Computed Tomography Inquiry Form

If you have trouble submitting this form, please contact admissions@belmontcollege.edu.

CTC Applicants must be ARRT or CNMT credentialed.

Name *

First

Last

graduated clinical current

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Alternate Phone

Email Address *

Select Semester Start *

Fall Semester
Spring Semester

Name of Radiography program that you graduated from: *

ARRT or CNMT Registration Number: *

Are you a current CT worker or do you require clinical site placement? *

Current CT Worker
Will require clinical site placement

Please note, applicants must already work in CT, however if clinical placement is needed, it must be at a facility in which Belmont College already have an affiliation. For a list of placement locations please contact the Radiology Program Director at csentz@belmontcollege.edu.

Computed Tomography Inquiry Form

Any correspondence from the CT program will be in the form of email. Please monitor your email in case further information is needed.