2024-2025 AMIT Secondary Admissions Application

UNIVERSITY OF CINCINNATI ADVANCED MEDICAL IMAGING TECHNOLOGY PROGRAM
SECONDARY ADMISSIONS APPLICATION INSTRUCTIONS
Application Form:
Please read the application carefully and complete all pages.

The application is due to the AMIT program no later than Monday, January 13, 2025 at 5:00 pm.

Direct all questions and submit all forms to AdvMedImaging@uc.edu.
Resumes

Please attach a current resume. Be sure to include all work and volunteer experiences including dates. Be sure to include all colleges and universities attended with declared major and GPA.
Resume File Upload*

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Transcripts
Transcripts from all colleges/universities you have attended are required to be submitted as part of your application. All transcripts must include work done during Fall Semester 2024. Please request these as soon as possible once Fall grades have been posted. Transcripts may arrive separately from your application but should arrive no later than January 13, 2025. Transcripts should be uploaded electronically below using the file upload.

If the college/university does not offer electronic transcripts, a paper copy can be mailed directly to the AMIT program at the address below. Please note that transcripts sent to the UC admissions office cannot be accessed by the AMIT program. Also, if you have applied to the program a previous year, you do not need to resubmit transcripts that have not changed.

University of Cincinnati Transcripts can be accessed via Catalyst as ‘Unofficial Records’ for free. All transcripts from colleges/universities outside of the University of Cincinnati, UC Blue Ash, & UC Clermont must be official transcripts processed by their registrar’s office.

University of Cincinnati Catalyst Transcript Instructions:
•My Academics
•Grades/Transcripts/Enroll Cert
•View my Unofficial Record
•Report Type – “Unofficial Record”
•Select “View Report”
•Print all pages of the pdf document to submit with your application.

Please note, applicants must have a minimum overall GPA of 3.0 and a minimum GPA of 3.0 in Math and Science for their application to be eligible for consideration
Transcript Upload*

Please use this to upload your electronic transcript.
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Professional Conduct:

All students are expected to behave and dress professionally at all times as a student of the Advanced Medical Imaging Technology Program. Professional behavior during classroom education, clinical rotations and personal activities will be monitored. In the event that a student does not behave in a professional manor the student will be subject to program dismissal. Clinical sites reserve the right to refuse clinical positions to any student not meeting their expectations of professionalism. If one’s conduct results in a student being removed from a clinical site but falls short of program dismissal, a reasonable effort will be made to place the student in an alternative site but a position is not guaranteed. Given the sequential nature of the curriculum, a student losing a clinical site may necessitate the student’s withdrawal from the program.
Background Checks Required:

The professional curriculum of the Advanced Medical Imaging Technology Program (to which you are now applying) will require you to provide a state and federal criminal background check, at the expense of the applicant as a condition of your acceptance. Background checks remain valid for 12 months therefore, you will need to complete one each year of your professional curriculum. Clinical sites reserve the right to decline clinical positions to any student who fails to meet their expectations of conduct. Do NOT submit a background check for the purpose of this application. Arrangements will be made to complete a background check per program specifications only if accepted into the professional curriculum. Details regarding this process will be provided to accepted students in July of 2023.The program and its affiliates will not refund any monies spent by the student should the student fail to satisfactorily complete a background check or fail to comply with the policies of the program and clinical affiliates regarding background checks.
Drug Screening Required:
The professional curriculum of the Advanced Medical Imaging Technology Program (to which you are now applying) will require you to complete a 12-panel drug screening, at the expense of the applicant, as a condition of your acceptance. Clinical sites have the right to refuse clinical positions to any student refusing or failing to meet the expected standards of a drug screen. Do NOT submit a drug screening result for the purpose of this application. Arrangements will be made to complete a drug screening per program specifications only if accepted into the professional curriculum. Details regarding this process will be provided to accepted students in July 2025.

