surgical technology - gtcc enrollment forms/official 2019 surg tech diploma to...cis 110...
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Guilford Technical Community College – Limited Entry Programs Office 140 Hassell Health Technologies Center, Jamestown Campus [email protected] (Revised November 27, 2018)
Surgical Technology Diploma to Associate in Applied Science Bridge
Fall 2019 Entry—Jamestown Campus
General Education Coursework (Courses Listed in Bold Italic Type Must Be Completed before
Applying to the Program)
Course Title Credits
BIO 163 Basic Anatomy and Physiology 5
MED 120 Survey of Med Terminology 2
ENG 111 Writing and Inquiry 3
CIS 110 Introduction to Computers 3
ECO 251 Principles of Microeconomics 3
ENG 114 Professional Research and Reporting 3
HUM/FA Humanities/Fine Arts Elective 3
BUS 137 Principles of Management 3
COM 120 Introduction to Interpersonal Communication 3
PSY 150 General Psychology 3
30 Total General Education Credits:
Additional Program-Specific
Admission Criteria
Graduate from an accredited
Surgical Technology diploma
program (43 credits) w ith a
3.0 program GPA with grades of
“C” or better in Professional and
General Education Coursework.
Plan to attend a mandatory
Surgical Technology
Program Information
Session.
Brief Description of Program:
The Surgical Technology Bridge is a 2-semester program that provides completion coursework for the student who has
earned a diploma in Surgical Technology and desires to complete an Associate degree in Surgical Technology. It is a
limited entry program in which applicants must meet minimum admission requirements by the specified deadline date
to be considered for acceptance to the program.
Professional Coursework
Advanced Standing Credit
Awarded for: Fall Semester 2019 Spring Semester 2020
SUR 211 SUR 210 Completion of courses in an accredited Diploma program.
Total Semester Credits: 2 Total Semester Credits: 2
Application Deadline:
Friday, April 12, 2019 by 5:00pm Total Credit Hours Required for Degree: 68
Maximum Number of Students Accepted Annually: 10
Guilford Technical Community College – Limited Entry Programs Office 140 Hassell Health Technologies Center, Jamestown Campus [email protected] (Revised November 27, 2018)
Brief Description of Profession, Including Career Opportunities and Work Environments:
Students will apply theoretical knowledge to the care of patients undergoing surgery and develop skills necessary to
prepare supplies, equipment, and instruments; maintain aseptic conditions; prepare patients for surgery; and assist
surgeons during operations. Associate degree graduates may also have employment opportunities in some supervisory
level positions in the inpatient/outpatient centers and central sterile processing units.
Essential Functions:
The mission of the Surgical Technology program at GTCC is to
prepare graduates for entry-level positions as surgical
technologists. All students will be expected to perform
assigned skills and class assignments at the same level, with or
without accommodations. It is the responsibility of the
applicant to read the essential functions carefully and ask for
clarification of any function that is not understood.
To be successful in the Surgical Technology program, students
will need to demonstrate skills in the following areas:
Communication (reading and verbal)
Math
Analytical/Comprehension
Visual Acuity
Physical/Emotional
Behavioral
For a detailed listing of all skills required, please visit the
Surgical Technology website at:
https://www.gtcc.edu/academics/academic-programs/
programs/health-and-wellness/surgical-technology.php
Program Outcomes:
Upon successful completion of the diploma curriculum, graduates
should be able to:
Participate in surgical procedures
Practice sterile supply room procedures
Prepare for surgical procedures
Use equipment according to established policies and
procedures
Provide for patient safety
Care for surgical instruments
Practice aseptic technique
Supervise employees in the sterile processing unit.
Assist with specialty departments
Order departmental supplies
Estimated Program Costs:
The approximate total in-state cost for the 2-semester Surgical Technology Diploma to Associate Degree Bridge program is $4400.
For the most current information on tuition and student/course-specific fees, refer to the Cashier’s Office webpage:
https://www.gtcc.edu/admissions-and-aid/how-to-pay-for-college/cashiers-office.php
Tuition rates are established by State Board of Community College in accordance to actions taken by NC General Assembly. Student fees are established by GTCC Board of Trustees in accordance to the State Board of Community Colleges. All rates are subject to change.
