VC Health Careers Flyers

Workforce & Continuing EducationHealth Careers

Health Careers - MedicalElectronic Health Records - formerly Electronic Medical Records

Insurance CodingLong-Term Care Activity DirectorLong-Term Care Activity Director IILong-Term Care Activity Director UpdateMedical AssistingMedical TerminologyMedication Aide for Nurse AideMedication Aide for Nurse Aid UpdateNurse AidePhlebotomyTherapeutic Recreation ITherapeutic Recreation IIProfessional Development Conferences

Health Careers - Emergency Medical ServicesAdvanced Cardiac Life Support Advanced Cardiac Life Support RecertificationCPR Basic Life Support for Healthcare ProvidersCPR Basic Life Support for Healthcare Providers RecertificationPediatric Advanced Life Support Pediatric Advanced Life Support Recertification

Health Careers -MedicalIf you have a strong desire to

help others feel better,

consider a career in healthcare.

Research shows that 10 of

the 20 fastest growing careers

are in health-related fields.

Certified Nurse AideNURA 1001 Nurse Aide for Health Care - 144 contact hours

Class Dates & Registration Tuition: $425

VC Main CampusMay 31 - July 31 Tues & Thurs | 5:00PM – 9:00PMHealth Sciences Center 227

Mandatory registration & orientation on May 24 at 5:00PM in the Health Sciences Center 227.

Gonzales Center June 12 - Aug 2Tues, Wed, Thurs | 9:00AM – 3:30PMVC Gonzales Center

Mandatory registration & orientation on June 5 at 9:00AM at the VC Gonzales Cen-ter, 424 E. Sarah DeWitt, Gonzales, TX

Calhoun County Center June 13 - Aug 20 Mon & Wed | 5:00PM – 9:00PMVC Calhoun County Center

Mandatory registration & orientation on June 6 at 5:00PM at the VC Calhoun County Center, 900 N. Virginia St., Port Lavaca, TX.

Note:Students must bring admission requirement documents and tuition to the mandatory registration sessions.No cash, please

Course Description: Preparation for entry level nursing assistance to achieve a level of knowledge, skills and abilities essential to provide basic care to residents of long-term care facilities. Emphasis on effective interaction with members of the health care team and assisting residents in maintaining basic comfort and safety.

Note: Individuals that are listed as unemployable on the LTC Employee Misconduct Registry and have been convicted of a criminal offense listed in Texas Health and Safety Code, 250.006 are not eligible to test.

Required Materials: Students must wear an approved uniform while on clinical assignments.

Admission Requirements: 1. Social security number 2. Valid photo ID 3. Validation of immunizations

including: STEP PPD TB Test or record of

annual TB test Hepatitis B SERIES—Includes 3 injections

4. Individual DPS background check. www.txdps.state.tx.us

Cost $3.57 Go to: Services Tab, Crime

Records, Criminal History Search, then select Criminal History tab on the left. In the CCH Menu box select Search Individuals. You will have to set up an account to complete the process.

State Exam: Completers are eligible to take the Texas Nurse Aide Registry Exam at the completion of this course. The ex-ams include a skills and written exam. The fee for these exams is $93.00. A money order in this amount will be due as indicated by the class schedule. A $10.00 test administration fee payable to Victoria College must accompany the Registry Exams Application.

Questions?Workforce & Continuing EducationAllied Health Building2200 E. Red RiverVictoria, TX 77901361-572-6426VictoriaCollege.edu/healthcareprofessions

Financial Aid may be available to those who qualify.

Electronic Health Records

formerly Electronic Medical Records

POFT 1059 Records & Information Management II - 48 contact hours

Class Dates & Registration Tuition: $260 Textbook: $70 (price subject to change) Electronic Health Records

VC Main CampusFall 2012Mon & Wed | 6:00PM – 9:00PMAllied Health Building 106


Course Description: Provides skills and knowledge in the health information field related to electronic health records manage-ment. The roles of various healthcare support positions including the medical office scribe, registration, admitting and receptionist staff and nursing unit computer support positions will be included. Course content will include the transition from paper to electronic records for office practices, clinic setting and acute/long term care facilities. Information on personal health records, clinical documentation, coding and standardization of computer lan-guages, medical terminology basics, evaluation of filing systems and equipment, and maintenance of database records according to information management theory will be covered. Lecture, hands-on computer exercises, and review of industry literature will be instructional methods utilized.

