Application

Application Deadline for Full-time track Respiratory Care program is May 31, 2021.

Application Deadline for Part-time track Respiratory Care program is July 19, 2021.

NOTE: Before filling out the application, read the Admissions Guidelines to make sure you meet all the requirements for admission.

The application for Respiratory Therapy is included below. Please click on and follow the instructions for completing the application. Currently, the only way an application for the program is accepted, is on-line. If you have any questions, please contact Andrea Pifher, Program Coordinator, at apifher@cscc.edu.

Note: If you have problems with this application, contact Miranda Amrich at mamrich@cscc.edu.

First Name

Middle Initial

Last Name

Maiden Name

Other Last Names

Your Email Address (Please use your CSCC email if you are a student)

Cougar ID

Address

City

State

Zip Code

County

Home Phone

Work Phone

Extension

Cell Phone

If you are not a student at Columbus State Community College, please apply for admission. You can apply to the college on-line at www.cscc.edu or by calling (614) 287-5353 or 1-800-621-6407, ext. 5353 OR by visiting the Welcome Center, 101 Madison Hall at Columbus State Community College’s main campus.

Admissions Requirements — Grades and GPA: You must have an official transcript sent to the Columbus State Community College, Records Office, 550 East Spring Street, P. O. Box 1609, Columbus, Ohio 43216-1609, directly from your high school or college.

I am applying for:

Full Time Program
Part-Time Program

Please list ALL progress on pre-admission courses:

If courses were completed at another college / university, make sure your transcript is on file in Columbus State's Records and Registration Department. All completed courses require a grade of "C" or better.

Course Name & Number	Completed	Grade	College / University
Placement in ENGL 1100	Yes No
Placement in "No Reading Required"	Yes No
Placement in STAT 1350	Yes No
Completion of NURC 1001	Yes No

Current GPA
Note: Program requires a GPA of 2.5 or higher

Previous Degree

Previous College

HESI A² Entrance Exam Scores – please email scores to respiratory@cscc.edu before the application deadline.

Cumulative Score

Written Statement of Interest and Intent:

Write a brief (~30 word) statement explaining your interest in Respiratory Care and your career goals.

All information on this application that I have completed is correct and true. I have read and understand all policies and procedures regarding application to the Respiratory Care Program. Submission of the form implies that you agree with the above statement.

Please press "Submit" only once, your application may take a moment to go through.

Academics Department

(614) 287-0000

academics@cscc.edu

Application

Please list ALL progress on pre-admission courses:

Written Statement of Interest and Intent:

Department Contact