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 Spring Semester of 2016 will be
considered expired and must be re-taken or an exemption exam must be passed. Exemption exam
⎯ 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 must be received by the Enrollment
Support Center on the Lawrenceville or Alpharetta-North Fulton campus or emailed to the
firstname.lastname@example.org 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
⎯ 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
Fall semester 2021 to continue in the Nursing Associate degree program.
⎯ I understand completion of prerequisite courses and meeting other minimum requirements does not
guarantee selection to the Nursing Associate Degree 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
⎯ I understand I must have a prerequisite GPA of 3.0 or higher and a Kaplan score of 75% or higher to apply to
the Nursing Associate degree program by February 15
. No exceptions are allowed.
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,