Fillable Guilford Technical Community College Radiography Admission Packet

Fill Online, Printable, Fillable, Blank Guilford Technical Community College Radiography Admission Packet Form

Use Fill to complete blank online GUILFORD TECHNICAL COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Guilford Technical Community College Radiography Admission Packet

On average this form takes 10 minutes to complete

The Guilford Technical Community College Radiography Admission Packet form is 16 pages long and contains:

  • 1 signature
  • 32 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Guilford Technical Community College

BROWSE GUILFORD TECHNICAL COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
GTCC Limited Entry Programs Office Hassell Health Technologies Center, Room 140 Jamestown Campus
(336) 334-50439 LIMITEDENTRY@GTCC.EDU (Created July 2019)
LIMITED ENTRY PROGRAMS
RADIOGRAPHY
Associate in Applied Science - 71 Credit Hours
Fall 2020 Entry Jamestown Campus Maximum Number Accepted to Program - 21
Program Application Deadline: Friday, May 22, 2020 by 5:00pm
Program Admission Requirements and Deadlines
Please read the entire packet for more details on these
requirements and deadlines.
Phase I: Complete by May 8, 2020.
Complete the GTCC Admission/Readmission Process (new and
former GTCC students).
Complete the Fall 2020 Radiography Program Information Session.
Demonstrate English and mathematics “college readiness” levels,
via college-level English/math courses or by completion of or waiver
credit for specified “transition” or co-requisite courses.
Schedule your ATI TEAS test date at GTCC or another test site.
Phase II: Complete by 5:00pm on May 22, 2020.
Take the ATI TEAS. Achieve a minimum score of 62. A minimum
score of 62 is required to continue with the admission process.
Demonstrate Biology Competency by one of two ways:
o College-level BIO/lab course with a “C” or better, completed
since 2010
;
o High School-level BIO/lab course with a “C” or better,
completed since the 2016-2017
school year
Submit a Health Sciences Program Application packet to the
Limited Entry Programs Office, located in the Hassell Health
Technologies Center, Room 140 (Jamestown Campus).
You may complete either a “live” session
or an online session via Moodle.
“Live” Session Dates
Held in the Percy Sears Applied
Technologies Center Auditorium,
Room 120, on the Jamestown Campus –
directions to the auditorium will be
posted in the lobby.
September 5, 2019
5:30 - 7:00pm
November 18, 2019
2:00 – 3:30pm
March 31, 2020
5:30 - 7:00pm
Online Sessions
Information on how to access Moodle is
available in this packet.
Attendance at Program Information
Sessions for the 2019 and previous years’
admission cycles are not acceptable for
meeting this requirement.
COMPLETE THE REQUIRED
PROGRAM INFORMATION SESSION
BY MAY 8, 2020!
GTCC’s Radiography program is accredited by the Joint Review Committee
on Education in Radiologic Technology (JRCERT).
Accrediting Body Contact Information:
Joint Review Committee on Education in Radiologic Technology
20 N. Wacker Drive, Suite 2850 Chicago, IL 60606-3182
312.704.5300
www.jrcert.org
GTCC Fall 2020 Radiography Program Admission Packet Created July 2019 pg. 2
PROGRAM CURRICULUM OUTLINE
Program Courses
These courses are taken once accepted to the program.
Course
Title
Credits
FALL 2020
RAD 110 Radiography Intro and Patient Care 3
RAD 111 Radiography Procedures I 4
RAD 113 Radiography Lab Elective 1
RAD 151 Radiography Clinical Education I 2
SPRING 2021
RAD 112 Radiography Procedures II 4
RAD 121 Image Production I 3
RAD 161 Radiography Clinical Education II 5
SUMMER 2021
RAD 122 Image Production II 2
RAD 141 Radiation Safety 2
RAD 171 Radiography Clinical Education III 3
FALL 2021
RAD 211 Radiography Procedures III 3
RAD 231 Image Production III 2
RAD 251 Radiography Clinical Education IV 7
SPRING 2022
RAD 261 Radiography Clinical Education V 7
RAD 271 Radiography Capstone 3
Total Program Course Credits: 51
TOTAL CREDITS REQUIRED FOR DEGREE: 71
General Education Courses
These courses may be taken prior to acceptance to the program to lighten the academic load and for possible award of ranking points.
