Application

"*" indicates required fields

Student information

Name*

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.)
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

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

Supplemental essay question

  • 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?*

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
This field is for validation purposes and should be left unchanged.