Instructions for Applying to the RT Program
Apply to San Juan College and submit all official transcripts:
 Contact the San Juan College Admissions Office for a SJC Application for Admission ($10 for paper application) or
apply free online at www.sanjuancollege.edu. Declare your major as AA.LBAS.RESP on the SJC Application.
 Send ONE official transcript from EACH college, university, and high school that you attended to the San Juan
College Admissions Office (505-566-3300) at:
San Juan College
Admissions Office
4601 College Blvd.
Farmington, NM 87402
RT Program Prerequisites:
 Contact the San Juan College RT Program at (505) 566-3851 or [email protected] to arrange an
appointment to review unofficial transcripts from EACH college and university that you have attended for
prerequisite information.
Send the following RT Program Application materials to the RT Program IN ONE SEALED ENVELOPE:
☐ Completed RT Program Application
☐ Two (2) Completed Letter of Recommendations in sealed envelopes with signature over seal
☐ Completed verification Job Shadow Form
☐ Copy of Page 1 of results of your TEAS Exam. The Exam must be taken within one year of your application date.
☐ Sign Acknowledgement Page.
All the materials must be received at the RT Program before 5 pm on Friday, July 1, 2016. Send to:
San Juan College
Respiratory Therapy Program
4601 College Blvd.
Farmington, NM 87402
Confirm that the RT Program Application packet has been received by July 1, 2016.
 Email the RT Program at [email protected] to confirm that the RT Program has received the application
packet on time.
Deadlines:
Program Start Date
August 23, 2016
ATI TEAS
Deadline
June 25, 2016
Application Deadline
Decision Date
July 1, 2016
July 8, 2016
Selection Criteria
San Juan College RT Program will accept a maximum of 18 students in 2016. Applicants will be ranked based on the
following criteria:
Criteria
Prerequisite Grades
Additional points if any of these
classes are already completed.
ATI TEAS V for Allied Health Exam
Education and Training
Comments
A=12
B=10
C=8
Anatomy & Physiology I
Anatomy & Physiology II
Microbiology
Medical Terminology
20% of score
Certificate Program
Associates Degree
Bachelor’s Degree
Work Experience
Other: current licenses
Less than 1 year
1-4 years
5-8 years
9+ years
CNA, EMT
BLS, PTCB
Points
60
1.25
1.25
1.25
1.25
5
20
Non-Healthcare
2
3
4
Non-Healthcare
1
2
3
4
Healthcare
3
4
5
Healthcare
2
3
4
5
5
5
5
Legal Limitations
Individuals who have been convicted of a felony or some misdemeanors may not be eligible for certification or licensure.
If convicted of a felony or some misdemeanors, you must contact the Respiratory Therapy Licensing Board in the state
where you plan to seek licensure to verify your eligibility for licensure. The State of New Mexico’s statute 61 article 12.B10, it states “The provisions of the Criminal Offender Employment Act [28-2-1 to 28-2-6 NMSA 1978] shall govern
consideration of criminal records required or permitted by the Respiratory Care Act.”
All students accepted into the SJC Respiratory Therapy Program will be required to complete a New Mexico Department
of Health criminal background check at their own expense and provide a copy to the RT Program.
Letters of Recommendation
INSTRUCTIONS FOR LETTERS OF RECOMMENDATION:
Choose ONLY TWO people who will be submitting letters of recommendation on your behalf. The recommenders are
being asked to evaluate the applicant’s personal and professional behaviors. One recommendation must be from
someone who has supervised you in a work or volunteer experience. The other recommendation may be from an
instructor/professor, counselor/advisor, health care professional, previous/current employer, or community
leader/representative. Recommendations from family or personal friends are UNACCEPTABLE. AND provide your
recommender with a self-addressed stamped envelope with your address to return to you for you to include
in your application packet.
ESSENTIAL TECHNICAL AND ACADEMIC ABILITIES REQUIRED OF THE RESPIRATORY THERAPIST:
The following are technical standards and essential job functions for every Respiratory therapist, as compiled from
observations of a wide variety of job experiences for the performance of common safe therapeutic functions. Students
accepted into the Respiratory Therapy Program at San Juan College should exhibit or demonstrate the following
essential skills for completion of the program and success in the profession of Respiratory Care. These technical and
academic standards must be met and maintained throughout the length of the Program.
What are the technical requirements in the program?
 Physical Endurance, Mobility and Skill:
o Stand (e.g., at client side during surgical or therapeutic procedure)
o Sustain repetitive movements (e.g., CPR)
o Maintain physical tolerance (e.g., work entire shift)
o Reach below waist (e.g., plug electrical appliance into wall outlet)
o Pinch/pick otherwise work with fingers (e.g., manipulate a syringe)
o Walk fast or run (e.g., code blues/resuscitation)

