Ohio Society of Radiologic Technologists

COSM Mammographer's Grant Application

Be sure to read the most current eligibility criteria for the OSRT COSM Mammographer's Grant posted on the Foundation page of the OSRT Web site. Complete and submit the online application including all required elements by March 1. Upload the three (3) PDF files and click the submission button below after completing all required fields.
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Please enter a valid email of the form userid@email.com

Use the file mechanisms below to upload the PDF files that includes all required elements for the scholarship (see grant criteria).
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ATTESTATION STATEMENT: I certify, to the best of my knowledge, the information on this application is complete and accurate. I understand that falsification of any information will cause my disqualification from the award competition. Further, I confirm that I meet all requirements for this application and am submitting all required documents as stated in the Humanitarian Grant Guidelines. 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 consideration. I agree that, if selected as an award winner for the Humanitarian Grant, 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. If you are under 18, your parent or guardian must also agree to these Terms and Conditions.

Click the submit button and check your email for your copy of the submitted form. Best wishes!

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