Computed Tomography Application MENUMENUHomeNursingRN Student Resources Clinical Simulation Practical NursingOTARadiographyComputed TomographyEMSLicensure Reciprocity Computed Tomography Application Computed Tomography Application Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Enter Email Confirm Email EmplID* Assigned upon completion of SWCC Admission ApplicationAre you ARRT Registered in Radiography or currently finishing an accredited Radiography, Radiation Therapy, or Nuclear Medicine program? Yes No Have you completed an Admission Application to become a student at SWCC?* Yes No I am already ARRT Registered in Radiography or currently finishing an accredited Radiography program College where you completed (or plan to complete) your Radiography, Radiation Therapy, or Nuclear Medicine degree? Graduation Year Upload your ARRT or CNMT certification or current unofficial transcript of Radiography, Radiation Therapy, or Nuclear Medicine curriculum if not registered*Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB.Upload your PPD TB Skin Test and Shot Records (To include if available: MMR, Varicella, Hep B)*Max. file size: 8 MB.Upload your current American Heart Association CPR card*Max. file size: 8 MB.Select your preferred clinical site placement (Due to site limitations there are no guarantees)* Bristol Regional Medical Center, Bristol, TN Buchanan General Hospital, Grundy, VA Carilion Clinic Riverside Carillon New River Valley Medical Center Carillon Clinic, Roanoke, VA Clinch Valley Medical Center, Richlands, VA Giles Memorial Hospital, Pearisburg, VA Holston Valley Medical Center Johnston Memorial Hospital, Abingdon, VA Lewis Gale Pulaski Community Hospital, Pulaski, VA Smyth County Community Hospital, Marion, VA Twin County Regional Hospital, Wytheville, VA Wythe County Hospital Do not wish to complete clinical rotations. *(Without clinical competencies, the student is ineligible to apply to sit for ARRT Registry examination.) Please note that some clinical sites are requiring Covid vaccination. 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 Career Studies Certificate in Computed Tomography program provides the following information for all prospective and current students: This program prepares students to sit for professional exams and/or apply for professional licensure that is required for employment in the related occupation in Virginia. If you live or move outside of Virginia, you must consult with the program lead to confirm whether the program will meet your state’s requirements prior to enrolling in courses. Consent* I understand the Computed Tomography Program Reciprocity Statement above.Students must be ARRT or CNMT registered before fall semester begins or they are ineligible for clinical rotations.