Program and Employment Statistics:
Employment Outlook
Median wages (2016): $45,160 annual
Projected industry growth (2014-2024): +15%
Source:
https://www.bls.gov/ooh/healthcare/surgical-technologists.htm
For more information on employment in this field, visit GTCC’s Career
Coach tool:
https://gtcc.emsicc.com/programs/surgical-technology-aas/198622
Accreditation:
The GTCC Surgical Technology Diploma program is approved by the Commission on Accreditation of Allied Health Education Pro-grams (www.caahep.org)
Accrediting Agency Contact Information:
CAAHEP 25400 US Highway 19 North Suite 158 Clearwater, FL 33763 P:727-210-2350 E: [email protected]
Credentialing/Licensing Requirements:
Graduates of this program will be eligible to apply to take the
national Board of Surgical Technology and Surgical Assisting
Certification examination for Surgical Technologists.
MINIMUM ADMISSION CRITERIA Surgical Technology Diploma to Associate Degree Bridge Program
Fall 2019 Entry Application Deadline: April 12, 2019 by 5:00pm
Applicant Name ___________________________________________ ID# ________________________
New and Returning GTCC Students Must Complete the Following Steps by the Posted Program Application Deadline:
Submit your Residence Form, GTCC Application for Admission, and official transcripts and score reports (like SAT, ACT or the AP exam). Apply for Financial Aid by completing the FAFSA.
Please complete the GTCC admission process, including the North Carolina Residency Determination Service (RDS) process. To get started, visit https://www.gtcc.edu/admissions-and-aid/apply-now.php
Submit your official transcripts. Transcripts may be hand-delivered (envelope “sealed” by the school where the credits were earned) or electronically. For more information on submitting transcripts, visit https://www.gtcc.edu/student-life/records-and-transcripts/Submitting%20Transcripts.php. Once received, transcripts will be evaluated. Approved transfer credits will be assigned to your academic record as appropriate.
Apply for financial aid by completing the FAFSA. Visit the Financial Aid Office website for more information on starting the process. https://www.gtcc.edu/admissions-and-aid/how-to-pay-for-college/financial-aid/applying-for-financial-aid.php
Applicants may check the status of their application by visiting https://applicationstatus.gtcc.edu and transcripts by visiting https://transcripts.gtcc.edu .
Demonstrate English and Mathematics Readiness. Applicants must be eligible to register for the appropriate college-level courses as required by the curriculum. Assessment of readiness may include review of high school and/or college transcripts, SAT/ACT scores, or completion of GTCC’s placement test.
ENGLISH READINESS (Must Complete One Option) MATHEMATICS READINESS (Must Complete One Option)
Option 1: Complete or place out of all of the following:
DRE 096, DRE 097, DRE 098
Option 2: Complete ENG 002 with a minimum grade of P2
Option 3:
Complete or place out of ENG 011
Option 1:
Complete or place out of all of the following: DMA 010, DMA 020, DMA 030, DMA 040, DMA 050
Option 2:
Complete MAT 003 with a minimum grade of P2
Option 3: Complete or place out of one of the following:
MAT 043, MAT 052, or MAT 071
GTCC Surgical Technology Bridge Program – Admission Criteria/Ranking Sheet (Revised November 27, 2018) -- Page 2 of 3
Activate your GTCC Titan Account, Complete Orientation, and Sign up for “First Advising”. About 48 hours after you have submitted your Application for Admission, you will be able to activate your GTCC Titan Account. Visit https://myaccount.gtcc.edu/PasswordReset for instructions on how to complete this step. It is extremely important that your complete this step as soon as your Titan Account will enable you to access your GTCC email, Moodle, and other services!
Once your Titan Account has been activated, you will need to complete the online Orientation session, where you will learn about campus services and how to register for classes. You will use your Titan Account to login.
