Department of Health Professions Respiratory Care...

Department of Health Professions Respiratory Care Program

Application Packet for Fall 2020 Admission Dear Respiratory Care Applicant: Thank you for your interest in the Health Professions programs at Missoula College (MC) of the University of Montana (UM). This is an internal program application specifically for the Respiratory Care program. Students apply each spring for fall admission. Included are 6 pages of detailed instructions and a 10-page application. As you prepare your application for submission, there are a few items to consider. The program application process is your opportunity to present yourself for consideration into the Respiratory Care program. Your application will be evaluated in the following six categories, with each category weighted equally:

1. Cover Letter;

2. Essay;

3. Work Experience Form;

4. Reference Forms (3);

5. GPA of required “prerequisite” courses; and

6. Personal Interview (conducted for the top 20 candidates and scheduled in May or June 2020). Transcript Requirement: include an “unofficial transcript” from all colleges attended (see complete details on page 6). Admission to Missoula College Requirement:

• If you attended University of Montana-Missoula campus or Missoula College campus over 24 months ago, you must:

o Submit a Readmission Application, selecting Missoula College as your campus. (https://www.umt.edu/registrar/students/Readmission%20Information.php)

• If you have never been admitted to University of Montana-Missoula, Missoula College, or Bitterroot College, you must:

o Complete an application for admission to Missoula College (http://admissions.umt.edu/apply/missoula-college).

We hope this is helpful to you. We are eager to read your application and will provide feedback to you in a timely manner. If you have questions or concerns, please contact one of the following:

• Cyndi Stary, Administrative Associate: (406) 243-7846 or [email protected]

• Paul Crockford, Program Director: (406) 243-7918 or [email protected]. Applications must be received by 12:00 Noon on Wednesday, April 1, 2020. Sincerely, Paul J. Crockford, MEd, RRT Respiratory Care Program Director

https://www.umt.edu/registrar/students/Readmission%20Information.php

http://mc.umt.edu/New%20Students/default.php

mailto:[email protected]


DEPARTMENT OF HEALTH PROFESSIONS, RESPIRATORY CARE PROGRAM

________________________________________________________________________________ INSTRUCTIONS: p. 2 of 6

Prerequisite Course Requirements

Spring Semester Prerequisite Completion: If you are completing any of the prerequisite courses this semester, be sure to note this in your “cover letter” and add in appropriate place(s) on page 2 of the 9-page application.

Summer Session Prerequisite Exemption: Applicants completing any core requirements during summer session may be considered for “provisional acceptance”. If you anticipate completing any prerequisite courses by the end of summer session, be sure to note this in your “cover letter” and add in appropriate places on page 2 of the 9-page application. ALSO, please communicate about this with Paul Crockford, Program Director, at [email protected] or 406-243-7918.

Specific Prerequisite Criteria:

• Prerequisite GPA: Applicants must have a minimum total GPA of 2.75 in prerequisite courses.

• BIOH 201N / 202N, Human Anatomy and Physiology I must be completed with a minimum grade of “C”.

• BIOH 211N / 212N, Human Anatomy and Physiology I must be completed with a minimum grade of “C”.

PREREQUISITE COURSE TITLE CREDITS

BIOH 201N & 202N Human Anatomy and Physiology I & Lab 4

BIOH 211N & 212N Human Anatomy and Physiology II & Lab 4

M 105 -OR- M 115 -OR- M 121

Contemporary Mathematics -OR- Probability and Linear Math -OR- College Algebra

3

PSYX 100S Introduction to Psychology 3

SCN 175 Integrated Physical Science I 3

WRIT 121 -OR- WRIT 101

Introduction to Technical Writing -OR- College Writing I (aka: English Composition)

3

Total 20




Job Shadow Requirement

Applicants must schedule a date and time to shadow a Licensed Respiratory Therapist. The purpose of shadowing is to allow prospective Respiratory Care students’ exposure to hospital-based patient care in hopes that it may inform their decision to apply to the Respiratory Care Program. You must have this form with you upon arrival to the facility or you will be asked to reschedule at a

later date. Please be prepared!

1. Arranging Job Shadow: A maximum of four hours should be allotted for shadowing a hospital therapist at a

given institution so as to not overwhelm the staff. Shadowing can occur in any hospital and is not limited to hospitals in Missoula. In addition, applicants can shadow in related areas: Home care companies and sleep diagnostic laboratories occasionally employ respiratory therapists.

2. Required Dress: Jeans, shorts, sandals, low tops, etc., are NOT acceptable. Slacks and collared shirts are acceptable as they convey professionalism as prospective students will be viewed by nursing, ancillary staff, physicians and patients.