Admission Requirements: • Associates Degree or higher and/or comparable work experience• Computer basics


Insurance CodingMDCA 1043 Insurance Coding - 48 contact hours

Clincal Insurance Coding - 16 hours

Class Dates & Registration Tuition: $215 Textbook: $75 (price subject to change) Medical Insurance

VC Main CampusFall 2012

Gonzales CenterMay 24 – Aug 2 Tue & Thu | 6:00PM – 9:00PMVC Gonzales Center


Course Description: This course provides skills and knowledge in the health information field for ICD-9 and CPT coding of insurance forms for reimbursement of medical services. This course emphasizes accurate ICD-9 and CPT coding of office procedures for payment/reimbursement by patient or third party and prevention of insurance fraud. Ideal learning outcomes for the course are to be able to identify different nomenclatures and classification systems and assign codes using appropriate rules, principles, guidelines and conventions. Describe and explain the differences/similarities among insurance plans. Clinical experience will be assigned in area medical offices.

Course Objectives: 1. Discuss the relationship of accurate coding to reimbursement2. Apply appropriate principals for

accurate claims processing3. Demonstrate appropriate use of

ICD-9-CM, CPT-4, and HCPCS Coding Manuals

4. Identify sources for changes in coding procedures

Admission Requirements: Completion of the Victoria College Medical Assisting Program and/or current employment in medical office.



Long-Term Care Activity Director

GERS 1004 Long Term Care Activity Director I - 90 contact hoursGERS 1066 Field Experience in Long-Term Care Agency 112 contact hours

GERS 1007 Long Term Care Activity Director II - 90 contact hoursGERS 1066 Field Experience in Long-Term Care Agency 112 contact hours

Long-Term Care Activity Director I Tuition: $350

VC Main CampusSpring 2013

VC Gonzales CampusMay 19 - July 28Sat | 9:00AM – 6:30PMVC Gonzales Center

Exam Review - Sept 2012

Course Description: The role of the Activity Director in long term health care facilities includes the study of history, regulations, communications, advocacy, ethics, service delivery and volunteer management. This course, when combined with “Long Term Care Activity Directing II” and “Practicum-Gerontology” meets the state requirements to be qualified as an activity director in Texas. Course work and clinical experience is designed to prepare the student for success on the Texas Activity Direction Certification Exam. Selected assignments will be submitted by mail in lieu of class attendance. Expected learning outcomes are to be able to discuss the history and regulatory requirements for recreation activity

services in long term care settings; apply principles of communication, advocacy and ethics to recreation activity service delivery and volunteer management demonstrate knowledge of life span development and demonstrate proper assessment of client needs.

Admission Requirements: 1. High School Diploma or GED2. Validation of current TB test or

record of annual test & Hepatitis B Series or serologic

confirmation of immunity3. Current (within one year) work

experience in health care.

Financial Aid may be available tothose who qualify.

Long-Term Care Activity Director II Tuition: $350

VC Main CampusJune 16 - Aug 18Sat | 9:00AM – 6:30PMContinuing Education Center 203

Course Description: Activity directing in long-term health care facilities includes assessment, care planning, documentation process and evaluation of client needs. This course also addresses

program design and resources/funding. Selected course assignments will be submitted by mail or e-mail in lieu of class attendance.

Expected learning outcomes are to be able to create care plans based on assessment of client needs; design and document leisure and/or therapeutic activities based on client assessment and resources/funding and evaluate the effectiveness of the entire activity service delivery.

