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Radiologic Sciences RT to BSRS Bridge Program

You must be admitted to Georgia Southern prior to applying for this program.
Please Apply to Georgia Southern first, then come back here to apply to the Radiologic Sciences Bridge program. Visit the Admissions Office for information on general admission requirements for Georgia Southern.

For which of the following are you applying? *

Bridge program - Clinical track ( MRI )
Bridge program - Clinical track ( CT )
Bridge program - Clinical track ( Mammography )
Bridge program - Online Non-Clinical Track

In which of the following areas are you registered or registry eligible? *

RT(R)

RT(MR)

RT(VI)

RT(T)

RT(M)

Nuclear Medicine

RT(CT)

RT(CI)

Sonography

How did you hear about our bridge program?

Georgia Southern website
brochure
advertisement
professional association website
word of mouth
other (please explain)

Identification

First *

Last *

Middle Initial *

Social Security # (last four digits): *

Date of Birth (mm/dd/yyyy): *

City of Birth: *

State of Birth: *

If you have registered before at Georgia Southern or any other institution under a name different from the above, please give that name. (first and last)

If you have a Georgia Southern/Armstrong student ID number, please provide it here:

Contact Information

Present Mailing Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Primary Phone Number: *

Email: *

Permanent Address (If different than above):

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Emergency Contact Information

Person to be notified in case of emergency.

Name

Relationship

Home Phone

Cell Phone

Work Phone

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Have you attended any colleges other than Georgia Southern/Armstrong? *

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