3. Confidentially: You sign a confidentially agreement when you arrive to shadow. 4. Documentation: Document your participation (hours, institutions and name of the therapist you shadowed)

in your essay and on the included “Job Shadow Form.” DO NOT USE THIS THERAPIST AS A PROGRAM APPLICATION REFERENCE.

Local Hospital Contact Information:

• St. Patrick Hospital, Human Resources, 406-329-2667

• Community Medical Center, Volunteer Services, 406-327-4258



Selection Process

1. Applications will be reviewed and evaluated by a selection committee.

2. ALL applicants will be notified via email of his/her status regarding interviewing (either “invited for

an interview” OR “not selected”) as soon as possible after final grades for the semester have been posted.

Information regarding status will only be communicated by email. Please do not call or email us to check on your application status – we will notify you as soon as we can.

3. Admission offers are made only after semester final grades are known and interviews concluded. • Initial admission decisions will be made after grades are received at the end of spring semester.

• Applicants will be notified of “official acceptance” or “provisional acceptance” in early June.

• Applicants who were “provisionally” accepted in June will be notified of acceptance status by mid-August after summer session grades are received by the college.

Again, information regarding status will only be communicated by email. Please do not call or email us to check on your application status – we will notify you as soon as we can.

4. Applicants who are offered admission must notify the following Respiratory Care Program contacts in writing (email is preferred) of their intent to ACCEPT OR DECLINE admission to the Respiratory Care program within ten (10) business days of receipt of the admission offer. Failure to do so will result in another

candidate being chosen to fill the space. Please include both of the following in your email: Paul Crockford, Program Director: [email protected]. Cyndi Stary, Health Professions Administrative Associate: [email protected].

5. After Accepting Admission:

• Once you have notified both Paul Crockford and Cyndi Stary of your decision to accept a slot in the Respiratory Care Program, you will receive an email letter confirming your admission and indicating what courses to register for along with other important information.

• You must register for the Respiratory Program courses on Cyberbear within ten (10) business days of receipt of confirmation. If you have not registered, we will not save your place.

• If circumstances prevent you from attending, please notify Paul Crockford AND Cyndi Stary immediately via e-mail only, so an alternate candidate can be notified in a timely manner.

6. In the event you are not admitted into the program, schedule an advising appointment with the Respiratory Care Program Director, Paul Crockford, to discuss a “Plan B”. This is necessary to address financial aid and class availability issues. [email protected]

IMPORTANT NOTE: In order to ensure fairness to all applicants a spreadsheet with the dates of application, notifications, etc. will be maintained. Therefore, your timely response(s) are critically important in guaranteeing your place in the program. We must have an accurate name, preferred email address, mailing address, and telephone number to ensure we reach you.






Application Instructions 1. Review the program requirements for our program because each program is unique in its admission

and acceptance requirements. Program requirements are also listed in the current University of Montana catalog under Missoula College and the Department of Health Professions. If you have questions, please contact Cyndi Stary, program support, at [email protected].

2. Compile the requested material exactly per instructions:

2020 Application Form for Respiratory Care (2 pages), completed, signed, and dated.

Cover Letter: Addressed to the Respiratory Care Selection Committee, which introduces you to the committee, states the purpose and contents of your application packet. Please use a formal letter format, write in complete thoughts, and sign your letter. Include your current mailing address, phone number, and preferred email address.

Essay Requirements: Essay should be between 400 and 500 words, no longer than 2 pages printed in 12-point font, double-spaced with one-inch margins, and it should include the following:

1) Introduction;

2) The title of the profession for which you are applying;

3) Personal characteristics necessary;

4) Duties, roles and responsibilities;

5) Description of physical demands;

6) Description of the differing working environments;

7) Typical hours worked in different environments;

8) Requirements for certification; and

9) Conclusion

Work Experience Form: Please include volunteer work and job shadow experiences. All are important.

Job Shadow Form: Page 4.

References (important details that must be followed):

1) Included in this application are three copies of the two-page Reference Form (pages 5-10). Print them out as ONE-SIDED pages, NOT double-sided.

2) Please use three professional references (i.e. employer, supervisor or academic instructor) NOT family or friends.

3) Complete the top part of page 1 of the “Reference Form” with your printed name and optional signature. Add your printed name at the top of page 2.

4) Please inform your recommenders to use the “Reference Form” and NOT letters of recommendation.

5) Provide each recommender the 2-page Reference Form along with an envelope already stamped and addressed to YOU.

6) Each reference form submitted by you must be in an envelope sealed by your recommender with their signature across the flap. Please note the following:

▪ Any evidence of tampering with the sealed reference will cause it to become void. ▪ All 3 envelopes MUST be included in your application submission envelope

– NOT sent to the Respiratory Care program directly from each recommender.

