---
title: Surgical Technologist Program Enrollment Form Template | Paperform
description: Professional surgical technology program enrollment form with anatomy prerequisite verification, scrub rotation preferences, certification exam registration, and clinical placement coordination. Free customizable template.
url: "https://paperform.co/templates/surgical-technologist-program-enrollment-form"
type: static
generatedAt: "2026-03-28T00:45:19.008Z"
---

[← Back to free form templates](/templates/)    ![Surgical Technologist Program Enrollment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/surgical-technologist-program-enrollment-form.png)
    [Preview](https://_preview.paperform.co/ai-template/surgical-technologist-program-enrollment-form) [Use this template for free](/create?ai-template=surgical-technologist-program-enrollment-form)    [Registration Forms](/templates/category/registration/) [Healthcare](/templates/industry/healthcare/)[Education](/templates/industry/education/) [Healthcare Administrator](/templates/role/healthcare-admin/)[Teacher](/templates/role/teacher/)[Professor](/templates/role/professor/)[School Administrator](/templates/role/school-admin/)     About this free form template
### Streamline Your Surgical Technology Program Enrollment with Paperform

Enrolling students in a surgical technology program involves multiple complex steps—from verifying anatomy prerequisites to coordinating clinical placements and certification exam registrations. This **Surgical Technologist Program Enrollment Form** template is purpose-built for healthcare education institutions that need to collect comprehensive student information, validate prerequisites, and organize clinical rotations in one professional, easy-to-complete form.

#### Built for Healthcare Education Programs

Whether you're running a community college surgical tech program, a hospital-based training initiative, or a vocational healthcare academy, this template helps you replace scattered paperwork and email chains with a single, streamlined enrollment process. The form automatically adapts based on student responses—showing prerequisite verification fields only when needed, and revealing clinical placement preferences based on their program track selection.

#### What This Template Includes

This enrollment form captures everything you need to onboard surgical technology students effectively:

 - **Student demographics and contact information** with emergency contact details
 - **Educational background verification** including anatomy and physiology prerequisite completion
 - **Program track selection** (certificate, associate degree, or accelerated track)
 - **Scrub rotation preferences** across different surgical specialties
 - **Certification exam registration** for the CST (Certified Surgical Technologist) exam
 - **Clinical placement coordination** with hospital and facility preferences
 - **Background check and immunization acknowledgments**
 - **Financial aid and payment information**

The conditional logic ensures students only see questions relevant to their specific situation, creating a faster, more intuitive enrollment experience that reduces dropout rates and incomplete applications.

#### Automate Post-Enrollment Workflows with Stepper

Once a student submits their enrollment, you can use **Stepper** (stepper.io) to automatically trigger your next steps: send prerequisite verification requests to previous institutions, route clinical placement preferences to your hospital partners, register students for orientation sessions, and update your student information system—all without manual data entry. This automation means your admissions team can focus on student support rather than administrative tasks.

#### Seamless Integration with Your Education Tech Stack

Connect this form directly to your CRM, student management system, or tools like Google Sheets, Airtable, Salesforce, or HubSpot. Each enrollment automatically creates a student record, triggers confirmation emails with next steps, and can even integrate with payment processors if you collect enrollment deposits or program fees upfront.

With **Paperform**, you get SOC 2 Type II compliance and data security that meets the standards healthcare education institutions require, plus the flexibility to match your school's branding with custom fonts, colors, and logos. Join thousands of education programs worldwide that trust Paperform to handle their most critical enrollment workflows.
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