Admission Requirements: 1. Activity Director I2. Validation of current TB test or

record of annual test & Hepatitis B Series or serologic confirmation of immunity

3. Current (within one year) work experience in health care.


Long-Term Care Activity Director Update

8 contact hours


VC Main Campus Nov 2Fri | 8:00AM – 4:50PMHealth Science Center, Rm 133

VC Gonzales CenterJune 1Fri | 8:00AM – 4:50PMVC Gonzales Center

Pre-registration is required. Exam Review - Sept 2012

Who Should Attend?LTC Activity Directors, Activity Director Assistants, Social Workers and others interested in LTC activities

Purpose: The purpose of this continuing education activity is to update knowledge and skills necessary to plan, implement and document a client centered/activity based activity utilizing guidelines from MDS 3.0.

Objectives: • Identify factors to include when

planning a client centered/activity based program

• Discuss implementation strategies for a client centered/ activity based program

• Give examples of documenta-tion for a client centered/activity based program that includes

MDS 3.0 guidelines with a holiday theme.

Certificate: To receive a CE certificate, a participant must complete registration information on the enclosed Victoria College Registration Form, submit with payment form & attend the entire learning activity and submit a completed evaluation form at the end of the activity.

Additional Information If you require special accommodations or for additional conference information, or campus directions call 361-582-2528.

Sponsored by:Victoria College Workforce & Continuing Education and Consortium for Therapeutic Recreation/Activity Director Certification, Inc.


Medical AssistingMDCA 1091 Basic Medical Assistant - 96 contact hours

Class Dates & Registration Tuition: $325 Textbook: $117 (price subject to change) Medical Assisting, Essentials of Admn, Cenage

VC Main CampusJune 6 - Aug 15Mon & Wed | 6:00PM – 9:00PMHealth Sciences Center 221


June 28 - Aug 2 Tues & Thurs | 9:00AM – 3:30PMHealth Sciences Center 221

Mandatory registration & orientation onJune 21 at 9:00AM in the Health Sciences Center 221.

Gonzales Center May 15 - July 19 Tues & Thurs | 5:30PM – 9:30PMVC Gonzales Center

Mandatory registration & orientation on May 8 at 5:30PM at the VC Gonzales Cen-ter, 424 E. Sarah DeWitt, Gonzales, TX

Calhoun County Center June 26 - Aug 16Tues & Thurs | 5:00PM – 9:00PMVC Calhoun County Center 22

Mandatory registration & orientation on June 19 at 5:00PM at the VC Calhoun County Center, 900 N. Virginia St., Port Lavaca, TX.


Course Description: An introductory Medical Assisting Program designed to develop basic knowledge and skills necessary to function safely and effectively in a medical office/clinic environment where certification is not required. Topics address recently identified current events, skills, knowledge and/or attitudes and behaviors pertinent to the technology or occupation and relevant to the professional development of the student. Clinical experience will be assigned in area medical clinics.

Curriculum: • Introduction to health care system• Ethical/legal issues • Professional growth • Clerical office skills Communication assisting with physical exam• General office management• Performing minor laboratory procedures• Personnel management

Handling medical office emergencies• Patient records management• Insurance processing• Basic anatomy and physiology

Admission Requirement: Validation of immunizations including:

2 STEP PPD TB Test Hepatitis B SERIES


Medical TerminologyHITT 1005 Medical Terminology I - 48 contact hours

Class Dates & Registration Tuition: $215 Textbook: $75 (price subject to change) Comprehensive Medical Terminology, Delmar

VC Main CampusApr 17 - May 24Tues & Thurs | 5:30PM – 9:30PMHealth Sciences Center 221

Mandatory registration & orientation on April 10 at 5:30PM in the Health Sciences Center 221.

Calhoun County Center Fall 2012


Course Description: This course includes the study of word origin and structure through the introduction of prefixes, suffixes, root words, plurals, abbreviation and symbols, surgical procedures, medical specialties and diagnostic procedures. Expected learning outcomes are to be able to identity, pronounce and spell medical terms, use in context, build and analyze medical terms and use medical references as resource tools.