At the end of orientation, you’ll be directed to sign up for your “First Advising” session. Here, you’ll meet with an advisor to plan your course selection for the first semester. Please refer often to this Health Sciences Admissions document, as it describes the courses you’ll need to take to be on track to meeting minimum admission requirements for the program and to become as competitive an applicant as possible!
All Students (New, Readmitted, and Currently-Enrolled) Must Complete the Following Steps by the Posted Program Application Deadline:
Attend/Complete a Required Program Information Session In order to make sure that you fully understand the admission requirements, application, and selection process for your program of interest, the Health Sciences Division requires that you complete a Program Information Session.
At this “in-person” session, you’ll have the opportunity to interact with Limited Entry Admissions staff and faculty from your program of interest. Information on what to expect in program classes, what a “typical” week is like, how to prepare for certification/licensure exams, and other topics will be discussed.
No pre-registration is required to attend. All sessions are held on the Jamestown campus.
Tuesday, October 9, 2018 3:30 – 5:00pm Hassell Health 105 Wednesday, November 7, 2018 3:30 – 5:00pm Hassell Health 105 Monday, March 11, 2019 5:30 – 7:00pm Hassell Health 105 Tuesday, April 2, 2019 5:30 – 7:00pm Hassell Health 105
If the online version of the Information Session is available for your program of interest, you must complete the required modules, take a quiz, and achieve a grade of “100%” in order to receive credit for this minimum admission requirement. A link to the online option (if available for your Program of Interest) may be obtained by contacting the Limited Entry Programs Office at [email protected].
Graduate from an Accredited Surgical Technology Diploma Program with a Minimum 3.0 Program GPA. Applicants must meet this minimum program GPA in order to be eligible to enter the Diploma to Associate Degree Bridge program. The Program GPA will be verified via the transcript from GTCC or other nationally-accredited program.
Once You Have Completed ALL of the Steps Listed Above, Then You Have Completed the Minimum Admission Requirements (MAR).
GTCC Surgical Technology Bridge Program – Admission Criteria/Ranking Sheet (Revised November 27, 2018) -- Page 3 of 3
Schedule an Appointment with the Limited Entry Programs Office to Complete a Minimum Admission Requirements (MAR) Review. Once you have met all of the Minimum Admission Requirements noted on the MAR Check Sheet included in this packet, you are ready to meet with the Limited Entry Programs Office to review your application file. To schedule an appointment for your MAR review, please contact the office at (336) 334-4822, ext. 50439/50415, or send an email to [email protected].
Submit the Health Sciences Limited Entry Application Package by 5:00pm on Friday, April 12, 2019. Gather all of the required documents for the Health Sciences Limited Entry Application Package and submit them to the Limited Entry Programs Office, located in Hassell Health Technologies Center, Room 140 on the Jamestown campus.
• Complete the Health Sciences Application and Checklist. • Verify that all transcripts have been received by GTCC and attach a copy of your WebAdvisor transcript. • Attach all other documentation required on the Program Information Sheet and Application Checklist.
Applications received after 5pm on the deadline will not be accepted.
Important Notes to Health Science Program Applicants Program faculty reserve the right to revise or change course requirements in accordance with applicable state laws, college requirements, accreditation standards, and/or at the discretion of the faculty. By accepting admission into the program, the students agrees to at all times abide by the program requirements and procedures as set forth in the Student Handbook and the respective course syllabus issued at the beginning of each term for each course. The student is bound by such requirements and procedures regardless of whether they were established before or after the date of enrollment in the program. Changes made after the publication of the Handbook will be posted as an addendum to the Handbook.
Most programs require students to have a criminal background check, a drug screen, and an OIG review (Office of Inspector General) upon admission. Healthcare agencies that are utilized for clinical and/or internship experiences require this evaluation. If a student is denied agency access due to a positive check or screening, the students may not be able to complete the clinical education experiences, which will result in the inability to continue in the health science program. Screening may also be required after graduation by examination boards, state licensing boards, and employing agencies. Pending the outcome, a graduate may be disqualified from examination eligibility, state licensure, and/or employment.
