Horry Georgetown Technical College Associate Degree Nursing Admission Application Name: __________________________________________________ H# ______________________________ Address:__________________________________________________________________________________ Street City State Zip Code Phone:_________________________________ E-mail address: ____________________________________ Program Admission Criteria Circle One Yes No Yes No Yes No 1. Have you completed the application process and been accepted for admission to Horry Georgetown Technical College? (This includes receipt of your official high school transcript, including graduation date, or copy of GED if applicable, and/or receipt of all official college transcripts). 2. Have no more than 1 unsuccessful (D, F, W, or WF) attempt in a Nursing (RN) course within the last 2 years (24 months) at HGTC or any other college. 3. Have you met one of the following two admission options: a. Eligible for BIO 210, ENG 101 and MAT 120 or MAT 110 and taken the Test of Essential Academic Skills (TEAS) with a minimum score 70 on TEAS-V and at least a 2.75 GPA for the Nursing core courses completed (minimal grade of C for Nursing core courses attempted) . Scores are valid for 2 years from date of testing. Students may retest every 3 months. (BIO and MAT time limits apply). OR b. Successfully completed (minimal grade of C) the 9 Nursing core courses (BIO210, BIO211, BIO225, ENG101, ENG102, MAT110/120, PSY201, SPC205, and Humanities) with a GPA of at least a 2.75. (BIO211 and BIO225 (5 year time limit) and MAT (10 year time limit)). If you answered “NO” to one of the above questions, you do not meet the requirements. You may not submit the Associate Degree Nursing Admission Application at this time. Applications for the Associate Degree Nursing program may be completed and turned in to the Admissions Office at any of the three College Campuses during one of the application periods for January or August classes. Applicants will be made aware of their acceptance or alternate status approximately 6 weeks after the application due date. The application periods are: March 1 – March 31 August 1 – August 31 August Class (Fall Semester at Grand Strand and Georgetown Campuses) January Class (Spring Semester at Grand Strand Campus) If applications have the same points awarded, the decision to admit will be based on the date the student was admitted to the College as a Health Science Certificate or Associate in Science major. No Associate Degree Nursing Admission Form applications will be kept on file. If you are not admitted and wish to be considered for a future nursing class you must reapply during the application period. Associate Degree Nursing Admission Application Page 2 Associate Degree Nursing Admission Scoring Criteria Option A Composite TEAS Score of 97.1-100 94.1-97.0 91.1-94.0 88.1-91.0 85.1-88.0 82.1-85.0 79.1-82.0 76.1-79.0 73.1-76.0 70.0-73.0 AHS 126 Health Calculations Course Grade of “A” (First Attempt) Grade of “B” (First Attempt) Horry or Georgetown County Resident (as established by the College) Total Points OR Points Earned 12 11 10 9 8 7 6 5 4 3 2 1 1 Option B (BIO210, BIO211, BIO225, ENG101, ENG102, MAT110/120, PSY201, SPC205, and Humanities) Completed 9 Nursing core courses Points GPA Earned 3.88-4.0 GPA 10 3.76-3.87 GPA 9 3.63-3.75 GPA 8 3.51-3.62 GPA 7 3.38-3.5 GPA 6 3.26-3.37 GPA 5 3.13-3.25 GPA 4 3.01-3.12 GPA 3 2.88-3.0 GPA 2 2.75-2.87 GPA 1 AHS 126 Health Calculations Course Grade of “A” (First Attempt) 2 Grade of “B” (First Attempt) 1 Completed at least 8 credit hours of 2 the 9 Nursing core courses (BIO210, BIO211, BIO225, ENG101, ENG102, MAT110/120, PSY201, SPC205, and Humanities) from HGTC or CCU Horry or Georgetown County 1 Resident (as established by the College) Total Points I certify that the above information is accurate to the best of my knowledge and that I can complete the following requirements by the class start date: Health Science Student Physical, immunizations or acceptable titers for: Hepatitis B, rubella, rubeola, mumps, Tdap, varicella, flu virus, twostep tuberculin skin test, CPR for the healthcare provider, and online General Hospital Orientation. I understand that if I do not submit proof that these requirements have been met, by the last day of drop/add, I will not be permitted to register for nursing courses and must reapply to the nursing program during the next available application process. ________________________________________________ Applicant signature I am aware that due to specific contract requirements by the clinical agencies used for clinical by the Nursing program, background checks and drug screenings are part of the admission and retention process. The background check and urine drug screening will be completed once I am admitted into the Program. Applications with specific conviction histories or positive drug screenings may ultimately not be accepted into the Nursing Program. ________________________________________________ Applicant signature I understand that if I am accepted and I am unable to accept my seat for any reason, that I am not guaranteed acceptance for a future semester. I must reapply during one of the application periods and be selected for acceptance for the new term. ________________________________________________ Applicant signature I understand that if I am accepted I am responsible for a non-refundable $500 tuition deposit which will go toward the semester I begin the ADN program. ________________________________________________ Applicant signature 2/19/16