Butte County Career Technical Education Center

2491 Carmichael Dr #500, Chico, CA 95928

Phlebotomy Technician Program

Instructions:

This application must be completed electronically (hand written applications will not be accepted).
Application packet must include:
 Completed Application
 Verification of high school diploma or equivalent

optional and recommended

Emergency Contact Information:

Disability

Education:

Please list schools attended. Attach a separate sheet of paper if necessary.

Flag if most school years were completed out US - e.g.

Flag if degree or diploma was earned outside US - e.g.

PDF or Word Files Only

example: high school = 12 years

MM/DD/YYYY - MM/DD/YYYY

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Work Experience:

Include paid and volunteer experience. Please attach a separate sheet if necessary. Related experience may not be a requirement for admission; however, we seek individuals who are motivated and understand the employment conditions of the occupation.

MM/DD/YYYY - MM/DD/YYYY

MM/DD/YYYY - MM/DD/YYYY

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I declare that the information and documents submitted in conjunction with this application are true and correct to the best of my knowledge and that I composed my personal statement by myself. I acknowledge that i t is my responsibility to notify CTEC of any subsequent changes regarding information provided. I understand that obtaining a license or certification may require a background check.

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Butte County CTEC does not discriminate on the basis of race, color, national origin, age, religion, political affiliation, gender, mental or physical disability, sex orientation, genetics, or any other basis protected by federal, state or local law, ordinance or regulation, in its educational program(s) or employment.

Personal Statement:

Please answer the following questions.

Personal Characteristics & Requirements

Class begins September 3, 2019 and meets on Tuesday and Thursdays from 3:00pm to 6:00pm for 11 weeks. During the last 6 weeks students complete an additional 40-80 hours of clinical training and are required to complete 50 successful venipunctures, 10 successful skin punctures and observe two arterial draws. Per our approval with the State of California, one hundred percent attendance is required.
Please click here for Personal Characteristics

I have received and agree to the job requirements provided in the Personal Characteristics & Requirements document for this program.
Required