Bossier Parish Community College

Associate Applied of Science in Respiratory Therapy
Clinical Application Packet

Application Packet Instructions

Bossier Parish Community College
Science and Allied Health Division
Attn: Respiratory Therapy Clinical Selection Committee
6220 E. Texas St.
Bossier City, LA 71111

  1. Signed Essential Requirements FormPDF fileWill open new browser window or tab
  2. Completed & Signed Respiratory Therapy Clinical Application FormPDF fileWill open new browser window or tab
  3. ARF request FormPDF fileWill open new browser window or tab(you may send this form electronically instead)
  4. Official Transcripts (not required if all pre-Respiratory Therapy coursework is from BPCC)
  5. Additionally, 8 hours of observation should be completed prior to the June 15th deadline. The clinical observation rating formsPDF fileWill open new browser window or tabshould be received by the RESPIRATORY THERAPY Admissions Committee before the end of the spring semester.

Essential Requirements

The Respiratory Therapy Program has established Essential Requirements,PDF fileWill open new browser window or tab identifying occupational-specific technical standards required of students in the program. Please print, read and Sign this document and include it in your application packet. If you have questions or concerns related to your ability to meet these described requirements, please contact your academic advisor.

Application Form

Neatly type all information requested on Respiratory Therapy Clinical Application Form.PDF fileWill open new browser window or tab It must be printed, SIGNED, and included in your application packet.

ARF or ERF (Academic/Employee Rating Form) Completion Request Form

Part of your application packet is two (2) academic rating forms completed by one of your college instructors or one (1) academic rating form and one (1) Employer Rating Form.PDF fileWill open new browser window or tab Complete this ARF request formPDF fileWill open new browser window or tabproviding us with the name and email address of the instructor you would like us to use. The two-page Academic Rating Form will be emailed to the instructor and will be returned directly to the program admissions committee for scoring via email. For Employer Rating Forms,PDF fileWill open new browser window or tab please print the form and take it to the employer. They will complete it, place it in a sealed envelope, sign the seal and return it to you to include in your application packet.

CORF (Clinical Observation Rating Form)

Prior to the June 15th deadline you are required to complete a minimum of 8 hours observation. Please refer to the Clinical Observation Instruction sheetPDF fileWill open new browser window or taband if necessary the Willis Knighton TB Skin test form.PDF fileWill open new browser window or tab Prior to completing your observation hours, print a Clinical Observation Rating FormPDF fileWill open new browser window or tabto take with you.

Official Transcripts/Other Institutions

If you completed pre-RESPIRATORY THERAPY coursework at another institution, you will need to include an OFFICIAL transcript from that collegePDF fileWill open new browser window or tabin your Respiratory Therapy clinical application packet.

Clinical Student Disclosure of Clinical Requirements

Each student selected into the clinical program each year will be required to adhere to additional Essential Requirements.PDF fileWill open new browser window or tab These requirements include providing additional documentation, completing additional immunizations/tests and following additional policies/procedures unique to Allied Health Clinical Programs. It is the responsibility of the selected student to (a) complete/fulfill the listed requirements and (b) cover the costs of those requirements. Students will be notified upon selection into clinicals which procedures to follow and what documentation to provide.