Computed Tomography (CT) Program Admission Application

Computed Tomography (CT) Program Admission Application
Fall Admissions
Applicant Information

Please make sure the information provided is accurate. Letters of acceptance or denial will be emailed to the email address provided below.
Student ID #*
Applicants must apply to Mid Michigan College prior to applying the Computed Tomography Program. If you do not have a student ID, you must apply to Mid first by completing the College Admissions Application here: https://apply.midmich.edu/
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Email *
Please note that your acceptance/denial letter will be sent to this email address.
American Registry of Radiologic Technologists Certification

All applicants must be ARRT certified in one of the following three areas in order to be eligible to apply to the CT program.
Select the field in which you are ARRT certified:
Upload ARRT Certification

Upload a File

Cancelof

Additional Requirements/Statements
By checking this box I certify that my answers are true and complete to the best of my knowledge. I am responsible for assuring all documents are received and all required are completed to apply. Late documents will NOT be accepted for consideration.

I agree to and understand this statement
Final acceptance into the CT program is pending a clear criminal background check and drug screening. These tests will be at the student's expense.

I agree to and understand this statement
Campus Safety, Security, and Non-Discrimination Information

In Mid Michigan College’s commitment to provide an environment that is safe, transparent and equitable, Mid publishes an Annual Security Report that outlines safety and security policies, protocols, measures and crime statistics. To learn about these initiative please review the Annual Security Report on Mid’s website at www.midmich.edu/securityreport.

The College’s general consumer information along with financial assistance, graduation and completion rates are available to prospective and enrolled students on the College’s Student Right to Know webpage.

Mid prohibits any form of discrimination on the basis of ‘protected characteristics.’ These include: race, color, religion, sex, gender identity or expression, pregnancy, age, sexual orientation, marital or parental status, national origin, citizenship, genetics, disability, military or veteran status, or any other legally-protected status; as well as victims of intimate partner violence or criminal conviction in the administration of and access to the College’s programs and activities and in conditions of admission or employment. Mid adheres to the principles of all applicable state and federal equal opportunity laws and regulations for its students, staff and applicants for admission and employment.

Mid strongly encourages anyone who experiences or observes any acts of discrimination, harassment, or sexual misconduct to promptly report the incident(s) and seek assistance from the College. Reports may be filed using the online report form or by contacting one of the College’s Title IX Coordinators as follows:

For Students:

Kim Barnes, AVP of Security Operations and Systems

Chief Title IX Coordinator

2600 S. Summerton Rd., Mt. Pleasant, MI 48858

Office: Mt. Pleasant Campus Doan Center, Room 105

(989) 386-6622, Ext. 236

kbarnes@midmich.edu

Martricia Farrell, Director of Security Operations and Systems

Deputy Title IX Coordinator/Clery Compliance Officer

1375 S. Clare Ave, Harrison, MI 48625

Office: Harrison Campus Safety and Security Office
(989) 386-6622, Ext. 394

mfarrell@midmich.edu

Mid’s full Non-Discrimination, Harassment and Sexual Misconduct Policy is available online, along with various other safety and security related policies, procedures and information. Questions may be submitted to sos@midmich.edu.
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact Academic Affairs at (989) 386-6603 or academics@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.
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Computed Tomography (CT) Program Admission Application

Fall Admissions

Applicant Information

American Registry of Radiologic Technologists Certification

Additional Requirements/Statements

Campus Safety, Security, and Non-Discrimination Information

For Students: