Application for Admission

Application deadline is APRIL 1

Federal and State Laws prohibit discrimination based on race, color, religion, sex, age, disability or national origin. No question on this application is asked for the purpose of excluding any applicant because of age, race, color, religion, gender, disability, national origin or any other protected class.

* Required Field

Education:

 
School Name
Course/Major
Diploma/Degree
1
2
3
4

Are you currently attending school or college?

Have you applied to any other Radiography programs?

Have you ever made application to this program before?

Military:

Employment Experience:

 
Employer
Position Held
Dates Employed
Hours/Week
1
2
3
4

Voluteer Experience:

 
Agency/Facility
Description
1
2
3

Health Related Certifications:

 
Agency
Name of Certificate
Date Received
1
2
3

Personal Comment

Please Read Carefully and Check the Box Below

I certify that as of the start of the program, I will be 18 years of age.

Students successfully completing their academic degree (https://www.arrt.org/Certification/Academic-Degree-Requirement) and their training at the Washington Health System School of Radiologic Technology are eligible to apply for admission to the certification exam administered by the American Registry of Radiologic Technologists (ARRT). Conviction of a crime including a felony or misdemeanor may impact the candidates’ eligibility to take the ARRT examination. The ARRT will evaluate a candidate’s eligibility status prior to program admission. Contact ARRT for further information in regards to an ethics review (www.arrt.org/pdfs/Ethics/Ethics-Review-Pre-Application.pdf).

Once this form is submitted you will receive a confirmation page which you must send, along with a $25.00 non-refundable application fee (payable to Washington Health System), to:

Washington Health System
Radiologic Technology Program
155 Wilson Avenue
Washington, PA 15301