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OSRT Foundation Grant Application
Be sure to read the most current eligibility criteria for the Grant Award posted on the OSRT Web site. Complete and electronically submit the official grant application and PDF file of the school transcript by March 1. Click the submission button below and upload the transcript as directed. The entire transcript must be uploaded in one file to be considered. Multiple page transcripts can only be uploaded as one document.
Full Name(*)
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Home Address(*)
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City(*)
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Home State(*)
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Home Zip(*)
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Home Phone-No dashes(*)
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Other Phone-No Dashes
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Email(*)
Please enter a valid email of the form userid@email.com
Grant Category Choose 1(*)
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RT Credentialing Organization-RTs (Choose all applicable)


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Institution Enrolled(*)
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Program Name(*)
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Address(*)
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City(*)
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State(*)
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Zip Code(*)
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Start Date of Program(*)
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Expected Completion Date(*)
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Date Last Attended(*)
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Cumulative GPA(*)
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No. Credit Hours Completed(*)
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If you are not an RT and are a student enrolled in a radiologic science program, you must include the program director's printed name and signature on the transcript.
Upload Transcript (One PDF file only)(*)
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In the text box that follows, you must list professional organizations in which you are a member along with voluntary community services and why you are involved.
Professional Organizations and Service(*)
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In the text box that follows, you must write a statement of no more than 200 words identifying your professional goals and financial need for this grant.
Goals and Financial Need(*)
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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 Education and Research Foundation Grant 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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OSRT Working for Ohio!

The O.S.R.T. is working for Ohio’s technologists and patients! Watch this video to learn more!