Baker College
Radiologic Technology Program
Application
Please read this application form carefully and complete all the required information.
Incomplete applications will not be considered.
SECTION I
Last Name First Middle Maiden
Address:
City/State/Zip:
Home Telephone:
Cell phone number:
Student Number:
Date of Birth:
SECTION II
I have attached the following:
• Admission Points Worksheet.
• Radiography Acknowledgement Form
SECTION III
• It is the student’s responsibility to see that his/her file is up-to-date at all times. This includes address, telephone number, transcripts from high school and/or other colleges or universities attended.
• As a student enrolled at Baker College, I realize that my admission into the professional portion of the Radiologic Technology Program is contingent upon the completion of the specific prerequisite courses with a minimum GPA of 2.7 in each course.
• I recognize, acknowledge, and understand admission into the professional portion of the Radiologic Technology Program is contingent upon a competitive score on a numerical point system, and the
availability of clinical affiliates. The admission criteria are subject to changes from year to year. Providing inaccurate or incomplete information on any application form or attachment voids the entire application. • Furthermore, I understand that the clinical components of the Radiologic Technology Program are offered
at various clinical affiliations, which most likely will not be within commuting distance of Baker College. The criminal history of a student could make clinical placement impossible. Those who are denied acceptance to multiple clinical sites will not be able to complete the program.
__________________________________ __________________________
Signature
Date
BAKER COLLEGE
APPLICATION FOR ADMISSION TO THE
RADIOLOGIC TECHNOLOGY PROGRAM
I understand and accept the following statements and information:
1.
The prerequisite courses for the Radiologic Technology program at Baker
College apply as follows:
A grade point of 2.7 GP or better in each course is required for application
eligibility.
SCI 101C
MED103
SCI 102C
ENG 102
2.
SCI 211 (pathophysiology) must be completed with a grade point of 2.7 or better
before starting the program in the fall quarter. A test-out or grade of 2.7 or higher
in MTH 111 and ENG 101 must also be earned prior to starting in the fall.
3.
Criminal convictions may prevent me from being placed for necessary clinical
experiences, which would make program completion impossible.
4.
Arrests and/or criminal convictions that occur while enrolled in the program must
be reported immediately to the program director or clinical coordinator.
5.
I am willing to complete clinical courses at any program-approved healthcare
provider site in the state of Michigan. For many students, this requires temporary
relocation.
6.
I have read and understand the Baker College Radiologic Technology Program
Overview packet that is currently available in the faculty wing reception area at
the school.
7.
I will need to own a computer with Microsoft Office installed for the second year
of the program. Internet access will also be required.
8.
Body piercings other than small earrings must be covered or removed while
attending radiography courses (didactic, lab, and clinical).
__________________________________
Student’s Name (printed)
__________________________________
__________________________
Student Signature
Date
Revised 04-12
BAKER COLLEGE RADIOGRAPHY
ACKNOWLEDGEMENT FORM
Baker College Radiologic Technology Program
2013 Admission Points Worksheet
Name: ____________________________ Student #: ____________________
1. Grades
The majority of points can be earned from grades in four courses as shown in the box below.
These points are based upon number of credits in each course, and whether or not the course is double weighted.
Please circle the points earned in each course to track your progress. A student who earns at least 40 points in this category may be able to earn enough additional points on the HESI entrance exam to be selected for admission. The maximum possible points = 50.
Write the total from of all circled values in table 1.
Table 1
ENG 102
MED 103
SCI 101
SCI 102
A
7.14
7.14
17.86
17.86
A-
6.61
6.61
16.52
16.52
B+
5.89
5.89
14.73
14.73
B
5.36
5.36
13.39
13.39
B-
4.82
4.82
12.05
12.05
Points = _______
2. HESI Entrance Exam
An exam will be administered by the program during week nine of spring quarter. The test focuses on anatomy and physiology and math. Because there are no points earned from your math course grade, the math section is worth twice as much as the A&P section of the exam. A weighted composite score of at least 75% earns points. The maximum possible points in this category = 45. (Example: A score of 100% = 45 points).
Use the table below to list the points that correspond to your HESI test score.
Table 2
Points from HESI Test
Score Points Score Points Score Points Score Points Score Points
75 33.75 80 36.00 85 38.25 90 40.50 95 42.75 76 34.20 81 36.45 86 38.70 91 40.95 96 43.20 77 34.65 82 36.90 87 39.15 92 41.40 97 43.65 78 35.10 83 37.35 88 39.60 93 41.85 98 44.10 79 35.55 84 37.80 89 40.05 94 42.30 99 44.55
Points = ______
3. Transfer Status
If no more than one course from the four courses listed in the table above is transferred into Baker College from another institution, the student will be given an extra five points.
How many of the four courses listed in table 1 have been transferred into Baker College
from another institution? Enter the corresponding points on the line below.
Transfrerred Courses
0
1
2
3
4
Points
5
5
0
0
0
Points = _______
Total points from items 1, 2 , and 3 (subtotal) = _____
_______________________________________________________________________
4. Repeats and Withdrawals.
a.
If a student repeats a weighted prerequisite course (four courses listed in the table) for a better grade there will be a penalty of five points per course repeat.How many times have you repeated any of the four courses listed in table 1?
Do not count a repeat if the preceding attempt was over five years old at that time.
