Updated as of 07/01/15 . Houston Community College System seeks to provide equal educational opportunities without regard to race, color, religion, na...
APPLICATION FOR LEAVE Employee Information: Agency/Department: Employee Name: Number of Hours of Leave Requested: From Date:
Use this application Who can use this What you may Why do we ask DRAFT 01.16.13 . Application for . Health Insurance (and to ind out if you can get help with
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Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, ... Learning, Sports Biochemistry, Sports Medicine, Physiotherapy a
Download Lithuanian Sports University, 2015. Editorial Policy. BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, health educ
Download Lithuanian Sports University, 2015. Editorial Policy. BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, health educ
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, ... Learning, Sports Biochemistry, Sports Medicine, Physiotherapy a
Download BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, ... Learning, Sports Biochemistry, Sports Medicine, Physiotherapy a
Download Lithuanian Sports University, 2015. Editorial Policy. BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, health educ
Download Lithuanian Sports University, 2015. Editorial Policy. BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, health educ
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
with young children – usually between the ages of three to ten years. The programs are aimed at the development of perceptual-motoric skills, as well as sport
Download BALTIC JOURNAL OF SPORT & HEALTH SCIENCES No. 4(99); 2015; 2–7. REVIEW: INTEGRATIVE COORDINATION. ABILITIES OF COACHES IN WELLNESS. TYPES OF GYMNASTICS. Olga Aftimichuk. State University of Physical Education and Sports of the Republic
Download Lithuanian Sports University, 2015. Editorial Policy. BJSHS is an international quarterly peer-reviewed scientific journal that keeps sports and health professionals up to date with advances in the fields of sports science, health educ
Sample Documents and Application Forms for Program Participants ... SWAC strongly recommends that a signed, printed copy be retained for your protection
Private Qualified Health Plans and Qualified Dental Plans. Apply faster online. Apply faster online at www.wahealthplanfinder.org. Information you will need to apply: ... Employee wages and fringe benefits. • Property, liability, or business .... sys
Updated as o f 07 /01/15
APPLICATION FOR HEALTH SCIENCES PROGRAM
CONTACT INFORMATION Full Name: Phone #: Address: City: Emergency Contact Name:
HCC ID #: E-mail:
Alternate Phone #:
State: Phone #:
ZIP Code:
PROGRAM OF CHOICE Computed Tomography
Human Service Technology
Occupational Therapy Assistant
Dental Assistant
Medical Assistant
Pharmacy Technician
Dental Hygiene
Medical Laboratory Technician
Pharmacy Technician (Retail MSA)
Diagnostic Medical Sonography
Nuclear Medicine Technology
Physical Therapist Assistant
Health Information Technology
Nursing – CNA-LVN Transition
Radiography
Health Care Career Academy – Phlebotomy
Nursing – LVN
Respiratory Therapy
Health Care Career Academy – Sterile Processing
Nursing – LVN-RN Transition
Surgical Technology
Histologic Technician
Nursing – RN
APPLICATION SEMESTER Fall, Year
Spring, Year
Summer, Year
CURRENT HEALTH SCIENCE PROFESSIONAL LICENSE OR CERTIFICATE Type: Number:
State: Expiration Date:
HEALTH CARE EMPLOYMENT HISTORY Employer: Position Title: Job Description: Employer: Position Title: Job Description:
Dates of Employment: Reason for Leaving: Dates of Employment: Reason for Leaving:
PREVIOUS COLLEGES / UNIVERSITIES ATTENDED (LIST MOST RECENT FIRST) Name of College/University: Type of Degree Completed/Major: Name of College/University: Type of Degree Completed/Major:
SIGNATURE The information I have provided is complete and correct to the best of my knowledge. Applicant Signature:
Date:
Advisor Signature:
Date:
Note: Background checks and drug screenings are performed on all accepted s tudents. Clinical placemen t will be contingen t upon the r esults of the background check. Applicants w ho have been convicted of a felony must contact the a ppropriate credentialing agency to de termine eligibility.
Houston Community College System seeks to provide equal educationa l opportun ities witho ut regard to race, color, religion , na tional orig in, sex, age, or d isability.