Students must achieve a GPA of 2.0 or better in order to graduate. Students who receive a grade of “D” in a general education course (other than BIO) can graduate as long as their GPA is at least 2.0. However, a grade of “D” in a general education course will not transfer to another institution, nor will GTCC accept a grade of “D” for credit from another institution. Students must achieve a “C” or better in BIO and program major courses. Students who do not achieve a “C” or better in these courses will be suspended from the program.
For Questions about the Surgical Technology Admission Process, Please Contact: Limited Entry Programs Office
140 Hassell Health Technologies Center, Room 140 Jamestown Campus [email protected]
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MINIMUM ADMISSION REQUIREMENTS (MAR) CHECK SHEET Surgical Technology Diploma to A.A.S. Bridge Program – Fall 2019 Entry
Must be completed by Friday, April 12, 2019 by 5:00pm
Use this form to keep track of your progress toward meeting requirements. Your assigned advisor will be able to assist you in verifying that you have completed them.
Applicant Name ___________________________________________ ID# ________________________
Met? Minimum Admissions Requirement Advisor Use Only
COMPLETE THE GTCC ADMISSIONS PROCESS
I have completed the GTCC college admission process. All official transcripts have
been received and evaluated for applicable transfer credit.
Verify that transcripts have been
received in IASU.
Verify that transfer credits have been
received via STAC screen.
MATHEMATICS READINESS (Must Complete One Option)
Option 1: Complete or place out of all of the following: DMA 010, DMA 020, DMA 030, DMA 040, DMA 050
Option 2: Complete MAT 003 with a minimum grade of P2
Option 3: Complete or place out of one of the following: MAT 043, MAT 052, or MAT 071 ENGLISH READINESS (Must Complete One Option)
Option 1: Complete or place out of all of the following: DRE 096, DRE 097, DRE 098 Option 2: Complete ENG 002 with a minimum grade of P2 Option 3: Complete or place out of ENG 011
Verify that appropriate non-course
credits and grades have been
awarded via STAC screen.
ATTEND/COMPLETE A REQUIRED PROGRAM INFORMATION SESSION I have attended a required Surgical Technology Program Information Session or completed an Online Session (if available). If I took the online session, I made a “100%” on the quiz.
The Limited Entry Programs Office
will verify attendance, as they keep a
roster of all those who attended and
completed the quiz (online session).
GRADUATE FROM AN ACCREDITED SURGICAL TECHNOLOGY DIPLOMA PROGRAM WITH A MINIMUM 3.0 PROGRAM GPA.
Verify graduation via transcripts in
ImageNow.
Once all of the above has been completed , the student may contact the Limited Entry Programs Office for an
appointment to complete a Minimum Admissions Requirements (MAR) Review.
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POINTS & RANKING SHEET Surgical Technology Diploma to Associate Degree Bridge Program
Fall 2019 Entry Application Deadline: April 12, 2019 by 5:00pm
Applicant Name ___________________________________________ ID# ________________________
Program-specific Admission Requirements
Criteria Possible Points Points Awarded Completed
Participation in a Surgical Technology Program Information Session Minimum Admission Requirement – No Points
Graduation from the GTCC or other nationally-accredited Surgical Technology Diploma Program with a Program GPA of 3.0 and Grades of “C” or better in All Coursework.
Minimum Admission Requirement – No Points
Completion of General Education Courses Required for Degree There are no prerequisite General Education courses that must be completed before applying to the Surgical Technology program. It is recommended, however, that students take the general education courses to earn points toward admission to the program and to lighten the academic load during the program.
