How To Apply

Supplemental Application
for Radiography Programs

The application, all transcripts, and any applicable test scores must be received by the deadline to be eligible for the program.

For the AAS in Radiography: The following course must be completed by the deadline: BIO103 Anatomy and Physiology I. In addition, BIO104 Anatomy and Physiology II and MAT101 College Algebra must be completed or in progress by the October 1st deadline. Consult with an Academic Advisor for more information regarding the admissions criteria. Information can be accessed in the advisment area.

CHECK ONE	PROGRAM	DEADLINE	CLASSES BEGIN
	Associates Degree in Radiography (AAS.RAD)	October 1	May
	Certificate in Computed Tomography Imaging (CER.CTI)	November 1	January
	Certificate in Magnetic Resonance Imaging (CER.MRI)	November 1	January

I am interested in the following year for admission:

Name:
	(last)	(first)	(middle initial)

Email Address:

Student ID Number: Former Name:

Address:

City: State: Zip:

County: Telephone:

Is this a new address? Yes No

Do you attend Carroll County Community College? Yes No

Is English your first language? Yes No

Which of the following do you have? High school diploma GED

Have you completed or do you plan to complete coursework at another college?	Yes (If so, please make sure that all official transcripts have been sent to HCC)	No

Any healthcare experience?	Yes # Years	No

I understand that I will be considered for the indicated program during the year specified on this application. If I wish to defer consideration to a later year, it is my responsibility to submit a new application to the Office of Admissions and Registration.

I understand that the program that I am applying for is selective, and that acceptance is not guaranteed. I also understand that preference may be given to students residing in Washington County.

I have met individually with an academic advisor or program coordinator concerning the requirements of the program I am applying for.

I understand that it is my responsibility to ensure all application materials are received by HCC by the published deadline, and to inform HCC of any address or name changes immediately.

Supplemental Application for Radiography Programs

Supplemental Application
for Radiography Programs