April 2020
Nursing/Health Sciences
Program Appeal
Application Instructions
Students who do not meet the eligibility criteria to submit the Nursing/Health Sciences (NHS)
Application packet may appeal for reconsideration by submitting a NHS Program Appeal Application
to the Division of Student Services.
Students who have extenuating circumstances that contributed to their failure to meet program
progression will be given an opportunity to appeal for competitive program consideration. Reasons
that may be acceptable for an appeal are: (1) serious illness or accident involving the student; (2)
death, serious illness or accident of an immediate family member (parents, grandparents, brothers,
sisters, spouse, or children of either the student or the student’s spouse); (3) significant trauma that
impaired the student’s emotional and/or physical health (4) other documented extenuating
circumstances beyond the control of the student.
All appeal applications must be submitted to the NHS Coordinator by:
May 21 for June application deadline
July 13 for August application deadline
How to apply for a NHS Program appeal:
1) Complete the NHS Program Appeal application online, print, sign and submit to the Division of
Student Services/ NHS Coordinator at the address or fax # provided.
2) Submit the completed appeal application and supporting documentation to Division of Student
Services/ NHS Coordinator by the appropriate deadline listed above. It is the student’s
responsibility to ensure that all documents are submitted by the deadline.
3) Complete the NHS application and submit all required documents for the application packet.
A NHS Program Appeal is a request for consideration to apply for a NHS competitive program, which
can be either approved or denied. An approved appeal does not guarantee acceptance into a
competitive program. If an appeal is not approved, the NHS application will not be given further
consideration and will be deemed withdrawn. Failure to provide a completed appeal application and
required documentation by stated deadline will result in your request being denied
Notification of the appeal decision will be communicated by telephone or email within 10 business
days of the appeal decision. The decision of the NHS Appeal Committee is final and cannot be
appealed.
Submit complete appeal application and supporting documents to:
Orangeburg Calhoun Technical College
Division of Student Services
Attn: NHS Coordinator
3250 St. Matthews Rd
Orangeburg, SC 29118
(
803
)
-535-1279
(
Tele
p
hone
)
(
803
)
535-1368
(
Fax
)
Nursing/Health Sciences
Program Appeal
Students appealing for a Nursing/Health Sciences (NHS) competitive program will only gain competitive
program consideration if the appeal is approved. An approved appeal does not guarantee acceptance into a
competitive program. If an appeal is not approved, the NHS application will not be given further consideration
and will be deemed withdrawn. Students who are appealing should submit the appeal application no later than
10 days in advance of the last day to submit a packet.
Complete the NHS Appeal application online, print, sign and submit to Student Services at the address or fax #
provided. Appeal A
pplications must include all required documentation. Failure to provide a completed appeal
application and required documentation by stated deadline will result in your request being denied. Please
review the status of these items prior to submission.
Name: ____________________________________________ Student ID: 0 __ __ __ __ __ __
Email _____________________________________________ Telephone #: ( ) _______
________
Address ________________________________________________________________________________
SECTION I: Mark the box for all Appeal categories that apply to you and provide the required information for each
category.
Grade Point Average. Your cumulative GPA is less than the required GPA.
Two or more
unsuccessful NHS course attempts. You failed two or more NHS courses.
Two or more unsuccessful NHS program attempts. You failed two or more NHS programs.
SECTION II: Please indicate the mitigating circumstances that have contributed to your inability to maintain or meet
academic progress by checking any category that applies to you. You also must follow the instructions for each checked
category.
Serious illness or injury to student or immediate family member (parents, grandparents, brothers, sisters,
spouse, or children of either the student or the student’s spouse) that required extended recovery time.
Attach a signed statement from a physician on letterhead detailing duration and extent of serious health condition
and recommendations made regarding non-attendance and explain the nature and dates of the illness or injury in
Section III.
Death of an immediate family member (parents, grandparents, brothers, sisters, spouse, or children of
either the student or the student’s spouse). Attach a photocopy of the death certificate, newspaper obituary or
funeral program and include the name of the deceased and an explanation of the deceased person’s relationship
to you in Section III.
Significant trauma in student’s life that impaired the student’s emotional and/or physical health. Attach a
signed statement from a professional counselor (psychiatrist, psychologist, clergy, etc. on letterhead detailing
duration and extent of event and any recommendation made regarding the effect the event had on academic
performance serious health condition and recommendations. Using Section III, provide a detailed explanation
regarding the specific circumstances of your condition. Please be sure to include dates and what you have done
to overcome this condition. Supporting documentation from a third party (physician, social worker, psychiatrist,
police, etc.) must also be attached.
Other unexpected documented circumstances beyond the control of the student. Using Section III, please
explain in detail the nature and dates of the unexpected circumstances. Supporting documentation must also be
provided.
April 2020
SECTION III:
All students must submit a written statement that provides an explanation of the specific circumstances that led to failure
to maintain NHS Program progression. If you experienced a learning disability, an injury, medical or psychological
condition that made satisfactory completion of your course work impossible, you must submit documentation and a
medical statement from the healthcare provider. The healthcare provider must verify your medical condition and provide a
statement that he/she medically supports your decision to continue your academic pursuits. If you experienced a life-
threatening illness or death of parent, sibling, spouse or child that made satisfactory completion of your coursework
impossible, you must submit a medical statement from the attending physician or a death certificate.
Provide a written statement below that explains the specific circumstances that led to failure to maintain NHS
program progression.
__________________
___________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Describe how you have modified your behavior to assure successful academic progress.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
By signature,
I understand that this is a request for consideration to apply for a NHS competitive program, which can be
either, approved or denied.
Signature: _____________________________________ Date: ____________________________________
Submit complete appeal application and supporting documents to:
Orangeburg Calhoun Technical College
Division of Student Services
Attn: NHS Coordinator
3250 St. Matthews Rd
Orangeburg, SC 29118
(
803
)
-535-1279
(
Tele
p
hone
) (
803
)
535-1368
(
Fax
)
April 2020
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