Course Possible Points Date Completed Student Grade Points Awarded
CIS 110 A =4, B = 2
ECO 251 A = 4, B = 2
ENG 114 A = 4, B = 2
HUM/FA Elective A = 4, B = 2
BUS 137 A = 4, B = 2
COM 120 A = 4, B = 2
PSY 150 A = 4, B = 2
Points Awarded for This Section: Completion of Additional Courses for Ranking Points
Course Possible Points
Student Grade Points Awarded
College-Level Coursework:
ACA 111 or 122 with a “B” or better 1
College-level microbiology course with a “C” or better (since 2009) 1
Points Awarded for This Section:
GTCC Surgical Technology Bridge Program – Admission Criteria/Ranking Sheet (Revised November 27, 2018) -- Page 2 of 2
Completion of Additional Related Experience
Experience Possible Points
Points Awarded
Completion of a college-level health sciences degree or diploma (other than Surgical Technology) 6
Graduate of the GTCC Surgical Technology Diploma program. 2
Current health-related certification (i.e., Nurse Aide, Med Tech, EMT) up to a maximum of two two certifications and two points. 1-2
Points Awarded for This Section:
Total Points Awarded for All Sections
Criteria Total Points
Program-Specific Admission Requirements No Points Earned
Completion of General Education Courses Required for Degree
Completion of Additional Courses for Ranking Points
Completion of Additional Related Experience
TOTAL POINTS AWARDED:
GTCC Health Sciences: Fall 2019 Limited Entry Admissions Process (Revised November 2018)
GTCC HEALTH SCIENCES PROGRAMS NEW! LIMITED ENTRY ADMISSIONS PROCESS
(Applies to all Health Sciences Program Admissions for Summer 2019 and Beyond)
ALL processes listed below must be completed by 5:00pm on the application deadline for your selected program of study.
GTCC Admission, Orientation and “First Advising” Processes
Step 1: Complete the GTCC admission and NC residency applica�ons.
Step 2: Submit your official high school or GED transcript and official transcripts from all colleges atended to the Admissions Office.
It is your responsibility to verify that transcripts have been received by GTCC. Visit https://transcripts.gtcc.edu/. Also, you can log into WebAdvisor to review your "Program Evaluation", located in the Academic Profile section, which will show all transfer coursework with corresponding grades of TA, TB, or TC.
Step 3: Applicants must be eligible to register for the appropriate college-level courses as required by the curriculum. Assessment of readiness by the GTCC Admissions Office may include review of high school GPA and/or college transcripts, SAT/ACT scores, or comple�on of GTCC’s placement test.
ENGLISH READINESS (Must Complete One Option)
MATHEMATICS READINESS (Must Complete One Option)
Op�on 1:
Complete or place out of all of the following:
DRE 096, DRE 097, DRE 098
Op�on 2:
Complete ENG 002 with a minimum grade of P2
Op�on 3:
Complete or place out of ENG 011
Op�on 1:
Complete or place out of all of the following:
DMA 010, DMA 020, DMA 030, DMA 040, DMA 050
Op�on 2:
Complete MAT 003 with a minimum grade of P2
Op�on 3:
Complete or place out of one of the following:
MAT 043, MAT 052, or MAT 071
Step 4: Ac�vate your GTCC Titan Account, so that you will be able to access your GTCC email, Moodle, and other services, including the college’s online orienta�on process.
Step 5: Complete the college’s orienta�on and “First Advising” processes. Here, your advisor will help you select ini�al courses required to meet the minimum admission requirements for your intended program of study.
GTCC Health Sciences: Fall 2019 Limited Entry Admissions Process (Revised November 2018)
Limited Entry Program Admission and Application Process
Step 1: Complete a required Program Information Session for your program of interest. You may do this via a “face-to-face” session or comple�ng an online session via Moodle, if an online session is available for your program. Informa�on on session dates is available through the Limited Entry Programs Office website and in each individual Program Admission Packet.
Step 2: Con�nue working with your assigned advisor to select and enroll in program prerequisite and general educa�on courses for each semester. Complete any required pre-admission tests (if applicable, such as TEAS) or other program-specific admission criteria. Make sure these tasks are completed by the applicable deadline for your program of interest.
Step 3: Once you have met all of the Minimum Admission Requirements (MAR) noted on the MAR Checksheet included in the Program Admission Packet, you are ready to meet with the Limited Entry Programs Office to review your applica�on file and prepare to submit your Health Sciences Program Applica�on. To schedule an appointment for your MAR review, please contact the office at (336) 334-4822, ext. 50439, or send an email to [email protected].
