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.
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*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.
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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.
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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
=
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0
0
0
0
0
0
0
0
0
0
0
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
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