Forms

    • All program submissions to the ARC/STSA must be created and sent as one seamless PDF file, with all pages upright/facing the same direction, appropriately labeled and bookmarked.
    • The ARC/STSA will not accept or process submissions that are not appropriately bookmarked.
    • Emailed submissions must be sent to info@arcstsa.org
    • Submissions greater than 50 pages in length must be mailed to ARC/STSA on a USB drive and will not be accepted as an email submission.
    • Submissions not following the guidelines will be returned to the program for correction and re-submission. Please note that the posted document is to be used as a reference and that not all bookmark labels will apply to your submission.
    • Bookmarks should follow the section labels provided with Self-Studies, PRRs, Findings letters or applications.
    • Please note, attestation forms do not require the submission of additional supporting documentation unless specifically requested by the ARC/STSA.
    • Please reference CAAHEP Standards and Guidelines for documentation that must be maintained by the program to demonstrate compliance.

Surgical Technology Forms

Outcomes Reporting Forms

ARC/STSA Outcomes Tracking Tool (1-25)

ARC/STSA Outcomes Tracking Tool (1-40)

[Either of the above is required for use for tracking ARC/STSA-established outcomes for all cohorts enrolled on or after August 1, 2014 and upon request by the ARC/STSA] (Click here for instructions for completing this form and a sample of a completed form)

Survey Forms

ST Graduate Survey Tool

This Graduate Survey Tool is used for graduates who completed the program on or after August 1, 2016, and may be administered immediately upon completion of the program.

ST Employer Survey Tool

This Employer Survey Tool is used for graduates who completed the program on or after August 1, 2016, and may be administered immediately upon placement.

* Please contact the ARC/STSA office at info@arcstsa.org or 303-694-9262 for forms marked with an asterisk above.

Surgical Assisting Forms

Outcomes Reporting Forms

SASA-ARC/STSA Outcomes Tracking Tool-SA

[required for use for tracking ARC/STSA-established outcomes for all cohorts enrolled on or after August 1, 2014 and upon request by the ARC/STSA]

(click here for instructions for completing this form and a sample of a completed form)

Survey Forms

SA Graduate Survey Tool

This Graduate Survey Tool is used for graduates who completed the program on or after August 1, 2016, and may be administered immediately upon completion of the program.

SA Employer Survey Tool

This Employer Survey Tool is used for graduates who completed the program on or after August 1, 2016, and may be administered immediately upon placement