REMEMBER – in addi�on to mee�ng the MAR, you may also work toward comple�ng any of the general educa�on courses and other items noted on the Points and Ranking Sheet included in the Program Admission Packet. In order for these items to be considered for ranking points, they must be completed by the Admission Deadline noted for the program to which you are applying. Your assigned advisor is able to assist you in selec�ng the appropriate courses.
Step 4: Prepare your Health Sciences Program Application and supplemental documents.
Complete the Application and Application Checklist. Atach the following supplemental documents:
Print an unofficial copy of your GTCC transcript via WebAdvisor. Please use the “Unofficial Transcript View” link. Remember, it is YOUR responsibility to verify that all transcripts been received.
Attach a copy of the results of any pre-admission tests, if required (i.e., TEAS).
Attach copies of any certifications, etc., you wish to include for Related Experience points.
Step 5: Submit the completed Health Sciences Program Application by 5pm on the specified deadline, to the Limited Entry Programs Office, located in Hassell Health Technologies, Room 140, on the Jamestown campus. Late submissions will not be accepted.
Health Sciences Selection Process Ini�al processing of applica�on materials will be conducted by the Limited Entry Programs Office.
A Selec�on Commitee comprised of Health Sciences program administra�on and faculty, will review all complete files, review ranking points earned, and select the candidates and alternates, based on the Total Points earned.
Ties will be decided, based on the following system: 1) The applicant with the higher total points earned in the “General Educa�on Courses” ranking sec�on; 2) The applicant with the higher TEAS composite score (if applicable); and 3) The date that the GTCC Admission Applica�on was submited for the program of interest.
Each candidate who submits a Health Sciences Program Application to the Limited Entry Programs Office by 5pm on the specified deadline will be no�fied in wri�ng of the results of the selec�on process.
GTCC Health Sciences: Fall 2019 Limited Entry Admissions Process (Revised November 2018)
Students must accept or decline a program posi�on in wri�ng within 10 business days of the date on the acceptance leter. Failure to respond within the stated �meframe will result in the posi�on being offered to an alternate. Once a student declines a program posi�on, the decision may not be reversed.
A student has 15 business days from the date on the no�fica�on leter to appeal the results of the selec�on process. The appeal must be submited in wri�ng to the Division Dean. The Division Dean will render a decision within 10 business days of receipt of the writen appeal. The Division Dean’s decision is final.
Health Sciences Program Orientation, Advising/Registration, and Enrollment Once a posi�on in a program of study is accepted, the student will then communicate with the Program Director regarding all maters related to program orienta�on, advising/registra�on, and enrollment.
The student is required to atend all program orienta�ons, mee�ngs, or other events scheduled prior to the start of classes. Failure to atend may result in a leter of termina�on from the Division Dean, and point deduc�ons may apply for future applica�ons to the same program. An alternate may be selected to fill the posi�on, as decided by the Program Director.
The student must enroll in program classes. Failure to enroll will result in a leter of termina�on from the Division Dean. Point deduc�ons may apply for future applica�ons to the same program, unless the student no�fies the Program Director and the Limited Entry Programs Office, in wri�ng, prior to the first day of the semester. An alternate may be selected to fill the posi�on, as decided by the Program Director.
A student who enrolls in first-semester classes for the program and withdraws from the program or is dropped from the program within that semester must complete the en�re program admission process if he/she wishes to apply for a future program entry. Ranking point deduc�ons may apply for future applica�ons to the same program.
I have read and understand the GTCC Health Sciences Limited Entry Admissions Process.
I am ataching this signed copy with my Health Sciences Program Applica�on.
Signature: _________________________________________________________
Date: ______________________________________
The GTCC Health Sciences Limited Entry Process is not to be regarded as a contract between GTCC and students. GTCC reserves the right to change any provisions or requirements with adequate notice and minimum disruption to students.
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Return this Application to: Limited Entry Programs Office Hassell Health Technologies Center, Rm. 140 Jamestown, NC 27282 (336) 334-4822, ext. 50439; [email protected]
Health Sciences Program Application (Revised November 2018)
Please PRINT OR TYPE the information below. It is the applicant’s responsibility to notify GTCC IN ADVANCE OF SUBMITTING THIS APPLICATION of any name, address, or telephone changes.
