Radiography Application for Admission
Applications are validated by completing an information session September 16, 2020 to March 10, 2021.

Deadline for submission of the Health Science application is March 15, 2021.

Do not submit this application after March 15, 2021.

Health Science Information Sessions: edgecombe.edu/health-science-information-sessions
First Name *
Last Name *
Student ID Number *
Street Address *
City *
State *
Zip Code *
Phone Number *
Personal Email Address *
MYEDGE Email Address
The MYEDGE email account is created upon application to the school. This is the address all faculty and staff will use to contact you once your application to the college has been submitted. Example: First Initial, Last Name, Date of Birth (jdoe0612@myedge.cc)
Have you completed an admissions application to Edgecombe Community College? *
You must complete the ECC application for admission: https://www1.cfnc.org/Applications/NC_Community_College/apply.html?application_id=1496 *DO NOT SIGN UP FOR TEAS UNLESS YOU HAVE COMPLETED THE ECC APPLICATION FOR ADMISSION
Educational Experience *
High school or GED completion date *
MM
/
DD
/
YYYY
College/Training Previously Attended *
Include all (1) colleges attended, (2) degrees/diplomas/certificates awarded, and (3) years attended.
Official Transcripts *
Required
Do you have work experience related to the medical field? *
If you answered yes to the question above, list (1) Employer (2) Modality (3) Date/s you worked
Do you have any active certifications (excluding CPR)? *
If you answered yes to the question above, list (1) Certifying agency (2) Certificate earned (3) Date earned
Edgecombe Community College serves the public without regard to race, creed, color, religion, national origin, or sex.
When did you attend a health science information session? *
ECC Health Sciences Admission Policies and Requirements *
Required
*All required fields must be completed for successful submission of this application.
Submit
Never submit passwords through Google Forms.
This form was created inside of Edgecombe Community College. Report Abuse