Surgical Technology Certificate Screening Form

Instructions: Please use this form to determine whether you are ready to apply to the NSCC Surgical Technology Certificate Program and what steps to take if you are not yet eligible to apply.

First Name

Last Name

Email

Will Fall 2026 be your first semester at NSCC?

Yes

No

Have you/will you take classes at NSCC in 2026

Yes

No

Have you applied to the college and been admitted for Fall 2026?

Yes

No