Financial Aid may be available tothose who qualify.


Medication Aide for Nurse Aide

NURA 1013 Medication Administration for Nurse Aide - 130 contact hoursClincal - 10 hours

Class Dates & Registration Tuition: $425Textbook: $100 (price subject to change) Administering Medications

VC Main CampusMay 14 - Aug 29Mon & Wed | 4:00PM – 8:00PMHealth Sciences Center 132


Gonzales Center May 14 - Aug 29 Mon & Wed | 4:00PM – 8:00PMVC Gonzales Center

Mandatory registration & orientation on May 7 at 4:00PM at the VC Gonzales Cen-ter, 424 E. Sarah DeWitt, Gonzales, TX

Hallettsville School of NursingFall 2012Mon & Wed | 5:30PM – 9:00PMHallettsville School of Nursing

Cuero School of NursingFall 2012Mon & Wed | 5:30PM – 9:00PMCuero School of Nursing


Course Description: Instruction in preparation and administration of designated medications by non-licensed nursing personnel employed in licensed health care agencies including the responsibilities associated with such administration.

Admission Requirements: 1. Nurse Aide on the State Registry 2. Certified copy of high school

diploma or official transcript with date of graduation or notarized copy of GED (certified means with a school seal or notary

signature). 3. $25.00 Money Order made out to:

Texas Dept. of Aging and Disability Services. 4. You must be currently employed

in a facility as a certified nurse aide or licensed direct care staff person on the first day of class.

5. Validation of immunizations including: Hepatitis B Series or serologic confirmation of

immunity is required before clinical experience.

Before the class start date, all applicants must be a high school graduate or have passed the general equivalency diploma (GED) test.

Applicants who attended school out of the country must have their documentation verified as being equivalent to high school graduation in the United States. Applicants must be employed as certified Nurse Aides listed on the Texas Nurse Aide Registry in active status and currently employed in a facility licensed under Texas Health and Safety Code Chapter 242 on the class start date OR an ICF-MR facility, state school for the Mentally Retarded for the Texas Dept. of Criminal Justice AND have 90 days previous employment in the year preceding the class start date. THIS DOES NOT INCLUDE HOME HEALTH AGENCIES, HOSPITALS, SKILLED NURSING FACILITIES (SNF) IN HOSPITALS, STAFFING AGENCIES, OR CITY-COUNTY JAILS.



Medication Aide for Nurse Aide Update

7 contact hours


VC Main CampusMay 1Tue | 8:00AM – 4:30PMHealth Sciences Center 132

Aug 7Tue | 8:00AM – 4:30PMHealth Sciences Center 132

Nov 6Tue | 8:00AM – 4:30PMHealth Sciences Center 132

Hallettsville School of NursingApr 3Tue | 8:00AM – 4:30PMHallettsville School of Nursing1410 N. Texana, Hallettsville, TX

July 3Tue | 8:00AM – 4:30PMHallettsville School of Nursing1410 N. Texana, Hallettsville, TX

Oct 2 Tue | 8:00AM – 4:30PMHallettsville School of Nursing1410 N. Texana, Hallettsville, TX

Gonzales Center June 5Tue | 8:00AM – 4:30PMVC Gonzales Center 424 E. Sarah DeWitt, Gonzales, TX

Sept 4 Tue | 8:00AM – 4:30PMVC Gonzales Center 424 E. Sarah DeWitt, Gonzales, TX

Dec 4 Tue | 8:00AM – 4:30PMVC Gonzales Center 424 E. Sarah DeWitt, Gonzales, TX

Pre-registration is required.Complete registration form and fax to 361-582-2574 or mail to Worforce & Continuing Education, 2200 E. Red River, Victoria, TX 77901.

Course Description: Intensive training in an identified area(s) to meet continuing education and/or review/update requirements associated with professional licensure or certification.

