Radiologic Technologist Program Application

Radiologic Technologist Program Application for Admission

Before beginning this application, please review the Radiologic Technology Program website.

Please note: This application must be completed in one session. You will not be able to save your application and complete it later. This application may take between 15 - 30 minutes to complete.

Applications are due by May 10th for August Admission Consideration.

Application Requirements

1. Completed Radiologic Technologist Program Application for Admission.
2. TEAS Assessment Entrance Exam with a minimum composite score of proficient. The TEAS test must be dated within a year of application. There is a limit to the TEAS testing, two times per semester, and four times within a year. Study guides are available in the bookstore, online, or at the Nursing Education Center.
3. Background check with a valid DPS level one fingerprint clearance card.
4. Background check processed through Corporate Screening Services, Inc. (Use code EAST95EC)
5. Physical Examination form completed by a licensed health care provider.
6. A 250-500 word essay (double-spaced) describing why a career in healthcare is desirable to you. (Do not put your name on the essay.)

Admission Requirements

Documentation of admission requirements are due in the program director's office by 2 business days prior to the start of the semester or the applicant’s admission slot is forfeited.
1. Meet admission requirements to Eastern Arizona College.
2. Current American Heart Association CPR Basic Life Support (BLS) card.
3. Complete Immunization Record and Radiologic Technologist Physical Form. *
4. Urine drug screen through Corporate Screening Services, Inc. (use code EAST95EC)
5. Level One Fingerprint Clearance Card.
6. Transcript verification of the following prerequisites with grades of “C” or better:
- CHM 130 or higher
- MAT 154, MAT 181 or MAT 220
- BIO 201 Anatomy & Physiology I
- BIO 202 Anatomy & Physiology II
- BUA 160 Medical Law and Ethics

*Waivers may be available. EAC staff will assist students to work through the clinical partner to request waivers. Note that not all clinical partners have a defined process for requesting an exemption.

Please Note:
-Applicants with a healthcare related certificate or degree from an accredited institution can receive a point towards admission.
-Applicants who complete all their pre-requisite courses at Eastern Arizona College will receive one bonus point towards admission.

Personal Information

First Name

Last Name

EAC Student ID#

Cell Phone #

E-Mail Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Please complete the following:

ATI TEAS Test

Date Completed

Upload TEAS Test:

American Heart Association CPR Card

Expiration Date:

Upload CPR Card:

Upload DPS Level 1 Fingerprint Clearance Card:

Upload Radiology Technologist Essay:

Upload Physical Examination Form:

I have completed my Background Screening with Corporate Screening Services, Inc..

Yes

Pre-requisite courses or equivalent CLEP tests with at least a grade of "C":
***Upload unofficial transcripts below.***

CHM 130 or higher Grade

College completed CHM:

MAT 154 or
MAT 181 or
MAT 220
Grade

College completed MAT:

BIO 201 Anatomy & Physiology I Grade

College completed BIO 201:

BIO 202 Anatomy & Physiology II Grade

College completed BIO 202:

Co-requisite courses or equivalent CLEP tests with at least a grade of "C":
***Upload unofficial transcripts below.***

HCE 112 - Medical Terminology Grade

In Progress

College completed/completing HCE 112:

PSY 101 - Intro to Psychology Grade

In Progress

College completed/completing PSY 101:

ENG 101 - Written Communications I Grade

In Progress

College completed/completing ENG 101:

ENG 102 - Written Communications II Grade

In Progress

College completed/completing ENG 102:

COM 201 - Public Speaking Grade

In Progress

College completed/completing COM 201:

BUA 160 - Medical Law & Ethics Grade

In Progress

College completed/completing BUA 160:

Upload Unofficial Transcripts:

I certify that all the information provided by me is true, complete and accurate. I am responsible for provision of all requested information. Failure to provide proper documentation may adversely affect my evaluation. I acknowledge that admission into the program is conditional upon successfully completing all requirements.

Applicant's Signature

Date

Eastern Arizona College is in compliance with Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, and the Rehabilitation Act of 1973, does not discriminate on the basis of race, creed, color, national origin, disability, age, or sex in any of its policies, practices, or procedures. This includes but is not limited to admissions, employment, financial aid, educational services, programs, and activities.