AH CT Program Information Request

Timer

--:--

* = required field

Some content may be updated based on selection

Computed Tomography (CT) Program Information Request

Galveston College Computed Tomogaphy Program has a selective admissions process. This process is nondiscriminatory on the basis of race, color, national origin, gender, age, qualified disability, marital status, veteran's status, or sexual orientation in admissions to the program. Note: It is the student's responsibility to provide the program director written notification of any changes in contact information.

First Name:

Middle Name:

Last Name:

Student ID:

Cell Phone Number:

Email:

Date of Birth:

Anticipated Enrollment Year:

Address:

City:

State:

Zip:

Please wait for files to finish uploading