Computed Tomography Application

If you have trouble submitting this form, please contact Jacob Summers, Academic Advisor, at jsummers@belmontcollege.edu or 740.699.3820.

CTC Applicants must be ARRT or CNMT credentialed.

Name *

First

Last

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: *

Start or current

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

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 sstauver@belmontcollege.edu.

Computed Tomography Application

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