(continued on next page)




Transcripts, evaluation of transfer courses and/or waivers:

• Unofficial transcripts from ALL colleges and universities attended.

• For courses currently in progress, check to see if they are included in your unofficial transcript; if not, please include a print-out of your in-progress courses.

• If applicable, documentation of a course waiver or approved course substitution from Admissions or from Paul Crockford, Respiratory Care Program Director. Please submit a copy of the document – not the original.

3. Submit the completed application with all required documents by Noon on Wed., April 1, 2020.

• Check List: APPLICATION FORM (2 PAGES), completed, and page 1 signed and dated

COVER LETTER

ESSAY

WORK EXPERIENCE FORM

JOB SHADOW FORM

REFERENCES (3 references in envelopes sealed by your recommender with his/her signature across sealed flap)

TRANSCRIPTS (unofficial from all colleges/universities attended)

• Put all documents in a sealed 9” by 12” envelope Holding envelope horizontally, put the following information in the upper left corner:

✓ Respiratory Program ✓ Your name ✓ Your mailing address ✓ Your phone#

✓ Your preferred email address

• Submit to: Cyndi Stary, Room 441 Missoula College Health Professions 1205 E. Broadway St Missoula, MT 59802

• Important Notes: o Each packet will be date-stamped upon receipt. o It is the applicant’s responsibility to allow ample time for mailing.

Thank you for your interest in the Respiratory Care Program at Missoula College of the University of Montana.


________________________________________________________________________________ APPLICATION: p. 1 of 10

2020 Application Form for Respiratory Care (PRINT ONE-SIDED ONLY; 10 pages total)

This application is for students applying to the Respiratory Care program starting August, 2020. THIS APPLICATION MUST BE LEGIBLE. If not currently enrolled at MC, please refer to back to 1st page of packet.

Personal Information

Full Legal Name

LAST FIRST MIDDLE

Previous Names(s)

LAST FIRST MIDDLE

⧫ Last four (4) digits of Social Security Number__________ ⧫ UM/MC Student ID# 790- _______________________

⧫ Veteran Status**: Non-veteran Veteran

** The requirement to provide priority of service to veterans applies to all programs that receive funding from the United States Department of Labor. “Veteran” is defined as a person who served at least one day in the active military, naval, or air service, and who was discharged or released under conditions other than dishonorable. Proof of service may be requested.

⧫ Current Mailing Address (if not accurate through Aug. 2020, enter date address is valid through) ____ _____________

Street / Apt# / PO Box _____________________________________________________________________________

City State Zip Phone ( ) -

⧫ Permanent Mailing Address (if same as above, check this box and skip to next item)

Street / Apt# / PO Box _____________________________________________________________________________

City State Zip Phone ( ) -

⧫ Please check the email address that you prefer us to use for communication about your application.

⧫ UM/MC Student Email Address

⧫ Personal Email Address

Important National Exam Criteria

• The program specific professional organization may not allow you to take the national exam following the completion of the program. Acceptance for taking national exams, if you have a felony conviction, is approved or denied by the professional organization on an individual basis.

• If you have a felony conviction, contact the appropriate organization for further information before making an application to the program. For Respiratory Care, contact: Montana Board of Respiratory Care (406) 842-2385. (CONTINUED ON NEXT PAGE)


________________________________________________________________________________ APPLICATION: p. 2 of 10

SUBJ: ________ CRSE#_________ SUBJ: ________ CRSE#_________ SUBJ: ________ CRSE#_________




(continued) 2020 Application Form for Respiratory Care

ALL Colleges / Universities Attended

⧫ An unofficial transcript from all colleges/universities attended is required.

⧫ List ALL colleges/universities you have ever attended, including town and state located. College / University: ____________________________________________________________ College / University: ____________________________________________________________ College / University: ____________________________________________________________ College / University: ____________________________________________________________

In-Progress and Upcoming Courses

⧫ TAKING ANY SPRING COURSES? List name(s) of institution(s) and all in-progress courses:

School #1____________________________________________________

School #2____________________________________________________

List ALL courses in progress by subject & number below (Example: SUBJ: CHMY CRSE# 122)

⧫ PLANNING TO TAKE ANY SUMMER COURSES? List name(s) of institution(s) and the upcoming courses:

School #1____________________________________________________

School #2____________________________________________________

List ALL upcoming courses by subject & number below (Example: SUBJ: WRIT CRSE# 121)

Signature ______________________________________________ Date ________________________


________________________________________________________________________________ APPLICATION: p. 3 of 10

Work Experience Form

General Work Experience (include “pertinent life experience”) Name and address of facility

Job Title Job Responsibility Dates Employed Hours per Week

Medical Work Experience (Paid or Voluntary) Name and address of facility

Job Title Job Responsibility Dates Employed Hours per Week


________________________________________________________________________________ APPLICATION: p. 4 of 10

Respiratory Care Job Shadow Form Department of Health Professions

1205 East Broadway, Missoula, Montana 59802

You must have this form with you upon arrival to the facility or you will be asked to reschedule at a

later date. Please be prepared!

