Fillable GVVINNETT Central Processing Technician Program Advisement Form (Gwinnett Technical College)

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GVVINNETT Central Processing Technician Program Advisement Form (Gwinnett Technical College)

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GVVINNETT
LAWRENCEVILLE I ALPHARETTA -NORTH FULTON
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Central Processing Technician
Certificate
1 semester
Program Advisement Form
The program advisement form is required for students pursuing admission to the Central Processing Technician
program. Students must be currently enrolled or admitted to the Central Processing Technician Certificate or
Interdisciplinary Studies/Central Sterile Processing Degree.
Please complete Applicant Information below:
First Name Middle Name Last Name
Student Number:
Address City State Zip code
Phone:
GTC Email Address
Alternate Email Address
Please select the Start Term for which you are applying:
LAWRENCEVILLE CAMPUS - Please note application deadline and class
Fall Semester: June 1
Prerequisite Deadline: End of Summer Term
Day class 1:00 p.m. – 4:00 p.m.
Clinicals 7:00 a.m. – 3:00 p.m.
Spring Semester: October 10
Prerequisite Deadline: End of Fall Term
Day class 1:00 p.m. – 4:00 p.m.
Clinicals 7:00 a.m. – 3:00 p.m.
Fall Semester: June 1
Prerequisite Deadline: End of Summer Term
Night class 6:00 p.m. – 9:00 p.m.
Clinicals 3:00 p.m. – 11:00 p.m.
Spring Semester: October 10
Prerequisite Deadline: End of Fall Term
Night class 6:00 p.m. – 9:00 p.m.
Clinicals 3:00 p.m. – 11:00 p.m.
Please read and initial each of the following statements:
____ I have verified my admissions file is complete and I have been accepted to Gwinnett Technical College.
_____ I understand I must be in good academic standing at the time the program starts.
_____ I understand I must be 18 years of age at the time program starts.
_____ I understand criminal background checks and drug screens are required based on the requirements for
participation in clinical experiences.
_____ I understand FYES 1000 (unless exempt) must be completed before beginning the program.
_____ I understand I must attend the mandatory meeting to secure a seat in the program.
_____ I understand completion of prerequisite courses and meeting other minimum requirements does not
guarantee selection to the Central Processing Technician program, as there are a limited number of seats
available in the occupational and clinical courses.
The 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
January 30, 2020
Central Processing Technician Certificate
*To be completed by Applicant*
Required Prerequisite Course
Letter
Grade
Earned or
IP (in
progress)
Semester
Completed
ENGL 1010: Fundamentals of English I or ENGL 1101 Composition and Rhetoric I (3)
MATH 1012: Foundations of Math or MATH 1111 College Algebra (3)
*ALHS 1090: Medical Terminology for Allied Health Sciences (2)
*ALHS 1040: Introduction to Healthcare (3)
FYES 1000: First Year Experience (2)
*Courses must be completed within 5 years of the program start.
Please read and initial each of the following:
_____ I understand that students applying to the Central Sterile Processing program will be sent a confirmation
email within one week after deadline.
_____ I understand seats in the Day or Evening classes are first come, first serve based on completion of
requirements.
_____ I understand that is it my responsibility to return this completed form to Kim Smith, Program Specialist;
Health Sciences, Building 200, Room 212 on the Lawrenceville Campus or by email at
kimberlysmith@gwinnetttech.edu.
Student Signature: _________________________________________ Date: _________________
Enrollment Advisor Signature: ________________________________ Date: _________________
For staff use only
Student is in good academic standing
All previous transcripts have been
received
Student has an active Admissions file
Student has “in-progress” classes
All prerequisite courses completed with a minimum
grade of C
# of in-progress courses
Student’s Driver’s License and/or P-Card have not
expired
To be completed by program specialist after mandatory meeting:
___________
Date
Background/Drug screening completed
____________
Date
Immunizations completed
____________
Date
Released for registration
January 30, 2020
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GVVINNETT Central Processing Technician Program Advisement Form (Gwinnett Technical College)

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Completed 3 February 2021

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