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The Radiological Control Technician Training Program Application - 2024
Completion of this application is mandatory for acceptance.
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Email
*
Your email
Are you a U.S citizen or legal resident of the U.S.?
*
NOTE: This program is only available to U.S. citizens and legal residents. You will be required to provide proof. (Example: Driver's license or state issued I.D.)
Yes
No
Required
First Name
*
Your answer
Last Name
*
Your answer
Mailing Address
*
Street, City, State ZIP code (No PO Boxes)
Your answer
Phone
*
(555-555-5555)
Your answer
School or Organization
*
Your answer
Major or Job Title
*
Your answer
Classification
*
Choose the one that BEST describes you.
Freshman
Sophomore
Junior
Senior
Grad Student
Employed/Unemployed STEM Professional
How did you find out about the RCT Training?
*
Your answer
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 28, 2024 thru August 5, 2024)
*
Choose
Yes, I am available and committed to attending all sessions.
No, I am not available to attend all sessions.
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?
*
Your answer
What extracurricular activities are you involved in? Will these activities interfere with your ability to attend any of the RCT training program sessions?
*
Your answer
Why are you interested in taking this training?
*
Your answer
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