Radiologic Technology Program Application 础辫辫濒颈肠补迟颈辞苍听笔别谤颈辞诲 The Radiologic Technology program starts once a year in Fall semester and accepts applications once a year:聽December 15th to January 15th Admission Process Students who become 91涩漫 students and complete all Radiologic Technology聽pre-program requirements (including required GPA) will be admitted to the Radiologic Technology program as long as there are available seats in the program. Acceptance is largely based on clinical site availability. In the event there are more students than seats available at a particular clinical site, priority will be given to students who completed their pre-program requirements first.聽Students are ranked by when pre-program requirements are completed and when they completed their application to 91涩漫 / declared Radiologic Technology as their program. In the event there are multiple students wanting the same clinical site who completed pre-program requirements in the same term AND completed their 91涩漫 application on the same date, GPA in pre-program courses will be used as a tie-breaker. Statement of Understanding Items marked with an (*) asterisk are required.Full Name(Required) First Last StarID/91涩漫 Student ID - (Your student ID is located on the back of your ID card)(Required)Email(Required) Enter Email Confirm Email Phone(Required)CertificationAre you a Certified Nurse Assistant (CNA) or have previously been certified and are able to provide proof to the Program Director if accepted into the program?(Required) In Progress Yes No Please enter the certification completion date(Required) MM slash DD slash YYYY What state are you / will you be certified in?(Required)Clinical site preferencesYou may choose to be considered for more than one clinical site. Please do not list a site if you are not committed to complete the full 22 months in that area. Indicate 1st, 2nd, 3rd choices if applicable.Available clinical sites - 1st choice(Required)Select oneDuluth, MN/Superior, WIAshland, WIBemidji, MNBig Fork, MNBrainerd, MNCloquet, MNCrosby, MNGrand Rapids/Deer River, MNHayward, WIHibbing, MNMoose Lake, MNMora, MNSpooner, WIVirginia, MNAvailable clinical sites - 2nd choiceSelect oneDuluth, MN/Superior, WIAshland, WIBemidji, MNBig Fork, MNBrainerd, MNCloquet, MNCrosby, MNGrand Rapids/Deer River, MNHayward, WIHibbing, MNMoose Lake, MNMora, MNSpooner, WIVirginia, MNAvailable clinical sites - 3rd choiceSelect oneDuluth, MN/Superior, WIAshland, WIBemidji, MNBig Fork, MNBrainerd, MNCloquet, MNCrosby, MNGrand Rapids/Deer River, MNHayward, WIHibbing, MNMoose Lake, MNMora, MNSpooner, WIVirginia, MNBy submitting this application, I agree to the following:This application is valid only for the year for which I have applied. If necessary, it will be my responsibility to reapply for a future year.(Required) Agree I have reviewed and met the pre-program course, GPA, and math requirements as outlined on the program guide.(Required) Agree View the pre-program course, GPA and math requirements in the Radiologic Technology program guide.I understand that if information is missing from my file, or my application is incomplete, I will NOT be admitted into the program.(Required) Agree I understand that any falsification of information will result in disqualification of my application.(Required) Agree I declared Radiologic Techology as my program at 91涩漫 when I applied to 91涩漫 or by working with an 91涩漫 advisor.(Required) Agree I have already been accepted for admission at 91涩漫 or I am a current degree seeking student.(Required) Agree I understand that program acceptance will be sent to the email address I specified above.(Required) Agree Please do not register for required Radiologic Technology courses until you have received official acceptance into the Radiologic Technology program. Registration in pre-program courses is acceptable and expected.(Required) Agree
