HORRY GEORGETOWN TECHNICAL COLLEGE
PHYSICAL THERAPIST ASSISTANT (PTA)
Admission Application
APPLICATION DEADLINE DATE: May 15th for the next Fall Semester
SELECTION DATE: June 30th for the next Fall Semester
(These two pages must be printed and submitted to the Admissions Office by the application deadline date)
Applicant’s H # ______________________________
Name _______________________________________________________________________________
Address _____________________________________________________________________________
_____________________________________________________________________________________
City
State
Zip
Home Phone (______)_____________________ Work Phone (______)_______________________
E-Mail Address _______________________________________________________________________
Program Admission Criteria
Circle One
Yes
Yes
No
No
Yes
No
Yes
No
Yes
No
Yes
Yes
No
No
Yes
No
Yes
No
Have you completed the application process and been accepted for admission to Horry
Georgetown Technical College:
1. Admissions Application and Application Fee
2. Official copy of High School transcript, including graduation date (or copy of GED, if
applicable).
3. Official copies of all previous college transcripts (if applicable).
Have you met the following requirements
1. Completed BIO210 (5-year time limit), BIO211 (5-year time limit), ENG101,
MAT110/120, PSY201, and Humanities with a minimal grade of “C”.
2. At least an overall 2.5 GPA on all Physical Therapist Assistant core courses completed.
Note: BIO210 & BIO211 have a 5 year time limit.
3. Test of Essential Academic Skills (TEAS-V) test score
4. Attended an Information Session at HGTC (2 year time limit) with the PTA Program
Director or designee.
5. Submitted to the PTA Program Director proof of 20 hours of observation form that has
been verified by licensed PT or PTA (The applicant is responsible for arranging the
observation/volunteer experience). 3 year time limit
6. Not on academic or disciplinary suspension.
If you answered “NO” on one of the above questions, you do not meet the requirements. You may not submit the
Physical Therapist Assistant Admission Application at this time.
Completed Physical Therapist Applications must be printed, completed, and turned in to the Admissions Office at any
of the three College Campuses by the completed application deadline (May 15). Applicants will be made aware of
their status approximately 6 weeks after the application due date.
If applicants 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 or Associate in Science major. No Physical Therapist Assistant applications will be
kept on file. If you are not admitted and wish to be considered for a future Fall Semester, you must reapply by the
completed application deadline.
HGTC LIMITED ACCESS PROGRAM
Physical Therapist Assistant Admissions Scoring Criteria
A prospective PTA student may earn a total of 16 points for admission through either point option A or B.
Point Option A
OR
Point Option B
Composite TEAS Score of
Points
Pre-requisite core courses GPA (BIO210, BIO
Earned
211, ENG101, MAT110/120, PSY201, and
Humanities)
98.8 – 100
15
3.91 – 4.00
96.4 – 98.7
14
3.81 – 3.90
94.0 – 96.3
13
3.71 – 3.80
91.6 – 93.9
12
3.61 – 3.70
89.2 – 91.5
11
3.51 – 3.60
86.8 – 89.1
10
3.41 – 3.50
84.4 – 86.7
9
3.31 – 3.40
82.0 – 84.3
8
3.21 – 3.30
79.6 – 81.9
7
3.11 – 3.20
77.2 – 79.5
6
3.01 – 3.10
74.8 – 77.1
5
2.91 – 3.00
72.4 – 74.7
4
2.81 – 2.90
70.0 – 72.3
Horry or Georgetown County Resident (as
established by the College)
Total Points
3
1
Points Earned
13
12
11
10
9
8
7
6
5
4
3
2
2.75 – 2.80
Completed at least 8 credit hours of the PTA
prerequisite or co-requisite courses with an
overall GPA of 2.5 or better (BIO210, BIO211,
ENG101, ENG102, MAT110/120, PSY201,
PSY203, SPC205, and Humanities) from HGTC
or Coastal Carolina Univ. (CCU)
Horry or Georgetown County Resident (as
established by the College)
1
2
1
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, 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 Spring Semester drop/add, I will not be permitted to
register for Physical Therapist Assistant courses and must reapply to the Physical Therapist Assistant program during the next available
application process. (http://bluedasher.tynken.com//documents/hgtc/Nursing_Department/Individual_Health_Forms.pdf)
________________________________________________
Applicant signature
I am aware that due to specific contract requirements by the clinical agencies used for clinical by the Physical Therapist Assistant
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 Physical Therapist Assistant Program.
(http://bluedasher.tynken.com//documents/hgtc//BackgroundCheck.pdf)
________________________________________________
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 PTA program.
________________________________________________
Applicant signature
5/21/15