Non US Citizens:
List All Educational Institutions Attended (in chronological order from the most recent)
Academic Courses Currently in Progress (must be completed prior to the start of the Program)
Employment History (chronological record of part-time or full-time employment)
Criminal Procedures and Ethics Requirements for ARRT Certification
According to https://www.arrt.org/Certification, every candidate for ARRT certification must "be a person of good moralcharacter and must not have engaged in conduct that is inconsistent with the ARRT Rules of Ethics," and they must"agree to comply with the ARRT Rules and Regulations and the ARRT Standards of Ethics." ARRT investigates allpotential violations in order to determine eligibility. Issues addressed by the Rules of Ethics include convictions, criminalprocedures, or military court martials, felonies, misdemeanors, and/or criminal procedures resulting in a plea of guilty ornolo contendere (no contest), a verdict of guilty, withheld or deferred adjudication, suspended or stay of sentence, or pretrial diversion. Juvenile convictions processed in juvenile court and minor traffic citations not involving drugs or alcohol donot need to be reported. Additionally, candidates for certification are required to disclose whether they have ever had anylicense, registration, or certification subjected to discipline by a regulatory authority or certification board (other thanARRT). Applicants may complete a pre-application (https://www.arrt.org/pdfs/Ethics/Ethics-Review-Pre-Application.pdf ) todetermine their ethics eligibility prior to enrolling in or during their educational program.
The final selection of applicants is contingent upon passing a physical examination administered by Research Medical Center and testing negative for illegal drugs in a urinalysis test.
Before your application can be processed, the School of Radiologic Technology must receive:
- Completed and signed application form before December 1st.
- Copies of all official transcripts submitted directly from high school and colleges.
- Two (2) completed and signed reference forms.
- Verification of a job shadow observation.
- Two-page essay on how you became interested in radiology, why you want to be a radiographer, and the role of a radiologic technologist in the imaging profession.
- Application fee of $40.00 (check, money order, or cashier’s check) made payable to Research Medical Center. o Fee will be refunded if the applicant cancels the application within 3 working days of receipt of the fee by the school.
It is the applicant’s responsibility to confirm all required information has been received by the program by December 1st.
Mail the Completed Application to:
Research Medical Center
School of Radiologic Technology
2316 E. Meyer Blvd.
Kansas City, Missouri 64132
Equal Opportunity Programs are required by the Federal Government to provide statistical information about applicantsto demonstrate that the program meets equal opportunity requirements.
Your completion of this form is voluntary and would be greatly appreciated.
This information will be kept separate and confidential from the applicant’s file and will not be considered in any way todetermine eligibility/acceptance to the program.
A person who served on active duty in Vietnam between 02-28-61 and 05-07-75 for a period of 180 days or who was on active duty between 08-05-64 and 05-07-75 but not in Vietnam, and was discharged or released with other than a dishonorable discharge or for a service connected disability.
A person entitled to disability compensation under laws administered by the Veterans Administration for disability rated at 30% or more, or a person whose discharge or release from active duty was for a disability incurred or aggravated in the line of duty.
A person considering a career in the radiologic sciences can make a better-informed career decision if it is based onpersonal experiences or observations. The School requires that all applicants to the Research Medical Center’s Programmust perform a job shadow of the Imaging Department at Research Medical Center. Please call 816.276.3296 toschedule a job shadow.
Professional dress is required when observing at the department. Jeans, t-shirts, sweatshirts, and open-toed shoes arenot allowed. No pierced jewelry should be worn with the exception of one or two earrings per earlobe. Overallappearance should be professional.
Please bring this form with you when you observe in the department.
Following is a list of characteristics that we feel are required for a student to successfully complete the educational completing this form and returning it to the applicant in a sealed envelope to the school.
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