LAWRENCEVILLE I ALPHARETTA -NORTH FULTON
Program Advisement Form
The Program Advisement Form is required for admissions to the Paramedicine Degree. Applicants must hold
current certification and/or licensure as an: EMT I/85; EMT I/99; AEMT; or EMT and successful completion of
all AEMT coursework.
Please complete Applicant Information below:
First Name Middle Name Last Name
Address City State Zip code
Please select the Campus and Start Term for which you are applying:
LAWRENCEVILLE CAMPUS - Please select your start term & note the application deadline
Fall Semester: June 1
Prerequisite Deadline: End of Summer Semester
Day classes; 2/week
ALPHARETTA - NORTH FULTON CAMPUS - Please select your start term & note the application deadline
Spring Semester: October 10
Prerequisite Deadline: End of Fall Semester
Day classes; 2/week
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 have verified that I am accepted to the Paramedicine Degree program.
_____ 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 hold current certification and/or licensure as an: EMT I/85; EMT I/99; AEMT; or EMT
and successful completion of all AEMT coursework.
_____ I understand completion of prerequisite courses and meeting other minimum requirements does not
guarantee selection to the Paramedicine Degree 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
August 11, 2020