Guilford Technical Community College – Limited Entry Programs Office 140 Hassell Health Technologies Center, Jamestown Campus limitedentry@gtcc.edu (Revised November 27, 2018)

Brief Description of Program:

The Surgical Technology curriculum prepares individuals to assist in the care of the surgical patient in the

operating room and to function as a member of the surgical team.

General Education Coursework

Course Title Credits

BIO 163 Basic Anatomy and Physiology 5

MED 120 Survey of Med Terminology 2

ENG 111 Writing and Inquiry 3

10 Total General Education Credits:

Additional Program-Specific

Admission Criteria

Plan to attend a mandatory Surgical

Technology Program Information Session.

Biology competency:

High school Biology course/lab with grades of “C”

or higher taken within the past 3 years (since the

2015-2016 school year)

OR

Completion of a college level Biology/lab course

with a grade of “C” or higher taken within the past

10 years (since 2009).

Professional Coursework

Fall 2019 Spring 2020 Summer 2020

SUR 110

SUR 111

SUR 122

SUR 123

SUR 134

SUR 135

SUR 137

Total Semester Credits: 10 Total Semester Credits: 13 Total Semester Credits: 10

Surgical Technology Diploma

Fall 2019 Entry—Jamestown Campus

Application Deadline:

Friday, April 12, 2019 by 5:00pm Total Credit Hours Required for Degree: 43

Estimated Number of Students Accepted Annually: 36

Guilford Technical Community College – Limited Entry Programs Office 140 Hassell Health Technologies Center, Jamestown Campus limitedentry@gtcc.edu (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.

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

Estimated Program Costs:

The approximate total in-state cost for the 3-semester Surgical Technology program is $5,000.

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:

Program Statistics:

Student Retention Rate: 72% over five years (2012-2016)

Employment Outlook

Job Placement Rate (2011-2015): 94%

For more information on employment in this field,

visit GTCC’s Career Coach tool:

https://gtcc.emsicc.com/programs/surgical-technology-

diploma/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: mail@caahep.org

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 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 – 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 limitedentry@gtcc.edu.

Meet Biology Competency. • Completion of a high school biology/lab course with a grade of “C” or higher, completed no later than the

2015-2016 high school year. OR

• Completion of a college-level biology/lab course with a grade of “C” or higher, completed since 2009.

Once You Have Completed ALL of the Steps Listed Above, Then You Have Completed the Minimum Admission Requirements (MAR).

GTCC Surgical Technology – 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 limitedentry@gtcc.edu.

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 limitedentry@gtcc.edu

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MINIMUM ADMISSION REQUIREMENTS (MAR) CHECK SHEET Surgical Technology Diploma 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).

BIOLOGY COMPETENCY (Complete One of the Following Options): Option 1: High School Biology /lab course completed with a “C” or better no later than the 2015-2016 academic year.

Option 2: College Biology /lab course completed with a “C” or better no later than 2009.

Verify high school competency via

transcripts in ImageNow.

Verify college competency via STAC.

If using a transfer course, will have to

verify year of completion by viewing

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 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

Biology Competency (high school or college) 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

BIO 163 or BIO 168&169 (completed since 2009 – points earned for BIO 168/169 will be averaged)

A = 8, B = 4

ENG 111 A =4, B = 2

MED 120* A = 4, B = 2

Points Awarded for This Section: *MED 120 is a course restricted to students who have already been accepted into the Surgical Tech program. If you completed that course as part of another program’s requirements, then you may use it for ranking points. Completion of Additional Courses for Ranking Points

Course Possible Points Student Grade Points Awarded College-Level Coursework: College-level microbiology course with a “C” or better (since 2009) 2 CIS 110 with a “B” or better 1 COM 110, 120, or 231 with a “B” or better 1 ACA 111 or 122 with a “B” or better 1 HUM/FA elective with a “B” or better 1 ENG 112 or ENG 114 with a “B” or better 1 PSY 150 with a “B” or better 1 ECO 251 or BUS 137 with a “B” or better 1 High School-Level Coursework (current high school students): Biology/Lab with a grade of “B” or better (completed since 2016) 2 Chemistry/Lab with a grade of “B” or better (completed since 2016) 2 11th grade English with a grade of “B” or better (no credit awarded if applicant has completed ENG 111) 1

Geometry, Tech Math II, Algebra II, Honors Math (Algebra III, Trig, Calculus) with a grade of “B” or better (counts only once) 1

Points Awarded for This Section:

GTCC Surgical Technology – 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 bachelors or associate’s degree. 6

Completion of a college-level health sciences diploma. 3

Current health-related certification (i.e., Nurse Aide, Med Tech, EMT) Up to a maximum of two points awarded for two certifications. 1-2

Completion of a High School Career and Technical Education (CTE) concentration (at least 4 credits in the Health Sciences) within the last 3 years (since the 2015-2016 school year).

3

Completion of Health Sciences I & II in high school with grades of “C” or better (since the 2015-2016 school year). 3

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 limitedentry@gtcc.edu.

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; limitedentry@gtcc.edu

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: __________________________________________________