university or college.

Currently, an articulation agreement does exist that will allow transfer of the AS MLT degree from into the College of Health at University of North Florida for application towards a Bachelor’s degree Health Science. Specific transfer requirements must be obtained from the College of Health at UNF.

Please consult with the AS MLT program director for specific courses that must be included in the bachelor’s degree program in order to meet certification requirements at the bachelor’s degree level (Medical Technologist/Clinical Laboratory Scientist).

Any student planning to pursue upper division coursework in the natural sciences (e.g.: BS in Biology, BS in Chemistry) must complete their Associate in Arts degree requirements to be accepted in the upper division at UNF. The algebra must be MAC 1105 (College Algebra) at minimum. The general chemistry must be CHM 2045C/CHM 2046C, rather than the CHM 1025/CHM 2045C pair currently acceptable for the A.S. degree.

PLEASE BE SURE TO LET THE PROGRAM DIRECTOR OF THE AS MLT PROGRAM KNOW IF YOU ARE INCLUDING A BACCALAUREATE DEGREE PROGRAM IN YOUR LONG-RANGE EDUCATIONAL GOALS!

Upon completion of coursework, Florida State College at Jacksonville does not guarantee employment or salary in a given field of study. Any jobs or salaries mentioned are given as examples of potential employment not a representation of a guaranteed income.

13 MEDICAL LABORATORY TECHNICIANS ASSOCIATE IN SCIENCE DEGREE (Schedule Will Vary Depending on Student. See the Program Director for scheduling.)

TERM I COURSE # COURSE TITLE CREDIT BSC2020C Human Biology 4 ENC 1101 English Composition 1 3 MAC 1105 College Algebra 3 CHM 1025C Introduction to General Chemistry 4 Total 14 TERM II COURSE # COURSE TITLE CREDIT CHM2045C General Chemistry and Qualitative Analysis 4 MCB 2010C Microbiology 4 Social and Behavioral Sciences (refer to General Education 3 Requirements) HSC1531 Medical Terminology for Health Professionals 3 Total 14

TERM III COURSE # COURSE TITLE CREDIT MLT 1022C Introduction to Health Technology 3 MLT 1301C Hematology I 3 MLT 2500C Clinical Immunology 4 HUM Humanities (refer to General Education Requirements) 3

Total 13

TERM IV COURSE # COURSE TITLE CREDIT MLT 1302C Hematology II 3 MLT 2525C Immunohematology 4 MLT 2230C Clinical Microscopy 2 MLT 2610C Clinical Chemistry 4 Total 13

TERM V COURSE # COURSE TITLE CREDIT MLT 1401C Medical Microbiology 4 MLT 1440C Parasitology & 2 MLT 2150C Clinical Correlations 2

Total 8

TERM VI COURSE # COURSE TITLE CREDIT MLT 2801L Clinical Practicum I 7

Term VII COURSE TITLE CREDIT COURSE # Clinical Practicum II 7

Total 7 TOTAL CREDIT HOURS 76 14

General Education Courses COURSE # COURSE TITLE CREDIT **CHM 1025C Introduction to General Chemistry 4 ENC 1101 English Composition 3 MAC 1105 College Algebra 3 *Social and Behavioral Sciences 3 MCB 2010C Microbiology 4 *Social and Behavioral Sciences 3 Credit Hours 16

Professional Courses COURSE # COURSE TITLE CREDIT MLT 1022C Introduction to Health Technology 3 MLT 1301C Hematology I 3 MLT 1302C Hematology II 3 MLT 2500C Clinical Immunology 4 MLT 1330C Hemostasis 2 MLT 2610C Clinical Chemistry 3 MLT 2230C Clinical Microscopy 2 MLT 1440C Parasitology/Mycology 2 MLT 2150C Clinical Correlations 2 MLT 2525C Immunohematology 3 MLT 1401C Medical microbiology 4 MLT 2800L Clinical Practicum I 7 MLT 2801L Clinical Practicum II 7 Credit Hours 60 Total Credit Hours 76

*Refer to A.S. Degree General Education Requirements **Students who qualify may substitute CHM 2045C and CHM 2046C

15 MEDICAL LABORATORY TECHNOLOGY APPROXIMATE COST

TERM I COST Florida Resident Georgia Resident Non-Resident Registration/Fees $1,363.44 $2,815.15 $5,216.51 Uniforms 200.00 200.00 200.00 Text Books 250.00 250.00 250.00 Total $1,813.44 $3,265.15 $5,666.51

TERM II Registration/Fees $1,363.44 $2,815.15 $5,216.51 Text Books 250.00 250.00 250.00 Total $1,613.44 $3,065.15 $5,466.51