Physical Strength:
o Push and pull 50 pounds of weight (e.g., ambulate client)
o Support 50 pounds of weight (e.g., ambulate client)
o Lift 50 pounds of weight (e.g., ambulate client)
o Defend self against combative client
o Carry equipment/supplies
o Use upper body strength (e.g., perform CPR, physically restrain a client)

Hearing:
o Hear normal speaking-level sounds (e.g., person-to-person report)
o Hear faint body sounds (e.g., blood pressure sounds, assess placement of tubes)
o Hear in situations when not able to see lips (e.g., when masks are used)
o Hear auditory alarms (e.g., monitors, fire alarms, call bells)

Visual:
o
o
o
o
See object up to 20 inches away (e.g., information on a computer screen, skin conditions)
See objects up to 20 feet away (e.g., client in room)
Use depth perception and peripheral vision
Distinguish color and color intensity (e.g., color codes on supplies, flushed skin/paleness)

Tactile:
o Feel vibrations (e.g., palpate pulses)
o Detect temperature (e.g., skin, solutions)
o Feel differences in surface characteristics (e.g., skin turgor, rashes)
o Feel differences in sizes, shapes (e.g. palpate vein, identify body landmarks)
o Detect environmental temperature

Emotional Stability
o Establish therapeutic boundaries Provide client with emotional support
o Adapt to changing environment/stress
o Deal with the unexpected (e.g., client condition, crisis)
o Focus attention on task
o Cope with own emotions
o Perform multiple responsibilities concurrently
o Cope with strong emotions in others (e.g., grief)
What academic skills are needed to participate in the program?
 Math
o Comprehend graphic trends and read measurements
o Calibrate equipment
o Convert numbers to and from metric System (e.g., dosages)
o Count rates (e.g., drips/minute, pulse, count duration of contractions, CPR, etc)
o Read measurement marks (e.g., measurement tapes, scales)
o Add, subtract, multiply, and/or divide whole numbers
o Compute fractions and decimals (e.g., medication dosages)
o Document numbers in records

Analytical Thinking
o Process information from multiple sources
o Evaluate outcomes; Solve problems; Prioritize tasks
o Use long-term and short-term memory

Critical Thinking
o Identify cause-effect relationship
o Make decisions independently
o Adapt decisions based on new information