Title
Credits
BIO 163 Basic Anatomy & Physiology (completed since 2010) 5
ENG 111 Writing and Inquiry 3
SOC 210
General Psychology OR Introduction to Sociology 3
MAT 143 Quantitative Literacy 3
COM 231 Public Speaking 3
HUM 115 Critical Thinking 3
Total General Education Credits: 20
GTCC Fall 2020 Radiography Program Admission Packet Created July 2019 pg. 3
Limited Entry Admission Process – GTCC Health Sciences Programs
Phase I: Complete by May 8, 2020
Complete the GTCC Admission Process (new applicants/former GTCC students).
Please complete the GTCC admission process, including the North Carolina Residency Determination Service (RDS) process.
To get started, visit https://www.gtcc.edu/admissions-and-aid/apply-now.php
Submit your official transcripts. Once received, transcripts are evaluated by GTCC’s Enrollment Services staff. PLEASE
ALLOW A MINIMUM OF TWO WEEKS FOR EVALUATION TO OCCUR! Approved transfer credits will be added to your
academic record as appropriate. Transfer credits from regionally-accredited colleges/universities must appear on your
GTCC WebAdvisor transcript in order to be considered for meeting minimum requirements or earning ranking points.
PLEASE CHECK THE STATUS OF YOUR ADMISSION PROCESS by visiting https://applicationstatus.gtcc.edu and
https://transcripts.gtcc.edu .
Complete a required Program Information Session.
You are required to complete a Program Information Session in order to apply to the Fall 2020 program. Information
Sessions completed for previous application cycles are not acceptable for purposes of meeting this requirement.
This session will provide you with an overview of the curriculum, the minimum program admission requirements, faculty
expectations and discussion of class schedules and clinical requirements, preparing and submitting your Health Programs
Application packet, and the selection and notification process for the incoming class. At the completion of the session, you
will receive a GTCC ATI TEAS test pass.
• The schedule of LIVE SESSIONS is available on the front of this packet. Sessions will last approximately 1 to 1.5 hours. Late
arrivals/early departures will not receive credit for having completed this session. . All sessions are offered on the
Jamestown Campus in the Percy Sears Applied Technologies Center Auditorium (#25 on the Campus Map
), and directions
will be posted in the building’s lobby entrance areas.
• ONLINE SESSIONS (Available after September 1, 2019): If you are unable to attend a live Information Session, you must
study a PowerPoint presentation in the online Information session and then score 100% on a quiz. The instructions to
access the online information session are as follows:
If you are a current student at GTCC or you have already submitted an application to GTCC:
1. Go to online.gtcc.edu
and login using your GTCC Titan account.
2. Go to the bottom of the My Courses page and use the search field to find “Radiography Information Session”.
3. Enroll yourself in this course.
If you are a potential student at GTCC (meaning you have not submitted an application to GTCC at this time):
1. Go to coned.gtcc.edu. Use the “Create New Account” option on the main page. The account creation process ends with
you confirming a link in your email account.
2. Return to coned.gtcc.edu and login using your new account.
3. Go to the bottom of the My Courses page and use the search field to
find “Radiography Information Session”.
4. Enroll yourself in this course.
GTCC Fall 2020 Radiography Program Admission Packet Created July 2019 pg. 4
Demonstrate English and mathematics “College Readiness” levels.
You must be able to meet one of the following options for both subject areas:
COLLEGE ENGLISH READINESS
COLLEGE MATHEMATICS READINESS
Option 1: You have completed or received
transfer credit for ENG 111.
Option 2: You have completed or received
waiver credit for all of the following: DRE 096,
DRE 097, DRE 098
Option 3: You have completed or received
waiver credit for ENG 002 with a minimum
grade of P2
Option 4: You have completed or received
waiver credit for ENG 011
Option 1: You have completed or received transfer credit
for one of the following -- MAT 143, MAT 152, MAT 171
(or a higher-level math).
Option 2: You have completed or received waiver credit
for all of the following: DMA 010, DMA 020, DMA 030,
DMA 040, and DMA 050
Option 3: You have completed or received waiver credit
for MAT 003 with a minimum grade of P2
Option 4: You have completed or received waiver credit
for one of the following: MAT 043, MAT 052, or MAT 071
Phase II: Complete by 5:00pm on May 22, 2020
Take the Test of Essential Academic Skills (ATI TEAS). Score a minimum of “62”.
If you plan to take the ATI TEAS at GTCC, you must have completed the required Program Information Session in order
to obtain a GTCC testing pass from the Limited Entry Programs Office. The Testing Pass must be presented to the GTCC
Assessment Center (Jamestown Campus) on the day of your test. You may test twice in a 6-month period. The test fee is
$65 for GTCC students and $90 for non-GTCC students and is not covered by financial aid.
Scores from other colleges or Testing Centers will be accepted, but they must be from the ATI TEAS. Make sure to ask
what version they offer before registering for your test date. Study material may be purchased at www.atitesting.com
or
at the Jamestown Campus Bookstore.
Demonstrate Biology Competency by one of two ways.
• High School Biology/Lab course, completed since the 2016-2017 school year, with a grade of “C” or better.
• College Biology/Lab course, completed since 2010, with a grade of “C” or better.
Once You Have Completed ALL of the Steps Listed above, Then You Have Completed the Program’s
Minimum Admission Requirements (MAR). You are Now Ready to Submit Your Health Sciences Program
Application to the Limited Entry Programs Office.
Gather Your Application Materials and Submit them by the 5pm Deadline.
Once you have completed all of the minimum admission requirements, gather all of the required documents, attach
them to the Health Sciences Program Application, and submit the packet to the Limited Entry Programs Office, located
in Hassell Health Technologies Center, Room 140 on the Jamestown campus. Application packets received after the
deadline will not be accepted.
• Complete the Health Sciences Program Application.
• Verify that all transcripts have been received and evaluated for transfer credit by GTCC before attaching a copy
of your WebAdvisor transcript! The Selection Committee will use this transcript to verify minimum requirements
and award ranking points!
• Attach a copy of your ATI TEAS test results.
• Attach all other documentation required on the Health Sciences Program Application Checklist (back page of
Application).
The Limited Entry Programs Office will offer a schedule of “Drop-In” times to review your application file in the weeks
prior to the deadline. Please contact the office at (336) 334-4822, ext. 50439, send an email to limitedentry@gtcc.edu
,
or visit the Office for more information on this schedule.
GTCC Fall 2020 Radiography Program Admission Packet Created July 2019 pg. 5
Have Questions? Need Help?
Completing the GTCC admission process (application for admission, NC residence determination):
Please contact GTCC’s Admissions Office at (336) 334-4822, ext. 31125, or send an email to: admissions@gtcc.edu.
Checking the status of your admission application: Visit: https://applicationstatus.gtcc.edu/
Submitting your transcripts: Contact the Records and Transcripts Office at (336) 334-4822, ext. 50354 or 50161, or send an
email to transcripts@gtcc.edu.
Checking the status of the transcripts you have submitted to GTCC: Visit: https://transcripts.gtcc.edu/
General information on the Health Sciences Programs and their specific admission requirements: Visit the
Limited Entry Programs’ website at:
https://www.gtcc.edu/admissions-and-aid/admissions-requirements/limited-enrollment-
programs.php, call (336) 334-4822, ext. 50439, or send an email to limitedentry@gtcc.edu.
The Program Applicant Review and Selection Process
During the next 3-4 weeks after the Program Application Deadline, the Health Sciences Review Committee, comprised of various
Health Sciences Program Directors and faculty, the Dean of Health Sciences, and the Limited Entry Programs Office Staff, will review
all applications submitted by the deadline.
Applicants are ranked using a points system, and candidates will be selected, based on the total points earned. Ties will be
decided, based on the following system: 1) The applicant with the higher total points earned in the “General Education Courses”
ranking section; 2) The applicant with the higher TEAS composite score (if applicable); and 3) The date that the GTCC Admission
Application was submitted for the program of interest.
Each candidate who submits a Health Sciences Program Application to the Limited Entry Programs Office by 5pm on the specified
deadline will be notified in writing of the results of the selection process. Notification will be sent electronically to the applicant’s
GTCC email address.
Students must accept or decline a program position by submitting an Intent to Enroll Form within 10 business days of the date on the
acceptance letter. Failure to respond within the stated timeframe will result in the position being offered to an alternate. Once a
student declines a program position, the decision may not be reversed.
A student has 15 business days from the date on the notification letter to contest the results of the selection process. The request
for review of the results must be submitted in writing to the Division Dean. The Division Dean will render a decision within 10
business days of receipt of the written request. The Division Dean’s decision is final.
Program Orientation, Advising/Registration, and Enrollment
Once a position in a program of study is accepted, the student will then communicate with the Program Director regarding all
matters related to program orientation, advising/registration, and enrollment.
The student is required to attend all program orientations, meetings, or other events scheduled prior to the start of classes. Failure
to attend these meetings without prior approval from the Program Director will result in removal from the health program and, if
applicable to the program, ranking point deductions for future applications to the same program. An alternate student will be
selected to fill the vacant position, as directed by the Program Director.
The student must enroll in program classes prior to the first day of the semester. Failure to enroll without prior approval of the
Program Director will result in removal from the health program and, if applicable to the program, ranking point deductions for
future applications to the same program.
GTCC Fall 2020 Radiography Program Admission Packet Created July 2019 pg. 6
A student who enrolls in first-semester classes for the program and withdraws from the program or is dropped from the program
that semester must complete the entire program admission process if he/she wishes to apply for a future program entry. If
applicable to the program, ranking point deductions will apply for future applications to the same program.
The GTCC Health Sciences Limited Entry Process is not to be regarded as a contract between GTCC and students. GTCC reserves the right to
change any provisions or requirements with adequate notice and minimum disruption to students.
Important Notes to Health Science Program Applicants
Program faculty reserve the right to revise or change course requirements in accordance with applicable state laws, college
requirements, accreditation standards, and/or at the discretion of the faculty. By accepting admission into the program, the
students agrees to at all times abide by the program requirements and procedures as set forth in the Student Handbook and the
respective course syllabus issued at the beginning of each term for each course. The student is bound by such requirements and
procedures regardless of whether they were established before or after the date of enrollment in the program. Changes made after
the publication of the Handbook will be posted as an addendum to the Handbook.
Most programs require students to have a criminal background check, a drug screen, and an OIG review (Office of Inspector General)
upon admission. Healthcare agencies that are utilized for clinical and/or internship experiences require this evaluation. If a student
is denied agency access due to a positive check or screening, the students may not be able to complete the clinical education
experiences, which will result in the inability to continue in the health science program. Screening may also be required after
graduation by examination boards, state licensing boards, and employing agencies. Pending the outcome, a graduate may be
disqualified from examination eligibility, state licensure, and/or employment.
Students must achieve a GPA of 2.0 or better in order to graduate. Students who receive a grade of “D” in a general education
course (other than BIO or CHM) can graduate as long as their GPA is at least 2.0. However, a grade of “D” in a general education
course will not transfer to another institution, nor will GTCC accept a grade of “D” for credit from another institution. Students must
achieve a “C” or better in BIO, CHM, and program major courses. Students who do not achieve a “C” or better in these courses will
be suspended from the program.
If You Have Questions about the Health Sciences Limited Entry Admission Process, Please Contact:
Limited Entry Programs Office
140 Hassell Health Technologies Center, Room 140 Jamestown Campus; (336) 334-4822, ext. 50439; limitedentry@gtcc.edu
GTCC Fall 2020 Radiography Program Admission Packet Created July 2019 pg. 7
Radiography Associate Degree Program – Fall 2020 Entry
CALCULATION OF POINTS FOR RANKING AND SELECTION
General Education Courses Required to Complete the Radiography Program
The following courses are part of the degree, and you may wish to complete them prior to program admission to earn additional
ranking points and lighten your academic load, once accepted to the program.
Course
Possible
Points
Semester/Year Course
Was Completed
My
Grade
Ranking
Points
BIO 163 completed since 2010.
(BIO 168 & 169 sequence may also be substituted – see below)
A = 8, B = 4
PSY 150 or SOC 210 A = 4, B = 2 N/A
COM 231 (COM 110, COM 120, or COM 140 may also be substituted) A = 4, B = 2 N/A
ENG 111 A = 4, B = 2 N/A
MAT 143 (higher level math may also be substituted for points) A = 4, B = 2 N/A
HUM 115 A = 4, B = 2 N/A
Points Earned for This Section:
Completion of Additional Courses Not Required for Degree
Course
Possible
Points
Semester/Year
Course Was
Completed
My
Grade
Ranking
Points
Completion of the BIO 168 & 169 sequence with grades of “B” or better, completed since
2010. (No points will be awarded here if you have completed BIO 163 with a grade of
“A” or “B” since 2010)
Points for each BIO course are averaged to determine your final ranking point number.
Example: BIO 168 “A” (8 pts) + BIO 169 “B”(4pts) 8 + 4 equals 12, divided by 2 = 6 ranking
points earned.
A = 8
B = 4
PHY 110/PHY 110A (Conceptual Physics) both with grades of “B” or better 2
CHM 131/131A (chemistry), both with grades of “B” or higher, or CHM 151 with a “B” or
higher (completed since 2010)
2
CIS 110 or CIS 111 with a grade of “B” or better (completed since 2015) 2
OST 141 (Medical Terminology I), MED 120 (Survey of Medical Terminology) OR MED 121
with a grade of “B” or better
1
OST 142 (Medical Terminology II) OR MED 122 (Medical Terminology II) with a grade of
“B” or better
1
Any ACA course (i.e., ACA 111 – College Student Success or ACA 122 – College Transfer
Success) with a grade of “B” or higher
1
Points Earned for This Section:
Recent High School Graduates of 2019 and 2020: Completion of High School Biology/Lab Course
Course
Possible
Points
Semester/Year Course
Was Completed
My
Grade
Ranking
Points
High School Biology/Lab course completed since the 2016-2017 school year
with a grade of “B” or better (no points awarded for this item if you have
completed BIO 163 or the BIO 168/169 sequence with grades of “B” or better)
4
Points Earned for This Section:
GTCC Fall 2020 Radiography Program Admission Packet Created July 2019 pg. 8
Completion of Related Experiences
College-Level Programs: Points Awarded for the Highest Education Level Completed
Possible
Points
Points
Awarded
Completion of a Master’s degree or higher (any field of study from a regionally-accredited institution) 6
Completion of a Bachelor’s degree (any field of study from a regionally-accredited institution) 4
Completion of an Associate’s degree (any field of study from a regionally-accredited institution) 3
Completion of a college-level Certificate or Diploma program (any field of study from a regionally accredited
institution)
2
Health-Related Academic Courses for Recent High School Graduates (Classes of 2019 and 2020):
Possible
Points
Points
Awarded
Completion of four courses/Career Tech Ed Concentration in the Health Sciences Career Cluster with grades of
“C” or better
4
Completion of three courses in the Health Sciences CTE Cluster with grades of “C” or better (will not be
awarded if you earned the 4 points for four courses/concentration)
3
Completion of two courses in the Health Sciences Career Tech Ed Cluster with grades of “C” or better (will not
be awarded if you earned points for either CTE Health Sciences item above)
2
Health-Related Certifications/Licensure:
Possible
Points
Points
Awarded
Current Licensure/Certification in a health-related field (must attach a copy). CPR/First Aid is not acceptable.
May attach up to two different current certifications for a maximum of two points. Documentation must be
from an officially recognized regulatory body (i.e., North Carolina Nurse Aide Registry).
1 or 2
Points Awarded for This Section:
TOTAL RANKING POINTS EARNED
Criteria
Total Points
Completion of General Education Courses Required for Degree
Completion of Additional Courses Not Required for Degree
Recent High School Graduates (Classes of 2019 and 2020) – Completion of High School Biology/Lab Course
ATI TEAS Score Range
Completion of Related Experiences
TOTAL POINTS:
ATI TEAS Score Range
ATI TEAS Score Range Possible Points Ranking Points
65—71
2
72—78
4
79—85
6
86—92
8
93—100
10
Points Earned for This Section:
Health Sciences Program Application
(Revised July 2019)
Return this Application to:
Limited Entry Programs Office Hassell Health Technologies Center, Rm. 140 Jamestown Campus
(336) 334-4822, ext. 50439; email: limitedentry@gtcc.edu
Please PRINT OR TYPE the information below. It is the applicant’s responsibility to notify GTCC
IN ADVANCE OF SUBMITTING THIS APPLICATION of any name, address, or telephone changes.
