University of Utah Health SLCC Surgical Technology Apprenticeship Program Interest

The application deadline for our August 2025 cohort is May 2025. Please fill out this form; we will contact you with more information.

The purpose of this form is to collect information regarding who is interested or already working towards program eligibility. For questions regarding this program, please email studentplacement@hsc.utah.edu

Name (Legal Name)

Last Name, First Name

Phone Number

Phone

Address

City

State

Zip Code

Check this box if you are a current employee of University of Utah Health

Can we contact you about this opportunity?

By checking YES, you consent to receive email communication to the above email address.

Yes

SLCC Prerequisite Coursework

The following courses (23 total credit hours) must be completed BEFORE applying to this program. Equivalent courses from other institutions may be considered.

ENGL 1010, Intro to Writing
MATH 1035 Quantitative Literacy w/Integrated Algebra
BIOL 2320/2325, Human Anatomy/Lab
PSY 1100 or 1010 or FHS 1500, Personal Growth & Dev or General Psychology or Lifespan Human Development
COMM 1010 or 2110, Elements of Effective Comm or Interpersonal Comm
HS 1100, Medical Terminology
HS 2050, Cultural, Legal and Ethical Issues in Health Care

Please select ONE statement that best describes your progress.

(refer to the list of courses above)

All my prerequisite courses for the SLCC Surgical Technology Program are complete.

I am still taking prerequisite courses, which will be completed by May 2025.

I started prerequisite courses, which will NOT be complete by May 2025

I have not started prerequisite courses yet.

Please add any further information you would like us to know.

Send me a copy of my responses

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