The program and its affiliates will not refund any monies spent by the student should the student fail to satisfactorily complete any drug screening requirements or fail to comply with the policies of the program and clinical affiliates regarding drug screening.
Medical Requirements Required:
Students accepted into the professional curriculum are required to provide evidence of the following immunizations and testings. Arrangements will be made to complete immunization documentation per program specifications only if accepted into the professional curriculum. Details regarding this process will be provided to accepted students in July of 2023. Failure to provide evidence of inoculations and required testing is grounds for denying an applicant’s acceptance into the professional curriculum and/or program dismissal if the student has already begun the professional curriculum.
- Hepatitis B vaccines AND proof of serological immunity
- MMR vaccines OR titer – must show immunities are effective
- Meningococcal vaccine (ages 16-21)
- Annual influenza inoculations
- Baseline and annual TB testing
- Tdap vaccines
- Varicella vaccines OR titer – must show immunities are effective
- COVID-19 Vaccination(s) OR accepted University of Cincinnati vaccine exemption and weekly testingcompliance.
- All students are required to carry health insurance.
- Clinical sites reserve the right to refuse access to any student failing to comply with medical andimmunization/immunity requirements. This may compromise a student’s ability to meetprofessional and educational requirements. As stated earlier, due to the sequential nature of thecurriculum, a student being dropped from a clinical site may necessitate the student’s withdrawalfrom the program.
Meeting clinical site requirements is in addition to those requirements of the University. Clinicalsite requirements may be stricter than University requirements. In those circumstances, studentsmust meet or exceed the requirements of both the University and the clinical site.

The program and its affiliates will not refund any monies spent by the student should the studentfail to satisfactorily complete any medical requirements or fail to comply with the policies of theprogram and clinical affiliates regarding medical requirements.

*Modifications to the vaccination list above can be made at any time and students will be expected to comply.
Notice of Non-Discrimination
The University of Cincinnati does not discriminate on the basis of disability, race, color, religion, national origin, ancestry, medical condition, genetic information, marital status, sex, age, sexual orientation, veteran status or gender identity and expression in its programs and activities.

The following units have been designated to handle inquiries regarding the University’s non-discrimination policies:

Section 504, ADA, Age Act Coordinator 340 University Hall, 51 Goodman Drive
Cincinnati, OH 45221-0039
Phone: (513) 556-6381; Email: oeohelp@uc.edu

Title IX Coordinator
3115 Edwards 1, 45 Corry Blvd.
Cincinnati, OH 45221
Phone: (513) 556-3349; Email: titleix@uc.edu

For further information on notice of non-discrimination, visit https://www.uc.edu/about/non-discrimination.html for the addresses and phone numbers of the office that serves the University, or call 1-800-421-3481.
Application
Name*

First NameMiddle NameLast Name
M # (UC students only)
Date of birth*

MonthDayYear
Email Address*
example@example.com
Please check the appropriate program*

Bachelor’s Degree of AMIT – Magnetic Resonance Imaging & Nuclear Medicine (AMIT)Certificate of AMIT – Magnetic Resonance Imaging (AMIT-MRI)Certificate of AMIT – Nuclear Medicine (AMIT-NM)
Telephone Number (including area code)*
Telephone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Address (if different than mailing address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

NamePhone NumberRelationship
Please answer the following questions. Proper grammar, spelling, and punctuation are required and will be taken into consideration regarding entry into the professional curriculum.
1. Do you have reliable transportation to class and clinical rotations?*
2. If the opportunity arises, would you be willing to travel up to 100 miles for clinical placements?*
3. What do you consider an acceptable reason(s) to miss school or work? How do you handle unexpected absences?*
4. How do you resolve conflicts between yourself and others? Feel free to use an example from school, work, or extracurricular activities.*
5. How do you approach time management?*
6. Describe any experience you may have with medical imaging (shadowing, observing as a patient or family member of a patient, volunteering, or employee) and state what you found most interesting about the experience and why? *
7. Describe how you became interested in Nuclear Medicine and/or Magnetic Resonance Imaging (MRI). *
8. Describe your projected professional goals that you hope to attain by completing this program.*
9. Describe a time when you had to demonstrate leadership outside of the classroom/workplace.*
10. Describe a time when constructive criticism helped you improve.*
Higher Education

List all colleges/universities attended previously and currently, starting with the most recent.*

	Name of College/University Example: University of Cincinnati	Major/Degree Example: AMIT	Year(s) Attended Example: Fall 2019 - Present
College/University #1
College/University #2
College/University #3

List all current credentials and confirmed academic degrees. *

	College/University OR Credentialling Agency Example: University of Cincinnati Example : ARRT	Degree/Credential Example: Bachelor of Sciences Example: RT(MR)	Year Example: August 10, 2010 Example: November 30, 2010
1
2
3
4
5

Pre-Requisite Education
On the following page are the prerequisite courses that need to be completed before entering the professional component of the Advanced Medical Imaging Technology Program. Please indicate where the course was completed, when the course was completed, and, if not yet completed, when and where you expect to complete the course.

