Cabrillo College Radiologic Technology Wait List Intent Form
Please complete this form to verify whether you want to stay on the RT wait list, or, be removed from the RT wait list.

Your prompt attention to this matter is appreciated!

If you applied to the RT Program this year, you do not need to complete this intent form.

If any of your contact information has changed, please notify the RT program by submitting the Contact Info Update Form located on the RT website.
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Last Name: *
First Name: *
Middle Initial:
Email Address *
Cabrillo College Student ID#: *
If you cannot remember your student ID#, refer to the recent letter emailed to you by the RT Program or visit Cabrillo WebAdvisor.
Please indicate your intent for the Radiologic Technology Wait List: *
If you want to be removed from the wait list, please describe below why you have made this decision:
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