Medical Assistant - Evening Session
Information and Application
3300 Century Avenue North
White Bear Lake, Minnesota 55110
651.773.1700
century.edu
Century College is a Member of the Minnesota State Colleges and Universities system. We are an affirmative action, equal opportunity employer and educator. This document can be available in alternate formats to individuals with disabilities by calling 651.779.3354 or 1.800.228.1978 x3354.
Medical Assistant Program
Spring 2015 Evening Program
century.edu | 651.773.1700 | last updated:
8/13/2014
3300 Century Avenue North, White Bear Lake, MN 55110
Medical Assistant Application Form Evening Program
This application is for:
Name (Last, First, Middle, Maiden) Century Student ID number
Permanent Address City State Zip Code Home Phone
e-mail address Cell Phone
Educational Record: Names of secondary schools, colleges and technical schools attended:
Year
All applicants must have an official high school transcript or GED transcript on file to be eligible for admission.
Applicants who have graduated from high school outside of the United States must submit a WES evaluated high school transcript Have you ever attended any college? Yes ___ No ___ Yes ___ No ___
Colleges, technical or Dates Certificate, degree or
other post secondary schools From To diploma received
Applicant Signature
I hereby certify that the information provided on this application form and in all other admission application materials is complete, accurate, and true to the best of my knowledge.
_____________________________________________________________ _________________________
Signature Date
NOTICE
Admission is granted without regard to race, creed, color, sex, age, national origin or handicap. This institution abides by the provisions of Title IX, federal legislation forbidding discrimination on the basis of sex and by all other federal laws regarding equal opportunity
.
Note: Federal and state legislation requires that the contents of student files be open to review by the student. Application forms, high school transcripts, test date, letters, and recommendations that are sent as part of any application for admission will be open to the student's review upon request.
Month
Century College is a Member of the Minnesota State Colleges and Universities system. We are an affirmative action, equal opportunity employer and educator. This document can be available in alternative formats to indivdiuals with disablilities by calling 651.779.3354 or
1.800.228.1978x3354.
Admissions Office 3300 Century Ave N
White Bear Lake, MN 55110
High School attended or GED
Have you ever attended Century College?
Please contact each college and request an official transcript be sent directly to the DARS/Transfer Office at Century College. City State
State
City Graduation
This is a type-able form. You can type and print this page and the check-list. Hoewever, you will not be able to save it unless you have the full version of Acrobat on your pc, or a freeware PDF print driver utility like CutePDF which can be downloaded at http://www.cutepdf.com
Spring Semester 2015
YES
Have you ever attended Century College?
MEDICAL ASSISTANT PROGRAM APPLICANT CHECKLIST
Please complete the following checklist. All items under the "Application Requirements" must be completed or in-progress prior to the August 31 application deadline or your application will be denied.
PLAN AHEAD. ALL DOCMENTATION MUST BE RECEIVED BEFORE THE APPLICATON DEADLINE
APPLICATION REQUIREMENTS: All items must be completed and documented before the application deadline. All courses completed or in progress must be reflected on official transcripts.
NO
Are you in good Academic and Financial standing at Century College? If you are on Academic Suspension, your suspension must be cleared prior to the application deadline or your application not be considered. This applies to both Century College and all MnSCU institutions previously attended.
It is strongly recommended you meet with an advisor or counselor to discuss your general
education credits to ensure you are on track with the liberal arts requirements.
If no: Have you submitted the required Century College Application with the $20
application fee?
(Note: a college application must be on file before your Medical Assistant application can be processed. The Medical Assistant application is not a substitute for the Century College Application form.)
Have you taken the Century College assessment test for placement in Reading, and Math or submitted Accuplacer scores from another institution? Assessment scores are requried to determine program readiness. Placement requirements are: Reading 1000 and Math 0030 (Century College courses). You must submit a copy of your test results to the Assessment Office if you have taken your test at an institution OTHER than Century College. If you retake your assessment test at Century College there is a $10 retest fee required. (Exemption to the Reading and Math assessment will be given in accordance with college policy. Please contact the Assessment Office at 651/779-3352 for details).
Have you requested official transcripts verifying successful completion of high school or GED? Transcripts must be received prior to the application deadline or your application not be considered. Students who graduated from an international high school msut submit a WES verified high school transcript. You are responsible for providing official proof of graduation prior to the application deadline.
Have you requested official transcripts from ALL post-secondary institutions attended? Transcripts must be current with grades posted for all terms completed prior to the deadline and must be received in a sealed envelope from the originating institution. Transcripts must be received prior to the application deadline or your application not be considered.
Will you have completed all developmental coursework for Reading and/or Math indicated by assessments before the application deadline? All developmental coursework must be completed with a grade of C or better to qualifiy to apply.
Have your completed all required courses as outlined under step 3 in the
information/application booklet? We will only consider applicants with coursework in-progress if we are unable to fill the program with fully-eligible applicants by the
