Health Information Technology Program - Application


Albany State University - West Campus

Darton College of Health Professions, Room J-249

2400 Gillionville Road

Albany, Georgia 31707-3098

 

 

Contact Information:

 
 
 

(Optional)

 
 
 
 
 
 
Phone
 
 

 

List any colleges/universities/technical schools previously attended, degrees earned, & GPAs:

 
 
 

 

Required Documents Upload



PLEASE USE THIS SECTION TO ATTACH THE FOLLOWING REQUIRED DOCUMENTS:




Unofficial Transcript(s):


Include an unofficial copy of transcripts with your current GPA. Note that this is only required if you attended a College, University, or Technical Institution other than Albany State University. Students with accelerated GPAs will be given first consideration for admission to the program.



Current Resume:


Include a copy of your most recent resume. If you have any healthcare-related certifications or diplomas, please include a copy.



Essay:


Include a hand-written essay explaining why you chose Health Information Technology as a career path and why you should be accepted into the program.



 
Drop your files here
 
 
 
 

 


I have reviewed and completed the steps listed for GeorgiaView Orientation and have practiced navigating the orientation course site.

 

 

Accreditation/Approval Acknowledgement:


PROGRAMS THAT DO NOT HAVE SPECIFIC PROGRAM ACCREDITATION AGENCIES AT THIS TIME:


Computed Tomography

Medical Coding

Phlebotomy


As a Health Science program student at Albany State University, I hereby verify with my signature that I am aware of the accreditation or approval status of the given program that I have been accepted into.

 
 

Please type in your First and Last Name.

 
 
mm/dd/yyyy
 

 

Employability:


Albany State University does not offer formalized job placement services or guarantee employment after graduation from any Health

Science program. The employability of a Health Science program graduate is dependent on changeable job market factors and variables beyond the control of Albany State University. It is the responsibility of the graduate to secure employment after program completion.


As a Health Science program student at Albany State University, I hereby verify with my signature that I understand the employability statement as written above.

 

Please type in your First and Last Name.

 
 
mm/dd/yyyy
 

 

Unsuccessful Attempts Acknowledgement:

By signing this document, I acknowledge my understanding that two unsuccessful attempts in program coursework (HITE courses) will render me ineligible for continuation in the Health Information Technology Program. A course grade of “D” or “F” is considered an unsuccessful attempt.

 

Please type in your First and Last Name.

 
 

 

Applicant Signature

I hereby apply for admission to the HIT Program for Fall Semester listed below and certify this application is both correct and complete. I have read the application packet, including the essential abilities required, and understand the application and selection processes. I further understand that any failure on my part to comply with these processes will result in the cancellation of my application. I am aware of the competitive nature of the application process for the HIT program and understand that meeting all minimum requirements does not guarantee admission into the program.

 
 

Please type in your First and Last Name.

 
 
mm/dd/yyyy
 

 

Personal Identifiable Information (PII) Notice:


All personal data and special categories of sensitive personal data collected or processed by Albany State University (ASU) must comply with the ASU Cybersecurity Program Plan, as authorized by the Board of Regents Policy Manual Section 10.4 Cybersecurity:


https://www.usg.edu/policies


Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to:


LegalAffairs@asurams.edu


Otherwise, questions concerning GDPR can be forwarded to LegalAffairs@asurams.edu. Typing your name in the box below and submission of this application provides consent to and acknowledgment of the ASU Data Security and Privacy Policy.

 

Please check the box below to indicate that you have read and understood the PII policy above.

 

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