Cook DeVos Center for Health Sciences, College of Health Professions Michigan Street NE, Suite 113, Grand Rapids, Michigan 49503 Phone 616-331-5900, Fax 616-331-5643 Diagnostic Medical Sonography & Radiation Therapy Programs 2015 Application The Diagnostic Medical Sonography and the Radiation Therapy programs at GVSU are competitive and require completion of secondary application materials. Applications are due in the College of Health Professions (CHP) office by February 1st. Applicants must complete the entire RIS prerequisites AND all the GVSU General Education courses prior to the start of the program. Students may apply to the program February 1 if they can demonstrate that all of this course work will be done by the time the program starts in August. There are no waiting lists. PLEASE TYPE OR PRINT LEGIBLY INDICATE THE MAJOR YOU ARE APPLYING FOR (check one): Radiation Therapy Diagnostic Medical Sonography - Echocardiography & Vascular Diagnostic Medical Sonography - General (Abdominal & OB-GYN) Name: Student G#: First M. Initial Last (if applicable) Email Address: Date of Birth: Local Address: Permanent Address: Local Phone: Cell, home or work (please circle) EMERGENCY CONTACT: Permanent Phone: Cell, home or work (please circle) Relationship: Emergency Contact Address: Emergency Contact Phone: Work Home Cell List previous Colleges and Universities attended. Include ALL schools, dates attended, and program. Current Cumulative GPA: Currently admitted to GVSU? Yes No In process Application materials are due FEBRUARY 1, 2015 DMS, RT App Oct 2014 Page 1
Application Process and Admission Criteria Diagnostic Medical Sonography & Radiation Therapy Programs Application Requirements GVSU Undergraduate Application students must apply and be admitted to GVSU RIS Application (see attached form) One to two page statement of professional goals Two recommendations on RIS specific forms (see attached form) Official copies of ALL non-gvsu transcripts sent directly to the College of Health Professions Resume ALL health care experiences (volunteer, paid, job shadow) must be listed under one section of the resume; all other experiences can be listed below health care Statement describing how required courses not yet completed (RIS prerequisite courses and GVSU general education requirements) will be done PRIOR to entry in the program Completion of the Prerequisite & General Education Course Worksheet (attached) Submit all application materials by February 1 directly to: RIS - College of Health Professions, Suite 113 Grand Valley State University, Cook DeVos Center for Health Sciences 301 Michigan St., NE, Grand Rapids, MI 49503-3314 phone (616) 331-5900 fax (616) 331-5643 Admissions Considerations Academic grade point average from prerequisite courses (40%) Academic grade point average from previous two calendar years (10%) Interview and/or Writing Assessment completed on-site at the College of Health Professions (30%) Health Care Experience minimum of 16 hours volunteer or paid AND 2-3 hours job shadow (5%) Recommendations (5%) Additional leadership considerations (10%) DMS, RT App Oct 2014 Page 2
Cook DeVos Center for Health Sciences, College of Health Professions, Suite 113 301 Michigan Street NE, Grand Rapids, Michigan 49503 Phone 616-331-5900, Fax 616-331-5643 RADIOLOGIC AND IMAGING SCIENCES RECOMMENDATION FORM We are considering (applicant name) for a position as a Radiologic and Imaging Sciences student at Grand Valley State University and would appreciate your comments concerning this student's qualifications. In view of the highly technical and professional field for which this student is being considered, it is imperative that we know something more of his/her qualifications than a transcript reveals. Thus, we rely heavily on your honest evaluation of this candidate, and truly appreciate your efforts in this regard. 1. I have known the applicant for months/years as a/an: a. undergraduate student c. teaching assistant e. other (please specify): b. advisee d. an employee 2. My interaction with the applicant was as a/an: a. instructor in one class d. teaching supervisor b. instructor in several classes e. employer c. curriculum (or major) advisor f. other (please specify): 3. Please check where appropriate: CHARACTERISTIC EVALUATED Work Habits: Communication Skills: Motivation: Ability: Quality of Work: a) Neatness b) Cooperation c) Integrity a) Oral b) Written a) Attitude b) Initiative c) Punctuality a) Learning b) Comprehension & Correlation c) Imagination/ Originality a) Organization b) Accuracy c) Technical Competency d) Judgment e) Performance Under Stress f) Responsibility Excellent Above Average Average Below Average Unable to Assess DMS, RT App Oct 2014 Page 3
4. Would you please comment on the student's abilities and aptitude toward a career in Radiologic and Imaging Sciences? 5. What is your overall recommendation for this applicant? a. I highly recommend this applicant. b. I recommend this applicant. c. I recommend this applicant, however, with some reservations. d. I do not recommend this applicant. NAME (please print): Signature: Position: Phone: All application materials are due to the College of Health Profession by February 1, 2015. Please return the recommendation form in a sealed and signed envelope to the student OR mail the recommendation directly to the following address: RIS Application c/o College of Health Professions ~ Suite 113 Cook-DeVos Center for Health Sciences, 301 Michigan St. NE Grand Rapids, MI 49503 Phone: 616-331-5900; Fax: 616-331-5643 DMS, RT App Oct 2014 Page 4
2014/15 Catalog Year Diagnostic Medical Sonography and Radiation Therapy Program Prerequisites and General Education Course Requirements Worksheet RIS Prerequisite Courses Fulfills Gen Ed School / Course *BMS 202 Anatomy & Physiology or BMS 290 & 291 Human Physiology Life Science (prereq BMS 208 & 2 chemistry courses) *BMS 208 Human Anatomy (prereq BIO 120 or BMS 202) BMS 309 Human Anatomy Lab (prereq B or better in BMS 208 &3.0 GPA) AHS 100 Medical Terminology MTH 122 College Algebra (prereq MTH 110) MTH 123 Trigonometry (only required for GV PHY 220) (prereq MTH 122) PHY 220 Physics I (prereq MTH 122 & 123 or 201) PHY 221 Physics II (prereq PHY 220) PSY 101 Introduction to Psychology SOC 205 Social Problems STA 215 Introduction to Statistics (prereq MTH 110) PSY 300 (SWS) or AHS 301 Research Design (prereq STA 215) Physical Science Social/Behv Social/Behv & US Div Math Remaining General Education Requirements Grade School / Course WRT 150 MTH 110 Arts Historical Perspectives Philosophy and Literature World Perspective Issues (student will take this during program) xx Issues (student will take this during program) xx Supplemental Writing Skills (1 of 2) Grade *BMS 250 & 251 will also fulfill BMS 202 & 208; student still needs to take BMS 309. The prerequisite for BMS 250 at GVSU is BIO 120 DMS, RT App Oct 2014 Page 5