(HIM)
Health Information Management Application Checklist
Use this Health Information Management application checklist as a guide for successfully completing the application process for the
college and the HIM program. All application materials must be received on or before the 1st Monday in May of each year.
Visit the N&AH website at www.chattanoogastate.edu/nursing-allied-health to find program information and all needed forms for the
HIM program. Important Note: Attend an information session to get all the important details to get started.
■ Chattanooga State Application Checklist (for College acceptance which is required for
consideration of program admittance):
❏ If not a current student at Chattanooga State, complete a college application.
❏ Provide official high school and college transcripts to the Chattanooga State Admissions Office. Important Note: If you
have classes in-progress at another college, your transcripts will not be evaluated until Chattanooga State receives a
complete and final transcript.
❏ Take the ACT, SAT or Compass, if applicable.
❏ Submit vaccination requirements for Chattanooga State’s Admission Office. (Program immunization records are not
required until after acceptance into the program and should NOT be submitted with Nursing & Allied Health application.)
❏ At any point, before the application process, you can attend the program information session or sign up for the TEAS
test. Once you receive notice of acceptance from the Admissions Office, you can continue with the process below.
■ Health Information Management Program Application Checklist:
❏ Attend one required Health Information Management Information Session.
❏ If you are planning to take classes at Chattanooga State for prerequisite and general education courses, schedule an
appointment with an N&AH Academic Advisor to create an academic plan.
❏ Applicant has completed learning support classes (if applicable) and is in the process of completing prerequisites and
general education courses.
■ Now you’re ready to complete these important steps……
❏ *Submit the Allied Health Admission Application for the HIM program and attach the following:
❏ TEAS Test: Under TEAS information in the program application, be sure to complete this area. Refer to the
TEAS information sheet to get all details. If taking test at another college, results need to be attached.
Submit Application and other attached forms to:
Chattanooga State Community College
N&AH Application Coordinator, HSC 2088
4501 Amnicola Hwy.
Chattanooga TN 37406
Important Note after Deadline Date: If your file is complete and you meet the HIM Selection Committee’s minimum criteria, you
will be contacted for a personal interview.
Pub. No. 11-70-204108- 33-7/15/jc/bap Form 81• PDF • Chattanooga State Community College does not discriminate against students, employees, or applicants for admission or employment on the basis of race, color,
religion, creed, national origin, sex, sexual orientation, gender identity/expression, disability, age, status as a protected veteran, genetic information, or any other legally protected class with respect to all employment,
programs and activities sponsored by Chattanooga State. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director and Affirmative Action Officer, 4501 Amnicola
Highway, Chattanooga, TN 37406, 423-697-4457.