Health Care Administration
2024-2025 Application
Name
First Name
Last Name
Phone
*
Student Email
*
Personal Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Academic Information
Please list all colleges attended
*
Are you a current SWOSU student?
*
Please Select
Yes
No
SWOSU Student ID
*
Have you applied to SWOSU?
*
Please Select
Yes
No
Apply to SWOSU
Total Hours Completed
*
Retention GPA
*
Transcript Upload (provide a copy of all transcripts)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
If any credentials, list them here.
*
Select One
None
RHIT
CCA
CCS
CDIP
CHDA
CHPS
CHP
CHTS
CTR
Credentials
Employment Background
Rows
Title
Responsibilities
Location
Dates
Current Job
Previous Job
Back
Next
I am applying for the HCA program with the:
*
Traditional Specialization
Long-Term Care Specialization
By selecting each box below, you are acknowledging that you understand each requirement for HCA - Traditional specializtion
*
Rows
Yes
I acknowledge that I must submit complete vaccination records, and pass a background check and drug screen.
I acknowledge that this is an online program.
I acknowledge that I must adhere to a plan of study and any alterations must be approved by the HCA Program Director.
I acknowledge that there is a 320 hour internship to be fulfilled across diverse healthcare settings, prioritizing hands-on engagement over observation.
By selecting each box below, you are acknowledging that you understand each requirement for HCA - Long Term Care specialization
*
Rows
Yes
I acknowledge that I must submit complete vaccination records, and pass a background check and drug screen.
I acknowledge that this is an online program.
I acknowledge that I must adhere to a plan of study and any alterations must be approved by the HCA Program Director.
I acknowledge that there is a 1000 hour practicum, with the majority of the hours to be conducted in a nursing home with the remainder of the hours to be conducted in residential living/assisted living (RL/SL) and other home care based services (HCBS).
I acknowledge that in order to graduate with the Long-Term Care Administration Emphasis, the Long-Term Care Practicum consisting of 1000 hours MUST be completed under a licensed Preceptor.
Submit Form
Should be Empty: