Radiography Application

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Name*

First Last

Address*

PO Box if applicable Street Address City State ZIP Code

Please provide your mailing address.

Student ID*

7 digit EmplID

Phone*

Email*

Domicile*

Select the county or jurisdiction in which you have lived during the last consecutive 12 months?

SWCC: Buchanan, Dickenson, Tazewell, Russell

MECC: Lee, Scott, Wise counties, city of Norton

WCC: Bland, Carroll, Grayson, Smith, Wythe counties, city of Galax

Virginia jurisdiction other than counties listed above

Out of State

High School or GED Transcripts*

I have previously submitted official high school/home school/GED transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)

Yes

Colleges*

Please list colleges attended and last year attended

College Transcripts*

I have previously submitted official college transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)

Yes

TEAS Scores*

I understand that the testing date must be within the last 5 years and must meet the 45 or higher National Percentile score. The ATI TEAS or ATI TEAS-Allied Health to include Individual Performance Profile section scores (PDF) must be attached to this application for it to be accepted. Do you have your TEAS Transcript?

Yes

You must meet the requirements for TEAS scores before your radiography application can be accepted.

THIS APPLICATION CANNOT BE SUBMITTED UNLESS A TEAS SCORE IS UPLOADED NOW. Please attempt application again when your TEAS Score is ready to upload.

TEAS Transcript*

Please attach ATI TEAS Individual Performance Profile Transcript here.

Drop files here or

Accepted file types: pdf, Max. file size: 2 MB.

Shadowing Form*

Accepted file types: pdf, docx, Max. file size: 2 MB.

Pre-requisites must be completed before applications can be accepted. Transcripts verifying grades/GPA must be submitted to Admissions.

Chemistry*

I have completed high school level chemistry (OR CHM 05 OR college chemistry) with lab with an earned grade of “C” or better. (If not completed, students are not eligible to apply.)

Yes

Biology*

I have completed high school level biology (OR BIO 20 or BIO 101 OR college biology) with lab with an earned grade of “C” or better. (If not completed, students are not eligible to apply.)

Yes

GPA*

I have an earned cumulative GPA of 2.0 or higher. (If GPA is lower than 2.0, students are not eligible to apply.)

Yes

Acknowledgement of Reciprocity Statement: Pursuant to United States Department of Education (US DOE) regulation 34 CFR 668.43 (a) (5) (v), the Southwest Virginia Community College Associate Degree in Radiography program provides the following information for all prospective and current students:

Upon completion of the Radiography program, graduates will be required to take the American Registry of Radiologic Technologist national board examination to be eligible for employment in a hospital-based imaging department.
State license requirements for employment outside a hospital setting vary from state to state.
Licensure requirements can be obtained from the state’s board of health. If a student plans to live or move outside Virginia, a list of state educational requirements can be obtained by consulting the program director.
SWCC is regionally accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC).
LICENSURE RECIPROCITY

I request that my name be placed in consideration for admission to the Radiography program for the academic year.

I understand that I must submit an application/reapply for each year I wish to be considered.
I understand that I must complete (with a grade of “C” or better) all prerequisites and I must meet all admission requirements in order to be eligible for consideration.
I have read and understand the residency requirements as well as the Radiography Application Process information.
I understand that first priority for acceptance will be given to applicants who reside within the service region of SWCC, MECC or WCC. Secondary priority will be given to Virginia residents outside of those counties, and then out-of-state applicants
I also understand that if I do not have all required documents submitted with this application and have all requirements met by the deadlines specified, processing of my Radiography application will be suspended.

I am aware that some clinical sites may require a COVID vaccination.

Name

First Last

Date

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