You may contact the College of Allied Health Sciences Academic Advising office if you have questions regarding the acceptance of transfer credits.
http://cahs.uc.edu/advising

Advanced Medical Imaging Technology Prerequisite Courses – Semester Courses*

	Where	When	Anticipated
English Composition UC Course # ENGL1001
Intermediate Composition UC Course # ENGL2089
***College Algebra UC Course # MATH1021
***Trigonometry UC Course # MATH1022
Anatomy & Physiology UC Course # BIOL2001c
Anatomy & Physiology UC Course # BIOL2002c
Pathophysiology for Health Professions UC Course # ALH2071
Intro to Effective Speaking UC Course # COMM1071
Intro to Psychology UC Course # PSYC1001
Health Care Ethics UC Course # HLSC2011 OR PHIL2029
Medical Terminology UC Course # HLSC2012
General Physics I UC Course # PHYS1051
General Physics II UC Course # PHYS1052
General Physics Lab I UC Course # PHYS1051L
General Physics Lab II UC Course # PHYS1052L
GOB Chemistry I OR General Chemistry I UC Course # CHEM1030 OR CHEM1040
GOB Chemistry II OR General Chemistry II UC Course # CHEM1031 OR CHEM1041
GOB Chemistry I Lab OR Gen Chem Lab I UC Course # CHEM1030L OR CHEM1040L
GOB Chemistry II Lab OR Gen Chem Lab II UC Course # CHEM1031L OR CHEM1041L
**Success in Allied Health I UC Course # HLTH1001
**Success in Allied Health II UC Course # HLTH1002
*Survey of Medical Imaging UC Course # AMIT 2021

*These courses are only required by first time freshman in CAHS.

*Completion of mathematics courses up through and including MATH 1022(Trigonometry) or the completion of MATH1044(Applied Calc I) or higher satisfies the math requirement.
Duties
It is reasonable to expect students to be able to fulfill ALL of the following duties. Students unable to fulfill ALL of the following duties will not be accepted into the professional curriculum of the Advanced Medical Imaging Technology Program. These are minimal standards and due to the hands-on, physical nature of the work, special accommodations cannot be made.

Do you feel as if you can do the following without assistance?*

	Yes	No
Lift and assist patients using proper body mechanics
Demonstrate normal or corrected vision and hearing to discern visual/audible signals, sounds on equipment and communication devices and respond to patients in emergency situations
Read and comprehend technical and medical terminology and information
Communicate (orally and in written form) using active listening with patients, staff and other personnel clearly and effectively
Demonstrate ability to follow oral and written directions/instructions
Sit or stand up to eight hours per day and walk for long distances
Lift or carry approximately fifty pounds of weight
Show dexterity and strength to perform daily on-the-job tasks that may require moving large and heavy pieces of medical equipment in tight spaces
Move or transfer patients safely to and from wheelchairs, stretchers, beds and imaging tables
Work compassionately with extremely ill or dying patients
Observe patients visually or via monitors during simulation or treatment procedures
Demonstrate use of the English language including the meaning and spelling of words, rules of composition, and grammar for verbal or written comprehension
Demonstrate time management skills; ability to multi-task, and work in stressful environment(s)
Work individually or in groups to complete assigned tasks
Respond promptly and correctly to the requests of physicians, supervisors, and others in authority
Take constructive criticism and evaluation of your work and apply to future efforts

Advanced Medical Imaging Technology (AMIT) Magnetic Resonance Imaging (MRI) Screening Questionnaire

This form is required to be completed by ALL AMIT applicants.
Also, in order to ensure the safety of each AMIT student, please complete the MRI screening questionnaire on the following two pages. MRI Technologists work around powerful, high-field magnets, and thus in order to work in this environment, MRI Technologists and prospective and current AMIT/MRI students cannot have certain implants or medical devices. Implants such as pacemakers, brain aneurysm clips, and cardiac defibrillators may be deemed unsafe for MRI technologists and students. Other metallic implants may be permitted in an MR environment, such as hip/knee replacements, braces, dental fillings, and orthopedic screws. MRI faculty will review the questionnaire below to verify student safety.
Name*

First NameLast Name
Email*
example@example.com
Phone number*
Phone number
Have you had prior surgery or an operation of any kind?*
Have you had an injury to the eye involving a metallic object (e.g. metallic slivers, foreign body)?*
If yes, please describe:*
Have you ever been injured by a metallic object or foreign body?*
If yes, please describe:*
Warning:

Certain implants, devices or objects may be hazardous to you in the MR environment or MR system room. Do not enter the MR environment or MR system room if you have any question or concern regarding an implant, device or object.

