APPLICATION FOR
Health Career Programs
Health Career
Programs at MCC
q
Dental Assistant
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Occupational Therapy
Assistant
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Radiation Therapy
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Radiography
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Respiratory Care
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MCC/Hartford Hospital
Surgical Technology
Admissions: 860-512-3210
Financial Aid: 860-512-3380
ma-finaid@manchestercc.edu
STEM Division Office: 860-512-2704
Mail the completed application to:
STEM Division Office, MS #17
Attention: Radiography Program Coordinator
Manchester Community College
P.O. Box 1046, Manchester, CT 06045-1046
Or drop off completed application:
STEM Division Office, LRC A237
IMPORTANT DATES:
Application Deadline: February 1, 2020
Financial Aid: Priority deadline to be eligible
for maximum grant aid is May 15 for fall;
October 1 for spring.
Info Sessions: Applicants must register
for a mandatory information session.
Go to www.manchestercc.edu/radiography.
PR/06/19
www.manchestercc.edu
Banner ID @ ___________________________________________
Net ID _______________________ @student.commnet.edu
2020-21 Application Process for Radiography
Complete the Health Career Programs Application and sign, date and submit to the STEM Division office, LRC A237. Applications can be placed in the
drop box outside if the office is closed. Deadline for the 2020-21 academic year is February 1, 2020.
July 2019/PR
QUESTIONS:
Contact Susan Morison, M.Ed., RT (R)(M), Radiography Program Coordinator,
860-512-2708, email smorison@manchestercc.edu
1. Attend Radiologic Science information session before the application
deadline date of February 1, 2020.
2. Complete Radiography program prerequisites.
All candidates must have a minimum GPA of 2.5.
Radiography program prerequisites include the following MCC courses or
their equivalent, if transferring:
BIO* 211 and 212: Anatomy and Physiology I and II (All science courses
must be 4 credits, include a lab, completed with a “C” or better and taken
in Spring 2015 or later.)
COM* 172: Interpersonal Communications or
COM* 173: Effective Speaking
ENG* 101: English Composition
MAT* 172: College Algebra (All math courses must be completed with a
“C” or better and taken in Spring 2015 or later.)
3. Submit MCC Application for Admission by February 1, 2020.
Applications are available at the Admissions office, SSC L156, or online at
www.manchestercc.edu/admissions.
4. Submit Health Career Programs Application to the STEM Division
office, room LRC A237 by February 1, 2020.
Applications are available at www.manchestercc.edu/radiography and must
include:
Official copies of transcripts
Hard copies of official transcripts should be attached to the application.
If the institution does not issue hard copies, then electronic copies can
be sent by email directly to Susan Morison, Program Coordinator, at
smorison@manchestercc.edu.
Essay of 500 words or fewer describing your personal attributes and
accomplishments that you believe will contribute to your effectiveness
as a radiographer.
5. Complete clinical shadowing experience.
Will be arranged by program coordinator following application review.
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APPLICATION PROCESS
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COLLEGE
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Health Career Programs
Application
Please complete this application and sign, date and submit to the STEM Division office, LRC A237. Applications can be placed in the drop box outside if the office is
closed. APPLICATION DEADLINE for the 2020-21 academic year is February 1, 2020.
PROGRAM SELECTION
Please indicate the program for which you are applying. Use a separate application for each program to which you wish to apply. Program prerequisites and application
requirements vary by program. It is the student s responsibility to meet all program prerequisites and to complete all application requirements.
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Dental Assistant certificate program (applications will be accepted until class is filled)
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Occupational Therapy Assistant associate degree program
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Radiation Therapy associate degree program
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Radiography associate degree program
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Respiratory Care associate degree program
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Surgical Technology associate degree program
APPLICANT INFORMATION
Name Banner ID
Street Address (including apt/unit #)
City State Zip
Home Phone Number Cell Phone Number
Email Date Attended Information Session
HIGH SCHOOL INFORMATION
High School Attended High School Address/City/State
Date of Graduation GED
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Yes
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No
COLLEGE INFORMATION
College Attended
Degree Earned Date of Graduation
College Attended
Degree Earned Date of Graduation
College Attended
Degree Earned Date of Graduation
REQUIRED
If I am selected for a program interview, I agree to be available for an in-person interview at the designated time.
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Yes, I agree.
I certify that my answers are true and complete to the best of my knowledge.
Signature Date
www.manchestercc.edu/health
July 2019/PR
PERSONAL ESSAY AND SIGNATURE REQUIRED FOR SUBMISSION
Please write a brief essay (500 words or fewer) describing your personal attributes and accomplishments that you believe will contribute to your effectiveness
as a health care professional.Your application will not be processed without the essay. You may use the space below or attach a hard copy of your essay to the
application.
Signature Date
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