Name Last First Middle GTCC Student ID Number (not SSN) Address Number Street Apt. Number Telephone City State Zip Daytime GTCC Email Address Alternate Email
Indicate the program to which you are applying for admission. NOTE: A separate application must be completed for each program if applying to more than one program.
LPN to Assoc. Degree Nursing Bridge (summer 2019) – Application Deadline is January 31, 2019
Nursing A.A.S. Degree (fall 2019) – Application Deadline is February 15, 2019
Practical Nursing Diploma (fall 2019) – Application Deadline is February 28, 2019
Nursing RIBN Associate Degree to B.S.N Program (fall 2019) – Application Deadline is March 1, 2019
Dental Hygiene A.A.S. Degree (fall 2019) – Application Deadline is March 15, 2019
Dental Assisting Diploma (fall 2019) – Application Deadline is March 29, 2019
Pharmacy Technology Diploma (fall 2019) – Application Deadline is April 12, 2019
Pharmacy Technology Diploma to A.A.S. Bridge (fall 2019) – Application Deadline is April 12, 2019
Surgical Technology Diploma (fall 2019) – Application Deadline is April 12, 2019
Surgical Technology Diploma to A.A.S. Bridge (fall 2019) – Application Deadline is April 12, 2019
Radiography A.A.S. Degree (fall 2019) – Application Deadline is May 24, 2019
Medical Assisting A.A.S. Degree (fall 2019) – Application Deadline is May 31, 2019
Physical Therapist Assistant A.A.S. Degree (fall 2019) – Application Deadline is May 31, 2019
Health Information Technology A.A.S. Degree ( fall 2019) – Application Deadline is June 28, 2019
Have you previously been accepted to or enrolled in the same program to which you are applying? Yes No
If “yes”, please list the semester and year that you were accepted to or last enrolled in the program: ____________________________________________ Semester/Year
IT IS THE APPLICANT’S RESPONSIBILITY TO ENSURE THAT HIS/HER FILE IS COMPLETE AND THAT ALL NECESSARY DOCUMENTS ARE IN PLACE BY THE STATED APPLICATION DEADLINE.
Applications received after 5:00pm on the deadline will not be accepted. Please complete the Application Checklist on the back of this document.
2019 Health Sciences Program Application Checklist
I understand that ALL required documentation must be attached to the Health Sciences Program Admission Application and Application Checklist at the time it is submitted. I understand that, once I submit my application, nothing can be added to or removed from my file.
I verify that all high school/GED and college transcripts (if applicable) have been received by GTCC and that any applicable transfer credit has been awarded.
I understand that my final grades, including all applicable transfer credits, must be posted to my GTCC transcript by the deadline date. I have attached a copy of my GTCC Transcript from WebAdvisor.
I have attached the following supporting documentation to demonstrate completion of the following additional program-specific admission criteria:
Associate Degree Nursing and Practical Nursing Applicants
LPN to Associate Degree Nursing Bridge Applicants Dental Hygiene, Radiography, and Physical Therapist
Assistant Applicants
TEAS 6.0 Score Report TEAS 6.0 Score Report TEAS 6.0 Score Report
Current NC Nurse Aide Certification Verification from the NC DHSR
Access the Registry at: https://www.ncnar.org/verify_listings1.jsp
Current Unrestricted Licensed Practical Nurse Verification from the NC Board of Nursing
Access the License Verification System at: https://apps.ncbon.com/LicenseVerification/Search.aspx
I understand that any supporting documentation of related experience that I wish to submit must also be attached to this application in order to be considered for ranking points.
I attended the required Fall 2019 Program Information Session for the program to which I am applying.
I have received/read a copy of the GTCC Health Sciences Programs Limited Entry Admissions Process document and have attached a signed and dated copy of it with this application.
__________________________________________________________________ ___________________
Signature of Applicant Date
LIMITED ENTRY PROGRAMS OFFICE USE ONLY
Application Packet Received/Verified on (date/time): _________________________
Signature of LE Office Staff: __________________________________________________