The Radiological Control Technician Training Program Application - 2022
Completion of this application is mandatory for acceptance.
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Email *
First Name *
Last Name *
Mailing Address *
Street, City, State ZIP code (No PO Boxes)
Phone *
(555-555-5555)
School or Organization *
Major or Job Title *
Classification *
Choose the one that BEST describes you.
How did you find out about the RCT Training? *
The RCT Training Program is a 10-week virtual training program. Are you available to attend ALL sessions? NOTE: Please double check your schedule BEFORE answering. (Monday thru Friday 9 am – 3 pm CST. May 31, 2022 thru August 5, 2022) *
Are you or will you be employed during the RCT Training Program?  If yes, will your work schedule interfere with attending any of the sessions and keeping up with course work? *
What extracurricular activities are you involved in? Will these activities interfere with your ability to attend any of the RCT training program sessions? *
Why are you interested in taking this training? *
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