• Please complete this form in its entirety prior to leaving facility where your Job Shadow

requirement takes place so questions you may have are answered.

• Maintain this form for inclusion in your application into the Respiratory Care Program.

• This exercise is intended cover no more than a four (4) hour time span.

• ***Your application will be considered incomplete without the inclusion of this form.***

Please complete legibly.

Student Name (please print) _____________________________________________________________________

Facility _______________________________________________________ Date of Observation_____________

Total number of hours of observation _____________________________________________________________

RESPIRATORY THERAPIST:

Printed Name__________________________________________________________

Signature _____________________________________________________________

THERAPIES / PROCEDURES OBSERVED:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________


________________________________________________________________________________ APPLICATION: p. 5 of 10

Reference Form #1 (page 1 of 2) is applying to the Missoula College Department of (APPLICANT PRINTED NAME) Health Professions Respiratory Care Program.

The University of Montana cannot require that applicants waive their right to see their references. However, applicants may do so voluntarily. If the applicant waives their right, the recommender’s response will not be shared with the applicant at any point.

As the applicant, I do waive my right to see this reference.

Applicant Signature Date

If you wish to have a copy of your completed reference form, ask your recommender to provide you with a copy. Copies will not be provided to applicants by Missoula College.

TO RECOMMENDER: The need for healthcare professionals is great. However, due to the availability of clinical sites, we are limited in the number of students we are able to accept into each program. Therefore, it is our responsibility to select students whose abilities, values, motives, and character give the greatest promise for success.

• Your candid, honest responses to the questions we ask are important to all concerned. We ask therefore, that you take the time to consider each response carefully.

• And, we request your prompt attention as the applicant has a deadline to submit materials.

The applicant will provide an envelope for your reply.

• Please return the envelope to the applicant sealed and with your name written across the glued portion of the flap. Any evidence of tampering with the seal of the envelope will disqualify the applicant.

• The applicant will then submit the sealed/signed envelope with other application materials.

Thank you. Please provide the following information:

(Please print. Add attachment if insufficient space.) Date:

Name and Title of Reference:

Institution Name and Address:

Phone Number (we may contact you further):

How long have you known the applicant and in what capacity?


________________________________________________________________________________ APPLICATION: p. 6 of 10

Name of Applicant: (Reference Form, page 2 of 2)

Please read the following and respond as honestly as possible. A single response will cause neither denial nor assurance of admission to a program. We are asking that you respond by comparing the applicant with others having similar backgrounds, responsibilities, and capacities. If you are unable to evaluate in some area, please check “N/A.”

Applicant Characteristics to be Evaluated: Top 10%

Top 25%

Upper 50%

Lower 50%

N/A

Outstanding Above average

Average Below Average

Unknown

Interacts well with co-workers, employers, others

Effectively communicates orally

Has clear written communication

Is an effective team member

Responds positively to criticism

Is appropriately assertive

Exhibits ethical behavior consistently

Is self-motivated

Displays initiative and creativity

Prioritizes tasks appropriately

Analyzes and solves problems

Requests assistance appropriately

Accomplishes tasks in a timely manner

Is present when expected….reliable

Is an effective team leader

Interacts respectfully with diverse individuals

Dress and personal care are appropriate

Language is professional

Demonstrates kindness and compassion

Able to laugh at him/herself

Able to function with safety for self and others

Exhibits qualities you would like to have in someone taking care of you

Additional Information: Please feel free to add descriptions or give examples that will illustrate the above. Use additional paper if needed.

In order to help us evaluate this recommendation form, please answer the following:

The evaluation characteristics were clear and easy to rate yes no

This evaluation form allows a fair picture of the applicant yes no

The evaluation process took an acceptable amount of time yes no


________________________________________________________________________________ APPLICATION: p. 7 of 10



















________________________________________________________________________________ APPLICATION: p. 8 of 10




Top 25%

Upper 50%

Lower 50%

N/A



Unknown








Is self-motivated





















________________________________________________________________________________ APPLICATION: p. 9 of 10



















_______________________________________________________________________________ APPLICATION: p. 10 of 10




Top 25%

Upper 50%

Lower 50%

N/A



Unknown








Is self-motivated




















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