TERM III Registration/Fees $1,468.32 $3,031.70 $5,617.78 Text Books 250.00 250.00 250.00 Total $1,718.32 $3,281.70 $5,867.78

TERM IV Registration/Fees $1,258.56 $2,598.60 4,815.24 Text Books 250.00 250.00 250.00 Total $1,508.56 $2,848.60 $5,065.24 TERM V Registration/Fees $1,258.56 $2,598.60 $4,815.24 Total $1,258.56 $2,598.60 $4,815.24

TERM VI Registration/Fees $1,258.56 $2,598.60 4,815.24 Total $1,258.56 $2,598.60 4,815.24 TOTALS $9,170.88 $17,657.80 $31,696.52 THESE ARE APPROXIMATIONS ONLY

16 Equal Access/Equal Opportunity

Florida State College at Jacksonville, hereby reaffirms the principle of equal opportunity for all persons regardless of race, disability, color, ethnicity, national origin, religion, gender, age, sex, sexual orientation/expression, marital status, veteran status, pregnancy or genetic information. Equal opportunity principle applies with regard to employment, delivery of educational programs and services, and all other appropriate areas in which the College is involved. The College is committed to ensuring that all persons are not subject to discrimination. Any student, employee or applicant who believes they have experienced discrimination or harassment, including workplace or classroom harassment, discrimination in hiring or admission practices, or other acts of discrimination or harassment, can file a complaint through the College's Equity Office or through the Title IX Office. Anyone who believes they have been subject to discrimination or harassment can contact the College’s Equity Office or the Title IX Office (contact information below). The College prefers to resolve any complaint in a timely manner, so early notification is critical. You may file an internal complaint by submitting the equity intake form to the Equity Office. Although you are encouraged to attempt to resolve your concern with College personnel, you have the right to file your complaint with U.S. Equal Employment Opportunity Commission (EEOC) or with the U.S. Department of Education’s Office of Civil Rights.

Equity Office Lisa Moore Executive Director, Employee Relations and College Equity Officer 501 W. State Street Jacksonville, Florida 32202 (904) 632-3221 (confidential) (904) 632-3326

Stacey Legler Employee Relations and Equity Coordinator 501 West State Street Jacksonville, Florida 32202 (904) 632-3221 (confidential) (904) 632-3290

Title IX Office Pamela Walker Dean of Students 601 W. State Street Jacksonville, Florida 32202 (904) 632-3221 (confidential) Email: [email protected]

17 Record of Conviction of a Crime

Effective July 1, 2009, pursuant to Section 456.0635, Florida Statutes, health care review boards shall refuse to renew a license, certificate or registration, issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant has been convicted or plead guilty or nolo contendere, regardless of adjudication, to a felony violation of: chapters 409, 817, or 893, Florida Statutes; or 21 U.S.C. ss. 801-970 or 42 U.S.C. ss. 1395-1396, unless the sentence and any probation or pleas ended more than 15 years prior to the application, terminated for cause from Florida Medicaid Program (unless the applicant has been in good standing for the most recent 5 years) or terminated for cause by any other State Medicaid Program or the Medicare Program (unless the termination was at least 20 years prior to the date of the application and the applicant has been in good standing with the program for the most recent 5 years). The Florida nursing or allied health licensure or certification application requires disclosure of any criminal history and the disposition of all cases prior to board review. Being convicted of, or having entered a plea of guilty or nolo contendere to, any of the listed felonies in Florida Statute 456.0635 or termination for cause from the statutorily-described Medicaid programs will preclude an applicant from obtaining a nursing or allied health license or certification in the state of Florida. Entry and acceptance into the nursing or allied health program does not guarantee licensure or certification in the State of Florida.

Note

Most clinical agencies require students to undergo drug screen and criminal background checks prior to placement in the agencies for clinical experiences. Students whose drug screening and criminal background checks are deemed unsatisfactory may be denied access to clinical experiences by the clinical agencies. Failure to qualify for and meet clinical requirements at clinical sites may prevent completion of the program. Withdrawal from the program may be necessary if students cannot be placed for clinical experiences.

Some practice settings may have additional requirements including health insurance, a volunteer application, references, fingerprinting and background check, drug testing, and/or an interview prior to the start of the clinical experience. The additional requirements are the responsibility of the student, including expenses.

The cost of the background check(s) and drug screen(s) is borne by the student. Additionally, it is the student's responsibility to have all paperwork completed by the program's published deadline.

Students who are unable to complete the clinical requirements after acceptance into selective access programs are not eligible for refunds of tuition.

A physical examination will be required upon acceptance to the program.

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