Belmont College Nursing & Radiology Application

If you have trouble submitting this form, please contact Katie Stoller, Academic Advisor, at kstoller@belmontcollege.edu or 740.699.3870. Please note, acceptance letters will be sent out in late May or early June.

Please select the programs you're applying for:

Associate Degree Nursing (Registered Nursing)
Practical Nursing
Transitional Nursing
Radiology

Name *

First

Last

Student ID

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Please select Mailing

Primary Phone

Alternate Phone

Email Address *

Application Deadline: May 1, 2025

Any correspondence from the nursing/radiology program(s) will be in the form of email. Please monitor your email in case further information is needed.

If you have not filled out a Belmont College application, please do so before filling out the nursing/radiology application.

Contact Jacob Summers,
Academic Advisor / Student Support Specialist, for program prerequisites at jsummers@belmontcollege.edu or by phone at 740.699.3820.