Fill - Free fillable Application Nursing (Licensed Practical Nurse/Paramedic/Surgical Technologist) Bridge (Gwinnett Technical College) PDF form

LAWRENCEVIL~ I ALPl1ARETTA-NORTH FULTON

Nursing (Licensed Practical Nurse/Paramedic/Surgical Technologist) Bridge

Application

PLEASE READ ALL INSTRUCTIONS

Spring C Term 2021 Application Deadline: October 10, 2020

**Prerequisites must be completed before the October 10

th

Deadline**

The only prerequisite that can be in-progress for Fall semester is BIOL 2117 Lab only

Since October 10

th

falls on a Saturday we will take applications through 6 PM on Monday, October 12

th

.

Step 1: Complete the attached Nursing (Licenses Practical Nurse/Paramedic/Surgical

Technologist) Bridge Degree application form. Read the instructions and

application requirements very carefully. This is a writable form and does not

need to be printed out. Please save to your computer and fill out the form and

save it back to your computer once you have completed the application before

you email the form and all required documents to

healthapp@gwinnetttech.edu. Please check all your attached documents

before you email your application to make sure, the application is complete

and you can still change items on the application. If not, we cannot complete

our portion of the application.

Step 2: Review your Gwinnett Technical College Transcript to confirm that all

prerequisites are accurately reflected. This will be attached to your email with

your completed application.

To review and save to your computer your Gwinnett Technical College

academic transcript:

• 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)

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• 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 FOR APPLICANTS EXPECTING TRANSFER CREDIT: Applicants will need to be accepted into

Gwinnett Technical College at least 3 weeks prior to the application deadline to ensure that

transfer credits have enough time to be evaluated and transferred in. The official evaluation

process does not begin until a student is accepted and can take between 2-3 weeks. Once the

official evaluation is complete, the credits that have been accepted will be transferred in and will

show on your Gwinnett Technical College Transcript. If any pre-requisites have been taken at other

institutions and are not reflected on your Gwinnett Technical College transcript 2-3 weeks after

acceptance, or if you are accepted less than 3 weeks prior to the application deadline, please e-

mail the Healthcare Team at HealthTeam@GwinnettTech.edu.

Step 3: Schedule an appointment to take the Kaplan Exam.

• The Kaplan exam must be completed prior to the October 10

th

Nursing

(LPN/Paramedic/Surgical Technologist) Bridge Application deadline and

must be taken at Gwinnett Technical College.

• The Kaplan Exam is offered by appointment only. To schedule a testing

appointment, go to gwinnetttech.edu/programs/assessment-testing-center/

and click on KAPLAN. The cost for the Kaplan exam is $50.00. You must pay

within 2 days of your registration or your seat will be made available for

other students.

• Gwinnett Technical College allows competitive health candidates to take the

Kaplan Exam a maximum of 2 times per application cycle (10-11-19 thru 10-

12-20). Students must wait a minimum of 30 days between Kaplan Exam

testing dates. The highest Kaplan Exam score obtained from GTC will be

accepted. The score results sheet must be attached to your application

packet.

Step 4: Complete the Nursing Bridge Degree Application Form with all required

information. Attached all required documentation to your email as separate

documents.

Be sure to attach a copy of your current:

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• Gwinnett Technical College unofficial transcript downloaded from gtc-

web.org - see instructions in Step 2.

• Kaplan Score Report - given to you at the end of your Kaplan exam.

• LPN/Paramedic/Surgical Technologist License (take picture with your cell

phone).

• Driver’s License (take picture with your cell phone).

• Permanent Resident Card - only if you are not a U.S. citizen.

Step 5: Submit your completed application packet to the email address

healthapp@gwinnetttech.edu no later than the October 10th application

deadline. If you would like to submit your application in person you may do so

by scheduling a QLess appointment with a Healthcare Enrollment Advisor on

the Lawrenceville or Alpharetta-North Fulton campus. Download the QLess

App here to make an appointment. Your 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

Nursing (Licensed Practical Nurse/Paramedic/Surgical Technologist) Bridge

Application Instructions

Spring C Term 2021 Cohort Deadline: October 10, 2020

Please check the box that indicates your current licensed profession:

Licensed Practical Nurse Paramedic Surgical Technologist

Please complete the Competitive Selection Application Form 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.

Student must be currently enrolled in or accepted into Gwinnett Technical College to pursue admission to the Associate Degree

Nursing Bridge program.

YES

NO

N/A

1. Have you submitted an official transcript to Admissions from all

colleges previously attended and Official Score Reports from College

Board for any AP Credit obtained?

2. Have you attached a copy of your current LPN or Paramedic or Surgical

Technologist license?

3. Have you attached a copy of your Driver’s license? Cannot be expired.

4. Have you attached a copy of your Permanent Resident Card – only

needed if you are nor a U.S. Citizen. Cannot be expired.

5. Have you attached the KAPLAN exam results from GTC with a minimum

score of 70% within the past 12 months? Please attach your Kaplan

score report.

HIGHEST OVERALL

SCORE:

TEST DATE

_______

__ /___ /___

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:

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KAPLAN TESTING INSTRUCTIONS

The Kaplan exam must be completed prior to the Application deadline for the Nursing

(Licensed Practical Nurse/Paramedic/Surgical Technologist) Bridge program and must

be taken at Gwinnett Technical College. The Kaplan Exam is offered by appointment

only. To schedule a testing appointment, go to gwinnetttech.edu/programs/assessment-

testing-center/ and click on KAPLAN. The cost for the Kaplan exam is $50.00. You must

pay within 2 days of your registration or your seat will be made available for other

students. Gwinnett Technical College allows competitive health candidates to take the

Kaplan exam a maximum of 2 times per application cycle (10-11-19 thru 10-12-20).

Students must wait a minimum of 30 days between Kaplan Exam testing dates. The

highest Kaplan score obtained from Gwinnett Technical College will be accepted.

For staff use only

Student has an active admissions file.

All previous transcripts have been received and

prerequisites are transferred in accurately in

SHATERM.

Student is in good academic

standing.

All prerequisite courses complete with minimum

overall GPA 3.0 or higher.

Student has completed FYES 1000

with a “C” or higher or exempt.

Checked KAPLAN score in SOATEST and meets

minimum score of 70%. Score report is attached.

Driver’s License is attached and has

not expired.

Unofficial Gwinnett Tech transcript is attached.

Permanent Resident Card is attached

and has not expired

Check to make sure the PSYC 2103, Humanities

Elective and ENGL 1102 have been completed or

will be completed by Spring 2021 B Term. Check

Yes or No below for each course.

Current LPN or Paramedic or

Surgical Technologist license is

attached and has not expired.

PSYC 2103 – Yes _____ No _______

Humanities Elective – Yes _____No ______

ENGL 1102 – Yes _____ No ______

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900_______________

Gwinnett Technical College

Nursing (Licensed Practical Nurse/Paramedic/Surgical Technologist) Bridge

Application

The Nursing (Licensed Practical Nurse/Paramedic/Surgical Technologist) Bridge program requires the following

courses to be completed by the application 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 3.0 must be earned in the

required prerequisite courses. A student may retake a course, but only the most recent attempt will be

considered in 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. Gwinnett Technical College must

have an official transcript or official Score Report on file for each college previously attended or any AP credits

earned. 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 Technical College. The only course that

can be marked “in progress” for the Fall semester is the BIOL 2117 Lab only. Complete the GPA calculation

portion of the chart for the completed courses only.

*Course must be completed within five years of the competitive program file applcation deadline.

Column A

Column B

Required

Course

College Where

Completed

Semester

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)

ENGL 1101

3

MATH 1111

3

PSYC 1101

3

BIOL 2113*

3

BIOL 2113L*

1

BIOL 2114*

3

BIOL 2114L*

1

BIOL 2117*

3

BIOL 2117L*

1

TOTAL:

Enter total from

Column B

__________

÷

Enter total from

Column A

______

=

Cumulative GPA

___ . ___ ___

Letter

Grade

Point

Key

A = 4

B = 3

C = 2

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900_______________

Please Initial next to each statement, signifying that you have read and understand the following

information, then sign and date below.

⎯ I understand that all courses marked by an asterisk (*) in the list above must have been completed within 5

years of the application deadline. BIOL classes completed before the Fall Semester of 2015 will be considered

expired and must be re-taken or an exemption exam must be passed. Exemption exam information:

gwinnetttech.edu/programs/assessment-testing-center/

⎯ I have attached an unofficial copy of my Gwinnett Technical College transcript which I have downloaded from

gtc-web.org and I have confirmed all courses and grades listed above are accurately reflected therein.

⎯ I understand this application, along with all course information and supporting documents (driver’s license,

Permanent Resident card, if not a US Citizen, Kaplan Score report, and LPN/Paramedic/Surgical Technologist

license) must be received by the Enrollment Support Center on the Lawrenceville or Alpharetta-North Fulton

campus or emailed to the healthapp@gwinnetttech.edu by the application deadline. If you would like to

submit your application in person you may do so by scheduling a QLess appointment with a Healthcare

Enrollment Advisor on the Lawrenceville or Alpharetta-North Fulton campus. I understand that incomplete

packets will not be considered.

⎯ In addition to the courses listed above, I understand that ENGL 1102, FYES 1000 (if not eligible for an

exemption from this course), PSYC 2103, and the Humanities Elective must be completed prior to the start of

Spring C-Term 2021 to continue in the Nursing (LPN/Paramedic/Surgical Technologist) Bridge program.

⎯ I understand completion of prerequisite courses and meeting other minimum requirements does not

guarantee selection to the Nursing LPN/Paramedic/Surgical Technologist Bridge program, as there are a

limited number of seats available in the occupational and clinical courses. I understand candidate selection is

based on a competitive selection process.

Student Signature _______________________________________________ Date ___________________

Gwinnett Technical College does not discriminate on the basis of race, color, national origin, sex, age, or

disability. Lisa Richardson, Section 504/ADA, Title IX and Equity Coordinator, Building 100, Room 708,

678.226.6691, LRichardson@GwinnettTech.edu.

A-08/27/2020

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