Be sure to read the most current rules and criteria for the competition posted on the OSRT Web site. Complete and electronically submit the official application and essay by February 1 . Click the submission button below and upload the essay as directed.
Primary Participant's Name (*)
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Participant's Address (*)
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Participant's City (*)
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Participant's State (*)
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Participant's Zip Code (*)
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Phone With Area Code-No dashes (*)
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Email Address (*)
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Second Participant's Name
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NOTE: The individual(s) (maximum 2) competing MUST be a member of OSRT at the time of essay application submission and at the time of the annual meeting.
Essay Category (Choose 1) (*)
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Name of Ed Program or Employer (*)
Name of educational program (students) or employer (RTs) required
RT Credentialing Organization (Choose one) (*)
ARRT ARDMS NMTCB
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Upload Essay PDF File (*)
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ATTESTATION STATEMENT
I certify, to the best of my knowledge, that the information on this application is complete and accurate. Falsification of any information will cause my disqualification from the essay competition. Further,
I understand it is my responsibility to make sure the application process is complete by the required deadline. If not, the application may be disqualified from the awards competition and may not be considered for an award.
This application, upon receipt, becomes the property of the Ohio Society of Radiologic Technologists (OSRT).
I agree that, if selected as an award winner for the OSRT Essay Competition, the OSRT or its agents may use my name and likeness and any other information or materials provided in connection with this award for purposes of news, publicity and advertising in all media, including but not limited to print and electronic media, press releases, internet websites, and video media.
I understand that by providing school transcripts, I personally waive the provisions of the Family Educational Rights and Privacy Act of 1974, related to this submission.
If you are under 18, your parent or guardian must also agree to these Terms and Conditions.
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