1 Current Personal Information 2 Education 3 Employment History 4 Preview 5 Complete 1 of 5 School of Radiologic Technology Application To apply online for the School of Radiologic Technology, please fill out the application form listed below. Your information will be submitted via a secure server. In order for your application to be complete, you must also submit the following information. Three letters of recommendation (download recommendation form) Official high school and college transcripts (mailed directly from school or college) Handwritten statement as to why you’re considering radiologic technology as your career choice (signed and dated) $25 application fee (non-refundable) All requirements must be postmarked by Jan. 31 to be eligible for the September class. If you have additional questions about admission, please reference the admission information portion of this site or contact us. Name Title Title - None -MissMsMrMrsDrOther… Enter other… First Middle Last Suffix Degree Previous Names Contact E-mail Phone Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code When is best to reach you? Mornings Evenings Date of Birth Date must be entered as MM/DD/YYYY. Will you be over 18 years of age by the start of the program? - Select -YesNo Are you a U.S. citizen? Yes No Are you legally authorized to work in the United States? Yes No Have you ever been convicted of a felony? Yes No Have your rights been restored? Yes No What code is in the image? Enter the characters shown in the image. Get new captcha! Get new captcha! Save Draft Next Page > Leave this field blank For Professionals School of Radiologic Technology Academic and Clinical Policy Admission Information Application for the Registry Application Course Description Faculty Grading Graduation Requirements Share This: