Application

Magnetic Resonance Imaging (MRI) Technology

"*" indicates required fields

Student information

Name*

First Last

Email*

PCC ID number*

Education

Prior education*

List your prior education, including high school and any colleges attended.

Name of school

State

Dates attended (mm/yy - mm/yy)

Certificate or degree earned (if any)

Have you previously applied to PCC’s MRI Technologist Training Program?

(PCC keeps application materials on file for one year. Re-applicants do not need to resubmit official transcripts unless they took additional courses.)

Yes, I have previously applied

Unofficial transcripts

Upload a copy of your unofficial transcripts from schools other than PCC. Be sure to include unofficial transcripts from all institutions attended and/or where a professional certification was completed.

Accepted file types: pdf, jpg, gif, png, Max. file size: 20 MB.

Employment

Employment information*

List your work experiences in health care institutions beginning with the most recent.

Job title

Employer name

Dates worked (mm/yy - mm/yy)

Reason for leaving

Certifications, special skills, and awards

List any special skills or awards

List all certifications (transcripts/documentation required)

Upload your certification documentation

Accepted file types: jpg, jpeg, jpe, png, gif, pdf, Max. file size: 20 MB.

Date Certified/Anticipated Completion of Registry*

Certificate #*

Include a copy of certification documenting the date of ARRT(R), ARRT(N), ARRT(T), NMTCB, RDMS, or other registry exam.

Accepted file types: jpg, jpeg, jpe, png, gif, pdf, Max. file size: 20 MB.

MRI, CT, or Cross-Sectional Anatomy courses (transcripts/documentation required)

Upload your course documentation

Accepted file types: jpg, jpeg, jpe, png, gif, pdf, Max. file size: 20 MB.

Supplemental essay question

Please address the following and limit responses to one page*

Work history that brought you to MRI
Career goals – why are you interested in MRI?
What do you consider your greatest strengths?

Criminal background and drug testing

Have you ever been convicted of a felony or misdemeanor?*

Yes

If yes, please explain

Final selection is dependent upon an acceptable criminal background check and drug screening performed at PCC recommended sites.
Applicants accepted into the MRI Technologist Training Program must submit to the following screening exams and will be financially responsible for exam costs:

Drug screening exam – by PCC designated agency
Criminal background check – by PCC designated agency

References

Please list the name of three past instructors, supervisors, or managers for which you will be submitting the Reference Evaluation Form for evaluation.

Reference 1*

Name

Title/position

Relationship to you

Reference 2*

Name

Title/position

Relationship to you

Reference 3*

Name

Title/position

Relationship to you

Captcha

Name

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