Operating Students 3 - 4

Pre-Admission Checklist

STOP! Please note this is a selective admissions program.

Before proceeding please contact Jeff Bidwell or Melinda Weil to insure you are eligible for this program and have been added to the official admission list.

Jeff Bidwell
SFA Program Coordinator
270-824-1740
jeff.bidwell@kctcs.edu

Melinda Weil
SFA Office Manager
270-824-1805
melinda.weil@kctcs.edu

AFTER YOU HAVE CONTACTED JEFF BIDWELL OR MELINDA WEIL AND HAVE BEEN ACCEPTED TO THE PROGRAM, THE FOLLOWING PROGRAM 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 ($11.00 per semester).  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*  
  • Memorandum of Agreement (MOA)* (if a current one is not on file at MCC)  
  • Letter from clinical facility stating you are allowed to perform clinicals (on facility letterhead) 
  • Preceptor Form(s)* (minimum 1 surgeon)  
  • Proof of Immunizations as required by precepting facility(s). This is often your employee health records. 
  • Drug Screen/Background Check*  
  • 3 letters of recommendation (1 must be from precepting surgeon;  2 must be from surgeons or supervisors/managers). 
  • 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* 

Official Transcripts from all previously attended colleges/institutions must be sent to:

Admissions
Madisonville Community College
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 being dropped from the program. 
*After acceptance into the program the appropriate forms to be submitted will be emailed to you.