Medication Aides MUST renew their permit annually. This includes taking this 7 hour CE course and paying the $15 fee to the Department of Aging and Disability Services. First year permit holders may renew by paying the DADS fee only. Permits that have lapsed for one year or more CANNOT be renewed. The 7 hour continuing education class should be taken at least three months before your permit expires.


PhlebotomyPLAB 1023 Phlebotomy - 48 contact hours

Clincal - 9 hours

Class Dates & Registration Tuition: $275 Textbook: $113 (price subject to change) Complete Textbook of Phlebotomy, Cenage

VC Main CampusJune 14 - July 26Tues & Thurs | 6:00PM – 9:00PMHealth Sciences Center 221

Mandatory registration & orientation on June 7 at 6:00PM in the Health Sciences Center 221.

Gonzales Center July 18 - Aug 29Mon & Wed | 6:00PM – 9:00PMVC Gonzales Center

Mandatory registration & orientation on July 11 at 6:00PM at the VC Gonzales Cen-ter, 424 E. Sarah DeWitt, Gonzales, TX

Calhoun County Center Coming Fall 2012


Course Description: Skill development will be administered in the performance of a variety of blood collection methods using proper techniques and universal precautions. Course includes vacuum collection devices, syringes, capillary skin puncture, butterfly needles and blood culture, and specimen collection on adults, children and infants. Emphasis will be on infection prevention, proper patient identification, labeling of specimens and quality assurance, specimen handling, processing and accessioning. Topics include professionalism, ethics and medical terminology. Course includes 9 hours of clinical experience that will be assigned in area medical labs.

Admission Requirements: • Completion of health care provider course work and/or current employment in health care delivery.• Validation of Immunizations

including 2 STEP PPD TB Test or record of annual TB test

Hepatitis B SERIES—Includes 3 injections or serologic

confirmation of immunity • Health Care Provider CPR required for the Victoria & Calhoun locations


Therapeutic RecreationRECT 1041 Therapeutic Recreation I - 48 contact hoursRECT 1042 Therapeutic Recreation II - 48 contact hours

Therapeutic Recreation I Tuition: $225

VC Main CampusSept 8 - Oct 20Sat | 9:00AM – 5:30PMContinuing Education Center 203

Course Description: This course provides the knowledge and practice necessary to plan and implement therapeutic activities that involve music, drama, dance, arts and crafts. Focus is given on the range of individuals who may benefit from these activities. Leadership skills, rather than a mastery of the performance skills will be stressed. This course meets the Therapeutic Recreation course requirement for Certified Activity Directors. Selected assignments will be submitted by mail in lieu of class attendance.

Expected learning outcomes are to be able to demonstrate knowledge of the creative process, group dynamics, theories of motivation, and leadership theories, styles and models. The student should be able to write therapeutic goals for and perform activity analysis of creative arts activities and plan and lead creative arts activities appropriate for a wide variety of therapeutic recreation outcomes.

Requirement: Current (within one year) work experience in directing therapeutic activities.Pre-registration is required for all classes.

Therapeutic Recreation II Tuition: $225

VC Main CampusApr 21 - June 2Sat | 9:00AM – 5:30PMContinuing Education Center 203

Course Description: This course provides the knowledge and practice necessary to plan and implement therapeutic activities that involve sports, games, fitness and outdoor recreation activities with an emphasis on the range of individuals who benefit from these activities. Leadership skills, rather than a mastery of the performance skills will be stressed. This course meets the Therapeutic Recreation course requirement for Certified Activity Directors. Selected assignments will be submitted by mail in lieu of class attendance.

Expected learning outcomes are to be able to demonstrate knowledge of accessibility guidelines, disability related legislation, providers of

therapeutic services and professions related to therapeutic recreation. The student will display the ability to obtain sports, games, fitness and outdoor recreation activi-ties from multiple sources and plan and lead sports, games, fitness and outdoor recreation activities appropriate for a wide variety of therapeutic recreation outcomes.

Requirement: Current (within one year) work experi-ence in directing therapeutic activities.Pre-registration is required for all classes.