Communication and Interpersonal Skills
o Establish rapport with patients and interact with families and groups
o Respect/value cultural differences in others
o Establish rapport with team members
o Negotiate interpersonal conflict
o Listen/Comprehend written/spoken word
o Collaborate with others (e.g., health care workers, peers)
o Manage clinical information
Non-Discrimination Policy
San Juan College will comply with existing federal and state laws and regulations, including the Title VII Civil Rights Act of
1964 and 1990, Executive Order 11246 Section 504 of the 1973 Rehabilitation Act, the Age Discrimination Act of 1967,
the Americans with Disability Act of 1990, as amended, and the Vietnam Era Veteran’s Readjustment Act of 1974. It is
the policy of the College to provide for equal opportunity in recruitment, employment, compensation, benefits,
transfers, layoffs, returns, institutionally sponsored education, training, tuition assistance, social and recreational
programs, staff development opportunities and advancement, and all other personnel practices without regard to race,
color, religion, national origin, ancestry, sex, disability, age, or veterans’ status. Questions should be directed to the EEO
officer at 566-3253.
Program Cost
Tuition/Fees*
Books1
Lab Fee
Tuition/Fees*
Books1
Lab Fee
Tuition/Fees*
Books1
Lab Fee
Fall Semester 1
Resident
$935
$782
$150
$1,867
Summer Semester 3
Resident
$888
$347
$350
$1,585
Spring Semester 5
Resident
$796
$143
$200
$1,139
Non-Resident
$2,655
$782
$150
$3,587
Non-Resident
$2,508
$347
$350
$3,205
Non-Resident
$2,216
$143
$200
$2,559
Spring Semester 2
Resident
Non-Resident
Tuition/Fees*
$888
$2,508
1
Books
$420
$420
Lab Fee
$75
$75
$1,383
$3,003
Fall Semester 4
Resident
Non-Resident
Tuition/Fees*
$888
$2,508
Books1
$509
$509
Lab Fee
$300
$300
$1,697
$3,317
Estimated Totals for Entire Program
Resident
Non-Resident
Semester 1
$1,867
$3,587
Semester 2
$1,383
$3,003
Semester 3
$1,585
$3,205
Semester 4
$1,697
$3,317
Semester 5
$1,139
$2,559
$7,671
$15,671
*All Tuition and Fees are subject to change. Please refer to the semester schedule in reference for current rates. Fees
may include but are not limited to: Technology Fee, Student Fee, and Lab Fee.
Books1 These expenses are estimated and may be paid to outside vendors. Book costs are estimated based on new
textbook costs at the time of printing.
** Additional costs: 12-panel Drug test, Criminal Background Check, Immunizations, BLS, ACLS, PALS, and NRP
Certification, Uniforms, Shoes, Licensure Exam, Equipment and Graduate Cap & Gown. Students are responsible
for travel and/or housing costs for all clinical assignments. Some rotations will be outside of the Four Corners
Region.
Respiratory Therapy Application
Personal Information
________________________________________________________________________________________________________
LAST
M.I.
FIRST
MAIDEN
1. Name of Applicant
________________________________________________________________________________________________________
Preferred Name:
Last FOUR digits
Of your SSN#
2. San Juan College ID#
3. Physical Address
________________________________________________________________________________________________________
STREET NAME & NUMBER
APT.#
CITY
STATE
ZIP CODE
4. Mailing Address
________________________________________________________________________________________________________
STREET NAME & NUMBER
APT.#
CITY
STATE
ZIP CODE
5. E-Mail Addresses
_________________________________________________________________________________________________________
A. Personal/Work
_________________________________________________________________________________________________________
B. Personal/Work
6. Home Phone Number
7. Work Phone Number
8. Cell Phone Number
(
(
(
)
)
)
9. Preferred Method of
Contact
10. Emergency Contact
_______________________________
NAME
________________________________
RELATIONSHIP
________________________________
STATE
_______________________________
DAYTIME PHONE
________________________________
EVENING PHONE
________________________________
CELL PHONE
Personal Information, continued
Have you ever been convicted of a felony:
Have you ever been convicted of a misdemeanor:
If yes, have you contacted the Respiratory Therapy Licensing Board in your State:
☐Yes ☐No
☐Yes ☐No
☐Yes ☐No
TELL US WHY YOU WANT TO GET INTO THE SJC RT PROGRAM:
Section A: Prerequisites
PREREQUISITE
COURSES
COURSE ID
(E.G. Biol 121)
COURSE TITLE
FINAL GRADE
YEAR &
SEMESTER
COMPLETED
Introductory
Biology I
Math for
Health Careers
OR Higher
Introductory
Chemistry
Freshman
Composition
Public Speaking
OR
Interpersonal
Communication
Have you completed any of the following courses within the last 5 years
Introductory
Psychology
Microbiology
Anatomy &
Physiology I
Anatomy &
Physiology II
INSTITUTION
WHERE
COURSE WAS
TAKEN
Course
Equivalent
(for office use
only)
Section B: ATI TEAS V for Allied Health Exam Results
Please document the date of your ATI TEAS V for Allied Health Exam in the table below and include a copy of the FIRST
PAGE of the ATI TEAS V for AH results with your application packet.
Date of Exam:
OR/Completion of Associates
Degree or higher
Copy of First Page of Results
Attached to Application:
☐Associate’s ☐Bachelor’s
☐Yes ☐No
Date Completed
Section C: Educational Institutions
NAME OF HIGH SCHOOL:
City:
Graduation Date:
STATE:
Health Related
Program:
☐Yes ☐No
NAME OF INSTITUTION:
City:
Dates Attended:
STATE:
Health Related
Program:
☐Yes ☐No
Degree and/or Certificate
NAME OF INSTITUTION:
City:
Dates Attended:
STATE:
Health Related
Program:
☐Yes ☐No
Degree and/or Certificate
NAME OF INSTITUTION:
City:
Dates Attended:
Degree and/or Certificate
STATE:
Health Related
Program:
☐Yes ☐No
Section D: Work Experience
Job Title
Organization’s Name
Name of Organization
Indicate Type of Experience:
Work/Volunteer
List Work or Volunteer Responsibilities/Skills
Dates
Month/Year to Month Year
Job Title
Organization’s Name
Name of Organization
Indicate Type of Experience:
Work/Volunteer
List Work or Volunteer Responsibilities/Skills
Dates
Month/Year to Month Year
Job Title
Organization’s Name
Name of Organization
Indicate Type of Experience:
Work/Volunteer
List Work or Volunteer Responsibilities/Skills
Dates
Month/Year to Month Year
Job Title
Dates
Month/Year to Month Year
Organization’s Name
Name of Organization
Indicate Type of Experience:
Work/Volunteer
List Work or Volunteer Responsibilities/Skills
Is this Healthcare related
☐Yes ☐No
Is this Healthcare related
☐Yes ☐No
Is this Healthcare related
☐Yes ☐No
Is this Healthcare related
☐Yes ☐No
Section E: Certifications
Do you have any State or National certifications? Examples: Basic life support, Certified Nursing Assistant, Pharmacy
Technician, Emergency Medical Technician.
Certification:
Date Completed
Current
☐Yes ☐No
Current
☐Yes ☐No
Current
☐Yes ☐No
Certification:
Date Completed
Certification:
Date Completed
______________________________________________
Applicants Signature
______________________________________________
Date