Fillable Paramedicine Degree 3 semesters Program Advisement Form The (Gwinnett Technical College)

Fill Online, Printable, Fillable, Blank Paramedicine Degree 3 semesters Program Advisement Form The (Gwinnett Technical College) Form

Use Fill to complete blank online GWINNETT TECHNICAL COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Paramedicine Degree 3 semesters Program Advisement Form The (Gwinnett Technical College)

On average this form takes 14 minutes to complete

The Paramedicine Degree 3 semesters Program Advisement Form The (Gwinnett Technical College) form is 2 pages long and contains:

  • 2 signatures
  • 2 check-boxes
  • 47 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Gwinnett Technical College

BROWSE GWINNETT TECHNICAL COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
LAWRENCEVILLE I ALPHARETTA -NORTH FULTON
□-----------------
□--------------------
Paramedicine Degree
3 semesters
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
Student Number:
Address City State Zip code
Phone:
GTC Email Address
Alternate Email Address
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
Paramedicine Degree Prerequisites
*To be completed by Applicant*
Required Prerequisite Course
Letter
Grade
Earned or
IP (in
progress)
Semester
Completed
ENGL 1101 Composition and Rhetoric I (3)
MATH 1111 College Algebra (3)
PSYC 1101 Intro to Psychology (3)
FYES 1000: First Year Experience (2)
*BIOL 2113: Anatomy and Physiology I (3)
*BIOL 2113L: Anatomy and Physiology I Lab (1)
*BIOL 2114: Anatomy and Physiology II (3)
*BIOL 2114L: Anatomy and Physiology II Lab(1)
* Courses must be completed within 5 years of the Paramedicine program
Courses required for completion of the degree, but are NOT prerequisites:
One course from Area IV.
One additional 3-hour course from Area I, II, III, or IV of General Education.
Please read and initial each of the following:
_____ I understand that students applying to the Paramedicine Degree will be sent a confirmation email within
one week after deadline. Students are required to respond to the email to secure a spot in the program and
register for classes.
_____ 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: _____________________________________
For staff use only
Date: _________________
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
Student is accepted to Paramedicine
Degree
August 11, 2020
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Paramedicine Degree 3 semesters Program Advisement Form The (Gwinnett Technical College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document