Horry Georgetown Technical College Associate Degree Nursing (ADN) – Advanced Placement (LPN to RN) Admission Application Name: __________________________________________________ H# ______________________________ Address:__________________________________________________________________________________ Street City State Zip Code Phone:_________________________________ E-mail address: ____________________________________ Program Admission Criteria Circle One Yes No Yes Yes No 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. Submitted copy of current SC LPN license to the Admissions Office. 3. 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. 4. Completed 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 ADN – Advanced Placement Admission Application at this time. Applications for the ADN – Advanced Placement 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 May or August classes. Applicants will be made aware of their status (denial, acceptance or alternate) approximately 6 weeks after the application due date. The application periods are: January 1 – January 31 March 1 – March 31 May Class (Summer Semester at Grand Strand Campus) August Class (Fall 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 ADN – Advanced Placement 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 (ADN) – Advanced Placement Admission Application Page 2 Associate Degree Nursing – Advanced Placement Admission Scoring Criteria Completed 9 Nursing core courses GPA 3.88-4.00 GPA 3.76-3.87 GPA 3.63-3.75 GPA 3.51-3.62 GPA 3.38-3.5 GPA 3.26-3.37 GPA 3.13-3.25 GPA 3.01-3.12 GPA 2.88-3.0 GPA 2.75-2.87 GPA Completed at least 8 credit hours of the 9 Nursing core courses (BIO210, BIO211, BIO225, ENG101, ENG102, MAT110/120, PSY201, SPC205, and Humanities) from HGTC or CCU Horry or Georgetown County Resident (as established by the College) Total Points Points Earned 10 9 8 7 6 5 4 3 2 1 2 1 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, two-step 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