Radiologic Technology Program Entrance Requirements Form

Before you begin filling in the form below you will need copies of your transcripts.

This Fall 2022 Program Entrance Requirements Form must be submitted to move forward in the admission process. Attach transcripts to this form before clicking submit. Incomplete forms will not be reviewed.

If you have met all of the prerequisite requirements and you have submitted the form successfully, please be sure to complete the Fall Radiologic Technology Application.

Name * Required
First Last
Date of Birth * Required
Gender * Required
Ethnicity * Required
Phone * Required
Email * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Indicate last semester attended FM
Have you applied to the Rad. Tech. program in the past?
Are you employed at an area Hospital/Health Facility? If yes, please specify facility name, position and job duties.
Do you have non-professional work experience within the healthcare profession totaling 120 hours? If yes, please specify facility name, position and job duties. (i.e. volunteer experience)
High School Algebra I/High School Math A/College Elementary Algebra * Required
Choose the grade you received in this course. A minimum grade of "B-" or above is required. For complete course details visit fmcc.edu.
Name of Institution, course completed and date. * Required
Tell us the name of the course you completed, where you took the course and the date/semester you completed it.
High School Algebra II/High School Math B/College Intermediate Algebra * Required
Choose the grade you received in this course (Statistics does not fulfill this requirement). A minimum grade of "B-" or above is required. For complete course details visit fmcc.edu.
Name of Institution, course completed and date. * Required
Tell us the name of the course you completed, where you took the course and the date/semester you completed it.
Lab based High School Living Environment/College Introduction to Biology/College Human Biology/College Essentials of A&P * Required
Choose the grade you received in this course (Anatomy & Physiology and Microbiology do not fulfill this requirement). A minimum grade of "B-" or above required. For complete course details visit fmcc.edu.
Name of Institution, course completed and date. * Required
Tell us the name of the course you completed, where you took the course and the date/semester you completed it.
Lab based High School Chemistry/College Introduction to Chemistry * Required
Choose the grade you received in this course. A minimum grade of "B-" or above required. For complete course details visit fmcc.edu.
Lab based High School Physics/College Introduction to Physics * Required
Choose the grade you received in this course. A minimum grade of "B-" or above required. For complete course details visit fmcc.edu.
Name of Institution, course completed and date. * Required
Tell us the name of the course you completed, where you took the course and the date/semester you completed it.
College Level Anatomy & Physiology I
THIS IS NOT A REQUIRED PREREQUISITE. Choose the grade you received in this course. A minimum grade of "C" or above required. For complete course details visit fmcc.edu.
Name of Institution, course completed and date.
Tell us the name of the course you completed, where you took the course and the date/semester you completed it.
College Level Anatomy & Physiology II
THIS IS NOT A REQUIRED PREREQUISITE. Choose the grade you received in this course. A minimum grade of "C" or above required. For complete course details visit fmcc.edu.
Name of Institution, course completed and date.
Tell us the name of the course you completed, where you took the course and the date/semester you completed it.
File Uploads * Required
You must attach copies of your transcripts to this form in order to move forward in the Radiologic Technology application process. It is also required that you submit official copies to the college.
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Electronic Signature * Required
I understand that all information submitted is true to the best of my knowledge. Any deliberate falsification or omission of application data may result in denial of admission or dismissal.

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Radiologic Technology Program Entrance Requirements Form

Before you begin filling in the form below you will need copies of your transcripts.

This Fall 2022 Program Entrance Requirements Form must be submitted to move forward in the admission process. Attach transcripts to this form before clicking submit. Incomplete forms will not be reviewed.

If you have met all of the prerequisite requirements and you have submitted the form successfully, please be sure to complete the Fall Radiologic Technology Application.