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Health Information Management Technology Degree
Application Instructions for 2020-2021
Fall Application: July 24
th
and Prerequisite Deadline: End of Summer
Spring Application: Nov. 16th and Prerequisite Deadline: End of Fall
Step 1: Complete the attached Health Information Management Technology Degree
Application Form. Read the instructions and application requirements
carefully.
Step 2: Review your Gwinnett Technical College Transcript to confirm that all
prerequisites are accurately reflected.
To review & save your Gwinnett Technical College academic transcript to your
computer:
Log on to gtc-web.org
Click on “Student/Faculty Secure Area”
User Name: FLLLLLLXXXX (F=first initial lowercase L=first 6 of last name lowercase
XXXX= last four digits of student 900 number)
Password: Enter default (gtcmmddyy) or your customized password).
Click on “Student Services and Financial Aid”
Click on “Student Records”
Click on “Academic Transcript”
Click on “Submit”
When you pull up your transcript in BANNER WEB right click on the page and select
print and in the destination field select SAVE AS PDF and save to your computer to
attach to your email with your application.
NOTE: If any pre-requisites have been taken at other institutions and are not reflected on
your Gwinnett Technical College transcript, please e-mail
RegistrarsOffice@GwinnettTech.edu so that any missing prerequisite issues can be corrected
well before your application and prerequisite deadline.
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Step 3: Complete the Health Information Management Technology Degree Application
Form with all required information. Be sure to attach a copy of your current:
Gwinnett Technical College transcript printed from gtc-web.org,
Driver’s license
Permanent Resident Card - only if you are not a U.S. citizen.
Step 4: Submit completed application packet to the email address
Healthapp@GwinnettTech.edu no later than the Application deadline. Your
application packet will be reviewed by an advisor for accuracy and completion
before being submitted for processing. Incomplete application packets will not
be accepted.
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900______________
Gwinnett Technical College
Health Information Management Technology Degree
Competitive Selection Application for 2020-2021
Please check the box that indicates your preferred Term choice:
Fall Semester Application: July 24th and Prerequisite Deadline: End of Summer
Spring Semester Application: Nov. 16th and Prerequisite Deadline: End of Fall
Please complete the Competitive Selection Application and attach all required documents. Neither the Competitive
Selection Application nor supporting documentation will be accepted after the application deadline. Documents
must be submitted as a complete packet and may not be submitted individually.
Applicant Information
Student
ID #:
_____ _____ _____ - _____ _____ - _____ _____ _____ _____
Date
Submitted:
__ /___ /___
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Home
Phone:
( ________ ) _________ - ____________
Cell
Phone:
( ________ ) _________ - ____________
E-mail
Address:
Student must be currently enrolled or accepted into Gwinnett Technical College pursuing admission to the
Health Information Management Technology Degree program.
YES
NO
N/A
1. Have you submitted official transcripts to Admissions for all colleges
previously attended and Official Score Reports from College Board for any
AP credit obtained?
2. Have you attached a copy of your driver’s license? Cannot be expired.
3. Have you attached a copy of your Permanent Resident Card only
needed if you are not a U.S. citizen. Cannot be expired.
For staff use only
All previous transcripts have been received and prerequisites are
transferred in accurately in SHATERM.
Student has completed all prerequisite courses with a 2.5 GPA or higher.
BIOL 2113/L and BIOL 2114/L classes were taken within last 5 years
Unofficial transcript is attached
Student has in-progress courses - Yes/No
# of in progress courses
Student has completed one additional course from Areas II and
Humanities Elective.
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900_______________
Gwinnett Technical College
Health Information Management Technology Degree
Competitive Selection Application for 2020-2021
The Health Information Management Technology Degree program requires the following courses to be
completed or “in progress” by the prerequisite deadline. Each course must be completed with a minimum grade
of C. In addition to earning a minimum grade of “C” in each course, an overall GPA of 2.5 must be earned in
the required prerequisite courses. A student may retake a course, however only the most recent attempt will be
considered for the competitive selection process.
Please identify where and when each course was completed, and the letter grade attained. If you repeated a
required course, please list information related to the most recent attempt only. Gwinnett Technical College
must have an official transcript on file for each college previously attended. Please view your Gwinnett Technical
College academic transcript through Self-Service BANNER Web to find the dates and grades for specific courses
completed with Gwinnett Tech. *Remember to list all prerequisite courses completed. Mark as “in progress”
the prerequisite courses you are currently enrolled in for Semester. Complete the GPA calculation portion of
the chart for completed courses only.
Column A
Column B
Required
Course
College Where
Completed
Term
Completed
Letter
Grade
Earned
Grade
Points
(Enter
appropriate
points from
key to the
right.)
Number
of Credit
Hours
(Add hours
from each
class and
enter total
on line
below)
Enter
Product of
last 2
columns
(Multiply
Grade
points by
number of
credit hours)
Letter
Grade
Point
Key
ENGL 1101
3
A = 4
MATH 1111
3
B = 3
ALHS 1090*
2
C = 2
BIOL 2113*
3
BIOL 2113L*
1
BIOL 2114*
3
BIOL 2114L*
1
Total:
Enter total from Column B
÷
Enter total from Column A
=
Cumulative GPA
*Course must be completed within five years of the competitive program Application and prerequisite deadline.
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900_______________
I understand this application, along with all course information and supporting documents must be received
by emailing healthapp@GwinnettTech.edu by the application packet deadline. I also understand incomplete
packets will not be considered.
I have attached an unofficial copy of my Gwinnett Technical College transcript which I have uploaded from
gtc-web.org and I have confirmed that all courses and grades listed above are accurately reflected therein. I
have also attached a copy of my driver’s license and if you are not a U.S. citizen you will need to attach a copy
of your Permanent Resident Card.
I understand that MAST 1120 must be completed by end of semester 1 of HIMT, and that the following
courses will be required for graduation: FYES 1000 (unless exempt), and one additional course from Areas II
and IV (students are encouraged to complete these courses before entering the Health Information
Management Technology program).
I understand that all prerequisites are marked with an asterisk (*) above must have been completed with 5
years of the application deadline.
I understand that completion of prerequisite courses and meeting other minimum requirements does not
guarantee selection to the Health Information Management Technology program, as there are a limited
number of seats available in the occupational and clinical courses. Candidate selection is based on a
competitive selection process which includes a GPA of 2.5 or higher to apply to the HIMT program.
Student Signature _______________________________________________ Date ___________________
A-06/30/2020
click to sign
signature
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