Fill - Free fillable Surgical Technology Degree Application Instructions (Gwinnett Technical College) PDF form

I ALPHARETTA-NORTH FULTON

Surgical Technology Degree Application Instructions

Semester Application and Prerequisite Deadlines

October 10, 2020

Application deadline

Spring 2021 Cohort:

Fall Term 2020

Prerequisite deadline

Step 1: Complete the attached Surgical Technology Degree application form.

Read the instructions and application requirements very carefully. This is a

writable form and does not need to be printed out. Please save to your

computer and fill out the form and save it back to your computer once you

have completed the application before you email the form and all required

documents to healthapp@gwinnetttech.edu. Please check all your attached

documents before you email your application to make sure the application is

complete and you can still change items on the application. If not, we cannot

complete our portion of the application.

Step 2: Review your Gwinnett Technical College Transcript to confirm that all

prerequisites are accurately reflected.

To review and save to your computer your Gwinnett Technical College

academic transcript:

• Log on to gtc-web.org

• Click on “Student/Faculty Secure Area”

• User Name: FLLLLLLXXXX (F=first initial lowercase L=first 6 of last name

lowercase XXXX= last four digits of student 900 number)

• Password: Enter default (gtcmmddyy) or your customized password).

• Click on “Student Services and Financial Aid”

• Click on “Student Records”

• Click on “Academic Transcript”

• Click on “Submit”

When you pull up your transcript in BANNER WEB right click on the page and select print

and in the destination, field select SAVE AS PDF and save to your computer to attach to

your email with your application.

A-6/5/2020

*NOTE FOR APPLICANTS EXPECTING TRANSFER CREDIT: Applicants will need to be accepted into

Gwinnett Technical College at least 3 weeks prior to the application deadline to ensure that

transfer credits have enough time to be evaluated and transferred in. The official evaluation

process does not begin until a student is accepted and can take between 2-3 weeks. Once the

official evaluation is complete, the credits that have been accepted will be transferred in and will

show on your Gwinnett Technical College Transcript. If any pre-requisites have been taken at other

institutions and are not reflected on your Gwinnett Technical College transcript 2-3 weeks after

acceptance, or if you are accepted less than 3 weeks prior to the application deadline, please e-

mail the Healthcare Team at HealthTeam@GwinnettTech.edu.

Step 3: Complete the Surgical Technology Degree Application Form with all required

information.

Be sure to attach a copy of your current:

• Gwinnett Technical College unofficial transcript downloaded from gtc-

web.org,

• Driver’s license

• Permanent Resident Card - only if you are not a U.S. citizen.

Step 4: Submit your completed application packet to the email address

healthapp@gwinnetttech.edu no later than the Semester Application Deadline

for your selected term cohort. Your packet will be reviewed by an advisor for

accuracy and completion before being submitted for processing. Incomplete

application packets will not be accepted.

A-6/5/2020

900_______________

Gwinnett Technical College

Surgical Tech Degree Competitive Selection Application

Semester Application and Prerequisite Deadlines

 Spring 2021 Cohort: October 10, 2020 Application deadline

Fall Term 2020 Prerequisite deadline

Please complete the Competitive Selection Application Form and attach all required documents.

Neither the Competitive Selection Application nor supporting documentation will be accepted after the

application deadline. Documents must be submitted as a complete packet and may not be submitted

individually.

Student

ID #:

Applicant Information

_____ _____ _____ - _____ _____ - _____ _____ _____ _____

Date

__ /___ /___

Submitted:

Full Name:

Last

First

M.I.

Address:

Street Address

Apartment/Unit #

City

State

ZIP Code

Home

Phone:

( ________ ) _________ - ____________

Cell

Phone:

( ________ ) _________ - ____________

E-mail

Address:

Student must be currently enrolled or accepted into Gwinnett Technical College pursuing admission to the Associate of Applied

Science for the Surgical Tech Degree program.

YES

NO

N/A

1. Have you submitted an official transcript to Admissions

from all colleges previously attended and Official Score

Reports from College Board for any AP Credit obtained?