Name
Last First Middle GTCC Student ID Number (not SSN)
Address
Number Street Apt. Number
Telephone
City State Zip Daytime
GTCC Email Address Alternate Email
Indicate the program to which you are applying for admission.
NOTE: A separate application must be completed for each program if applying to more than one program.
LPN to A.A.S. Nursing Bridge Degree (summer 2020) – Application Deadline is January 31, 2020
Nursing A.A.S. Degree (fall 2020) – Application Deadline is February 14, 2020
Nursing RIBN Associate Degree to B.S.N Program (fall 2020) – Application Deadline is February 28, 2020
Dental Hygiene A.A.S. Degree (fall 2020) – Application Deadline is March 13, 2020
Dental Assisting Diploma (fall 2020) – Application Deadline is March 27, 2020
NEW PROGRAM! Surgical Technology A.A.S Degree (fall 2020) – Application Deadline is April 10, 2020
Pharmacy Technology Diploma (fall 2020) – Application Deadline is April 17, 2020
Pharmacy Technology Diploma to A.A.S. Bridge (fall 2020) – Application Deadline is April 17, 2020
Medical Assisting A.A.S. Degree (fall 2020) – Application Deadline is May 15, 2020
Radiography A.A.S. Degree (fall 2020) – Application Deadline is May 22, 2020
Physical Therapist Assistant A.A.S. Degree (fall 2020) – Application Deadline is May 29, 2020
Health Information Technology A.A.S. Degree (fall 2020) – Application Deadline is June 12, 2020
________________________________________________________________________________________________
Have you previously been accepted to or enrolled in the SAME program @ GTCC
to which you are applying? Yes (______________________________________) No
Semester/Year
LIMITED ENTRY PROGRAMS OFFICE USE ONLY
Application Packet Received/Verified on (date/time): _________________________
Signature of LE Office Staff: __________________________________________________
Health Sciences Program Application Checklist
I understand that ALL required documentation must be attached to the Health Sciences Program Application at the time it is
submitted. I understand that, once I submit my application, nothing can be added to or removed from my file.
I verify that all high school/GED and college transcripts (if applicable) have been received by GTCC and that any applicable
transfer credit has been awarded.
I completed the mandatory Program Information Session for the program to which I am applying (select one option).
I completed a “seated” Program Information Session on (Date): OR
I completed the online Program Information Session and Quiz on (Date): .
I have attached a copy of my GTCC Unofficial WebAdvisor Transcript. I understand that my final grades, including all
applicable transfer credits, must be posted to my GTCC transcript by the deadline date to be considered for verification of
having met the minimum admission requirements and for earning possible ranking points in the selection process.
Program-Specific Admission Criteria: I have attached the following supporting documentation to demonstrate completion
of the following program-specific admission criteria:
Associate Degree Nursing and Practical
Nursing Applicants
LPN to Associate Degree Nursing Bridge Applicants
Dental Hygiene,
Radiography, and Physical
Therapist Assistant
Applicants
ATI TEAS Score Report
ATI TEAS Score Report
ATI TEAS Score Report
Current NC Nurse Aide Certification
Verification from the NC DHSR
Access the Registry at:
https://www.ncnar.org/verify_listings1.jsp
Current Unrestricted Licensed Practical Nurse
Verification from the NC Board of Nursing
Access the License Verification System at:
https://apps.ncbon.com/LicenseVerification/Search.aspx
Completion of Related Experience (See the “Calculation of Points for Ranking and Selection” sheet for specific items
accepted for submission: I understand that any supporting documentation of related experience that I wish to submit must
also be attached to this application in order to be considered for ranking points. I verify that I have attached the following
items to document this experience:
Description of Item You Wish to Be Considered for Related Experience Ranking Points:
Documentation to Verify
Experience (Please check)
Documentation Attached
Documentation Attached
Documentation Attached
Documentation Attached
Documentation Attached
Documentation Attached
Documentation Attached
__________________________________________________________________ ___________________
Signature of Applicant Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Guilford Technical Community College Radiography Admission Packet

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 1 May 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document