Professional Development Conferences

Dental Conference Registration Fee: $60 Includes instructional materials and lunch

Registration Deadline - Aug 7To receive a refund the cancellation deadline is Aug 6

VC Main CampusHealth Science Center Rm 131August 10, 20127:45AM – 4:20PM

Purpose The purpose of this conference is to improve the quality of dental health by increasing the knowledge and skills of dentists, dental hygienist, and dental assistants.

Presenter & TopicTo be announced Continuing Education Credit Earn 7 hours upon successful completion of this activity.

School Nurse ConferenceRegistration Fee: $60 Includes instructional materials and lunch

Registration Deadline - Aug 6To receive a refund the cancellation deadline is Aug 3

VC Main CampusHealth Science Center Rm 131August 9, 20127:45AM – 4:20PM

PurposeThe purpose of this conference is to improve the quality of school age student health by increasing the knowledge and skill of RNS and others related to health issues in children.

Presenter & TopicTo be announced Continuing Education Credit Earn 7 hours upon successful completion of this activity.

Questions?Workforce & Continuing Education2200 E. Red RiverVictoria, TX 77901361-485-6830VictoriaCollege.edu/healthcareprofessions

Health Careers -EMSVC offers training and

recertification in a wide

variety of emergency

medical services.

Advanced Cardiac Life Support

Certification by: The American Heart Association

Advanced Cardiac Life Support EMSP 2035

Tuition: $160 Textbook: $35 (price subject to change)

VC Main CampusJune 16 - 17Sept 22 - 23Dec 8 - 9

All classes are:Sat & Sun | 8:00AM – 5:00PMAllied Health Building 101

Registration:Students must register by Wednesday before class.No cash, please

Prerequisites: Current BLS for Healthcare Provider card.


Course Description:

This 16-hour course was developed by the American Heart Association and is based on the recommendations of the National Conference on Cardiopulmonary Resuscitation and Emergency Cardiac Care. The course is intended for physicians, nurses, paramedical personnel, respiratory therapists and other critical/emergency care professionals who have a need to understand the recommended treatments for critical cardiac patients prior to, during, and post arrest. The cognitive and psychomotor skills necessary for resuscitating the adult are taught through lectures, interactive sessions and skills stations. Participants successfully completing the course requirements will be issued a course completion card.

Advanced Cardiac Life Support RecertificationEMSP 2036


VC Main CampusJune 16 Sept 22 Dec 8



Prerequisites: Current ACLS card.

Course Description: This 8-hour course includes lecture, discussion and skill stations designed to review and update knowledge and skills of the ACLS provider.

CPR Basic Life Supportfor Healthcare Providers


CPR Basic Life Support for Healthcare ProvidersEMSP 1019


VC Main CampusApril 14 Aug 11 Dec 1May 12 Sept 8 June 2 Oct 6 July 7 Nov 3 All classes are:Sat | 8:00AM – 5:00PMAllied Health Building 112


Course Description: This 8-hour course includes lecture, discussion and skills practice in recognition and management of infant, child, and adult patients experiencing airway obstruction, respiratory arrest and cardiac arrest. This course also demonstrates the use of the Automated External Defibrillator. Healthy living and a discussion of the risk factors for heart disease is included. Participants successfully completing the course requirements will be issued a course completion card.

CPR Basic Life Support for Healthcare Providers RecertificationEMSP 2055


VC Main CampusApril 14 Aug 11 Dec 1May 12 Sept 8 June 2 Oct 6 July 7 Nov 3

All classes are:Sat | 8:00AM – 5:00PMAllied Health Building 112


Prerequisites: Current CPR Basic Life Support for Healthcare Providers completion card.

Course Description: This 8-hour course includes lecture, discussion and skills practice in recognition and management of infant, child, and adult patients experiencing airway obstruction, respiratory arrest and cardiac arrest.