2. Have you attached a copy of your driver’s license? Cannot

be expired.

3. Have you attached a copy of your Permanent Resident

Card-only needed if you are not a U.S. Citizen. Cannot be

expired.

A-6/5/2020

900_______________

Gwinnett Technical College

Surgical Technology Degree Competitive Selection Application

The Surgical Technology Degree program requires the following courses to be completed or “in-progress” by the Semester

application deadline for the selected Term cohort. Each course must be completed with a minimum grade of “C”. In

addition to earning a minimum grade of “C” in each courses, an overall GPA of 3.0 must be earned in the required

prerequisite courses. Applicants completing all required prerequisites by the Program Application deadline will be given

priority in the selection process. A student may retake a course, however only the most recent attempt will be considered

for the prerequisite GPA calculation used in the initial screening process.

Please identify where and when each course was completed, and the letter grade attained. If you repeated a required

course, please list information related to the most recent attempt only. Gwinnett Technical College must have an official

transcript on file for each college previously attended. Please view your Gwinnett Technical College academic transcript

through Self-Service BANNER Web to find the Semester and grades for specific courses completed with Gwinnett Technical

College. *Remember to list all prerequisite courses completed. Mark as “in progress” the prerequisite courses you are

currently enrolled in for the Semester. Complete the GPA calculation portion of the chart for completed courses only.

*Course must be completed within five years of the competitive program file Application deadline.

Column A

Column B

Required Course

College Where

Completed

Semester

Completed

Letter

Grade

Earned

Grade Points

(Enter

appropriate

points from

key to the

right.)

Number

of Credit

Hours

(Add hours

from each

class and

enter total

on line

below)

Enter

Product of

last 2

columns

(Multiply

Grade

points by

number of

credit hours)

Letter

Grade

Point

Key

ENGL 1101

3

A = 4

ENGL 1102

3

B = 3

MATH 1111

3

C = 2

PSYC 1101

3

BIOL 2113*

3

BIOL 2113L*

1

BIOL 2114*

3

BIOL 2114L*

1

ALHS 1090*

2

BIOL 2117*

3

BIOL 2117L*

1

Area IV

Humanities

Elective

3

FYES 1000

Do not include in your GPA calculation

Total:

Enter total from Column B

÷

Enter total from Column A

=

A-6/5/2020

0

900_______________

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. If you are applying for the Fall Cohort, the ALHS/BIOL classes must be completed by the end of

Summer semester of 2015. If you are applying for the Spring Cohort, the ALHS/BIOL classes must be

completed by the end of the Fall semester 2015.

⎯ I understand this application, along with an unofficial transcript from my Banner account and I have

confirmed that all courses and grades listed above are accurately reflected therein.

⎯ I have attached an unofficial copy of my Gwinnett Technical College transcript, which I have printed from gtc-

web.org., a picture of my driver’s license and if you are not a U.S. Citizen you will need to attach a picture of

your Permanent Resident Card. Must be received by emailing healthapp@gwinnetttech.edu by the program

application packet deadline. I also understand incomplete packets will not be considered.

⎯ I understand FYES 1000 (unless exempt) must be completed with a “C” or higher. Students are encouraged

to complete this course prior to program start or will be required to enroll the first semester of the Surgical

Technology program.

⎯ I also understand that completion of prerequisite courses and meeting other minimum requirements does

not guarantee selection to the Surgical Technology Degree program, as there are a limited number of seats

available in the occupational and clinical courses. I understand that candidate selection is based on a

competitive selection process.

Student Signature _______________________________________________ Date ___________________

For staff use only

Student has an active admissions file.

All previous transcripts received and

prerequisites are transferred in accurately in

SHATERM

Student is in good academic standing

Student has a 3.0 GPA or higher in most

recent attempt of required prerequisite

courses

All BIOL classes were taken Summer 2015 or

Permanent Resident card is attached and has

not expired.

later for Fall start and Fall 2015 for Spring

start.

Check to see if student has taken FYES 1000

or exempt.

Driver’s license is attached and has not

expired.

ALHS 1090 was not taken over 5 years ago

A-6/5/2020

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