First Name: *

Last Name: *

Student G-number: (if applicable)

GVSU Email Address: *

Personal Email Address: *

Permanent Phone: *

Cell Phone: *

Date of Birth: *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Are you currently admitted to GVSU? *
- Select Option Yes No In Process

My Associate of Science or Associate of Applied Science Degree is from:

School Name *

Program Name *

Degree Awarded *

Date Degree was Awarded *

All three criteria must be met to be eligible for this program. Check all that apply: *
I possess an earned Associate of Science or Associate of Applied Science degree from a school accredited by the Higher Learning Commission (HLC).
The degree is in a health profession program that requires external accreditation by the professional body regulating that particular profession.
The health profession program offers national voluntary credentialing or requires state licensing and you, the student either possess or are eligible for earning that credential or license.

Please select the associate degree program that you have earned:

Associate Degree Program: *
- Select Option Anesthesia Technology Cardiac Sonography (Echocardiography) Coaxial Tomography (CAT scan) Dental Assisting Dental Hygiene Dentistry Dietetic Technician Diagnostic Medical Sonography Electroneurodiagnostic Technology Health Information Technology Histotechnician Magnetic Resonance Imaging (MRI) Medical Assistant (Medical Assisting) Medical Laboratory Technician Medicine Mortuary Science Nerve Conduction Studies Technology Nuclear Medicine Technologist Nursing - A.D.N. Nutrition and Food Service Management Occupational Therapy Assistant Optometry Orthotic/Prosthetic Technician Paramedic Technician Paraoptometrics Pharmacy Technician Physical Therapy/Therapist Assistant Radiation Therapy Radiography / X Ray Technician Radiologic Technology Respiratory Care / Therapy Surgical Technician Vascular Sonography / Pediatric Veterinary Technology Not Listed

Your application will be reviewed by the Allied Health Science program, and you will be notified of the decision if you are eligible for admission into the AHS-HPDC program.

Since each student’s transcripts and circumstances are different, depending on the school attended and health profession pursued, the planning of courses required for this degree will be individually determined.

Questions?
Contact one of the College of Health Professions – Student Services academic advisors: (616) 331-5900 or set up an appointment at College of Health Professions Student Services Office.