Pediatric AdvancedLife Support


Pediatric Advanced Life Support EMSP 1047


VC Main CampusJuly 21 - 22Oct 20 - 21

All classes are:Sat & Sun | 8:00AM – 5:00PMAllied Health Building 101 Registration:Students must register by Wednesday before class.No cash, please

Course Description: This 16-hour course gives healthcare professionals the knowledge and skills to better recognize and treat critically ill infants and children. The course uses a scenario-based, team approach to teach pediatric emergency management of pediatric patients approaching or already in respiratory or cardiac arrest. Topics include Recognition and treatment of infants and children at risk for cardio-pulmonary arrest, the systematic approach to pediatric assessment, effective respiratory management, defibrillation and synchronized administration, intraosseous access and fluid bolus administration and effective resuscitation team dynamics.

Pediatric Advanced Life Support RecertificationEMSP 2039


VC Main CampusJuly 21Oct 20



Prerequisites: Current PALS card.

Course Description: his 8-hour course includes lecture, discussion and skill stations designed to review and update knowledge and skills of the PALS provider.


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Workforce & Continuing Education Registration Form

Fax, mail, or deliver this form in person. Payment is due at time of registration.

Course Title 1. ________________________________________ 2. ________________________________________ Date of Class(es): 1. ________________________________________ 2. ________________________________________

CRN (for office use only): 1. ________________________________________ 2. ________________________________________

Last Name First MI Social Security Number Date of Birth Sex County of Residence

Mailing Address City State Zip Code

Home Phone # Work Phone # Email Address

Employer Job Title

Demographic InformationThe following questions are used by the state to help provide support for our programs. Although not required, your cooperation is appreciated.

1. Please indicate your ethnic origin: (Check one)

African American _____ Alaskan Native _____ American Indian _____ Asian or Pacific Islander _____Hispanic _____ Non-Resident Alien _____ White _____ Other (Indicate) ____________

2. Highest level of Education: (Check one)

Not a high school graduate _____ GED _____ A high school graduate _____ Some college, but no degree _____State-approved Certificate _____ Associate degree _____ Bachelor’s degree _____ Graduate degree(s) _____

3. Marital Status: (Check one) Single (Never Married) _____ Separated/Divorced _____ Married _____ Widowed _____

4. Are you currently receiving financial assistance? YES ___ NO ___ If yes, what type: ______________________ 5. Are you currently reported as a dependent for income tax purposes by a parent or guardian? YES ___ NO ___ Indicate the number of family members, including yourself and others, whom your parents or you or your spouse support: (Check one)

_____ 1_____ 2 _____ 3 _____ 4 _____ 5 _____ 6 _____ 7 _____ 8 _____ 9 _____ 10 _____ 11 _____ 12

6. Please indicate your household income level: (Check one)

_____ Less than $20,000 _____ $20,000 to $39,999 _____ $40,000 to $59,999 _____ $60,000 to 79,999 _____ $80,000 and greater 7. Do you have difficulty speaking, reading, or writing English because it is not your native language? YES___ NO___

8. Have you devoted yourself to making a home, been left alone because of death, separation/divorce, or an absent spouse and find it necessary to obtain marketable skills? _____ YES _____ NO

9. Are you a single parent (divorced, legally separated, widowed or never married with sole or joint custody of a minor child/children) or a single pregnant female? _____YES _____NO

10. Please indicate the HIGHEST LEVEL of education attained by: (Check one in each column)

Mother FatherEight grade education or less _____ _____Some high school but did not graduate _____ _____GED _____ _____A high school graduate _____ _____Some college but no degree _____ _____State-approved certificate _____ _____Associate Degree _____ _____Bachelor’s Degree _____ _____Master’s/Ph.D. _____ _____Please Note:

Victoria CollegeAttn: Janice Vargas

2200 East Red RiverVictoria, Texas 77901

Phone: 361-572-6426Fax: 361-572-6402

Please Note: A hold will be placed on the records of any student who is delinquent in their financial obligations to the College. Future registrations

and transcript requests will be denied until all obligations have been met.

VC Health Careers Flyers

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