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Enroll for the 2023 Summer or Fall Semesters.
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Diagnostic Imaging – Radiography
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Medical Assisting Technology Application
MAT Program Application
Please read carefully before applying.
Students who are currently not a student at NW-SCC must apply and be admitted to the college in order to enter the MAT program.
Students must have all developmental courses completed to be considered for admission to the MAT program.
If on Financial Aid, you must have completed all required paperwork before applying for this program.
Please select the program for which you are applying:
(Required)
Five Semester AAS Degree Program
Certificate – Billing / Coding (21 Credit Hours)
Certificate – Phlebotomy (10 Credit Hours)
Student # or Last 4 Digits of SSN
(Required)
First Name
(Required)
Middle Name
Last Name
(Required)
Address
City
State
Zip
Email
(Required)
Cell Phone
(Required)
Other Phone
Emergency Contact
Name
Relationship
Phone
Previous Education (High School and/or College)
School
City / State
Diploma / Degree
Date
MM slash DD slash YYYY
Previous Medically-Related Work Experience
I wish to enter NW-SCC's MAT program in the following semester:
Fall
Spring
I will be pursing program requirements as a:
Full-time Student
Part-time Student
GPA (Record most recent cumulative GPA. Enter high school GPA if no college course work.)
Please attach unofficial copies of all transcripts depicting college course work.
Transcript 1
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Transcript 2
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Transcript 3
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