Student Name:

Students seeking admission, reinstatement, or transfer into the DMS program are initially evaluated on the criteria below. All prerequisite and co-requisite courses must be completed with a grade of 2.0 or higher and an overall GPA of 2.5 or higher to be eligible for consideration.

Complete the score column for each applicable course or assessment. Total points are calculated from the sum of all earned points.
Category	Description & Courses	Points Available
Prerequisite Course Completion Each course must be completed with a grade of C (2.0) or higher. Courses marked * must be completed within the last 10 years OR approved by the DMS Program Chair.	MATH 1314 – College Algebra * PHYS 1401 / 1407 – College Physics * ENGL 1301 – Composition I BIOL 2401 – Anatomy & Physiology I *	Maximum: 32 A = 8 points B = 7 points C = 6 points
Co-Requisite Course Completion Each course must be completed with a grade of C (2.0) or higher. Courses marked * must be completed within the last 10 years OR approved by the DMS Program Chair.	BIOL 2402 – Anatomy & Physiology II * PSYC 2301 – General Psychology HUMA XXXX – Humanities Elective	Maximum: 24 A = 8 points B = 7 points C = 6 points
HESI-2	A minimum score of 80% is required in each of the following areas, independently: Reading, Math, Anatomy & Physiology, and Physics. If the 80% minimum is met in each area, scores are averaged to calculate points awarded. Reading (%) Math (%) Anatomy & Physiology (%) Physics (%)	Maximum: 40 90–100% = 40 pts 80–89% = 30 pts 75–79% = 20 pts (extra credit, not required)
Extra Credit Health Professions Education / Military Service	Complete one of the following Health Professions direct patient care program disciplines with a minimum 2.5 overall GPA and current licensure or accreditation in good standing: Certified Nurse Aide (CNA), Radiologic Technologist (RT-R / ARRT), Nuclear Medical Technologist (NMT), Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Physician Assistant (PA), National Registry Emergency Medical Technician–Paramedic (NREMT-P), EMT-B, Registered Dental Hygienist (RDH), Surgical Technologist (CST), or Respiratory Therapist. Subject to approval by the DMS Program Chair; certificate required. Board exams must be passed prior to August 1 of the year admitted into the DMS Program or the student will be dropped. Military Service: Honorable discharge required.	Maximum: 2
Extra Credit Lab Volunteer	½ point for every 1 hour of volunteer time in the DMS scanning lab, or 1 point for every pregnant woman brought into the lab (maximum 1 point out of 2). Volunteers are responsible for logging their time in the notebook at the lab.	Maximum: 2
Total Points		Total points earned