Please indicate if you have any of the following:*

	Yes	No
Aneurysm clip(s)
Cardiac Pacemaker
Implanted cardioverter defibrillator (ICD)
Electronic implant or device
Magnetically-activated implant or device
Neurostimulation system
Spinal cord stimulator
Cochlear implant or implanted hearing aid
Insulin or infusion pump
Implanted drug infusion device
Any type of prosthesis or implant
Artificial or prosthetic limb
Any metallic fragment or foreign body
Any external or internal metallic object
Hearing aid

Other implant/device
Important Instructions:

Remove all metallic objects before entering the MR environment or MR system room including hearing aids, beeper, cell phone, keys, eyeglasses, hair pins, barrettes, jewelry (including body piercing jewelry), watch, safety pins, paperclips, money clip, credit cards, bank cards, magnetic strip cards, coins, pens, pocket knife, nail clipper, steel-toed boots/shoes, and tools. Loose metallic objects are especially prohibited in the MR system room and MR environment.
Please consult with the Advanced Medical Imaging Technology (AMIT) program if you have any question, or concern, BEFORE you enter the MR system room or the AMIT program.
By typing my name below, I attest that the above information is correct to the best of my knowledge. I have read and understand the entire contents of this form and have had the opportunity to ask questions regarding the information on this form.
Name of Applicant
Date

MonthDayYear
General Health Form
To the Applicant: It is necessary that we request a statement of your general health and maintain such in our records. Please print your name in the appropriate space on the form below. Detach the form and have it signed by your physician, physician assistant, nurse practitioner, or other qualified healthcare provider. Return the form along with your application materials.

Note: This is not a request for a physical, only a statement concerning your general health.

Please download this form and have the appropriate personnel complete the form. Please remember to send References and the Health Form directly to the AMIT program to complete you application.

ALL FORMS MUST BE SENT BY THE APPLICATION DEADLINE.

Fax: 513-558-4009

Email: AdvMedImaging@uc.edu
General Health Form PDF Download
Reference Form

To the Applicant: Place your name in the space provided and sign the waiver if you agree to waive your right to read this appraisal. Give or mail this two-page form to the person named below and request that it be emailed or faxed to the program via the information given on the second page of this form.
Attached below is a reference form to be completed by a person who knows you well enough to answer the questions on the form. Your reference needs to be completed by an individual from the below categories of professionals. Please enter your name and the name of the reference on the form prior to giving it to the person you select.

•Math, science or laboratory instructor
•Medical professional holding a terminal degree (e.g. physician, dentist, veterinarian, pharmacist, etc.)
•Academic advisor
•Healthcare professional
•Employer
•Reference is NOT related to you
•Reference is NOT a family friend

Please note that you must sign the form authorizing release of the information by the person you select to complete the form. Electronic signatures will be accepted, or applicants and references can choose to print and scan the document after each party has completed the applicable section of information.

If you wish to waive your right of access to the information furnished by the reference source, please sign and date the waiver clause on each reference form. Many references will require that you do this.

Please have your reference email their submission directly to the AMIT program email address at AdvMedImaging@uc.edu.

Your reference form must be completed and mailed/emailed as soon as possible. References are due to the AMIT program no later than January 13, 2025.
Please download this form and have the appropriate personnel complete the form. Please remember to send References and the Health Form directly to the AMIT program to complete your application.

References are due to the AMIT program no later than January 13, 2024.

Fax: 513-558-4009

Email: AdvMedImaging@uc.edu
Reference Form PDF Download
I pledge that the information on this entire application is correct and without purposeful omissions
By typing my name, I pledge that the information on this entire application is correct and without purposeful omissions
Full name of Applicant
Date

MonthDayYear
Should be Empty:

UNIVERSITY OF CINCINNATI ADVANCED MEDICAL IMAGING TECHNOLOGY PROGRAM

SECONDARY ADMISSIONS APPLICATION INSTRUCTIONS

Application Form:

Resumes

Transcripts

Professional Conduct:

Background Checks Required:

Drug Screening Required:

Medical Requirements Required:

Notice of Non-Discrimination

Application

Higher Education

Pre-Requisite Education

Duties

Advanced Medical Imaging Technology (AMIT) Magnetic Resonance Imaging (MRI) Screening Questionnaire

Warning:

Important Instructions:

General Health Form

Reference Form

I pledge that the information on this entire application is correct and without purposeful omissions