EEG Program Admission Application

EEG Program Admission Application
Application Deadline: March 1 (Annually)
Applicant Information

Please make sure the information provided is accurate. Letters of acceptance or denial will be emailed to the email address provided below.
Student ID # *
Applicants must apply to Mid prior to applying the EEG Program. If you do not have a student ID, you must apply to Mid first by completing the College Admissions Application here: https://apply.midmich.edu/
Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
E-mail *
Please note that your acceptance/denial letter will be sent to this email

Transfer Students
For transfer students, all official transcripts have been sent to the Mid Michigan College Registrar.

Yes No
For transfer students, list all Institutions where you are transferring prerequisite coursework from.
Example: Central Michigan University, Lansing Community College

Mid Credits
Number of credits successfully completed at Mid (or ACC, KCC, LSSU, MCC, or WSCC)

Previous Earned Degrees
I have a previous earned degree.

Yes - Complete next question No - Click to Next page
Degree Earned and Institution Degree Received (If Applicable)
Example: Associate Degree in General Studies from Mid Michigan College

Health Care Work or Health Care Volunteer Experience
Previous Health Care Work or Volunteering Experience?

Yes - Health Care Work Experience- see next Question Yes - Volunteer Experience - see next question No - Click to Next page
Upload proof of Health Care Work or Health Care Volunteer Experience
If applicant has prior health care work or volunteer experience, the applicant MUST upload documentation of job description/or volunteer experience, length of service, and hours per week from supervisor on agency letterhead. Applicant must be working for a minimum of four (4) months in the past five years. Volunteer experience must be for a minimum of 40 hours in the past two years. In home care of family/friends is not accepted as volunteering.

Prospective Student Observation Form

Prospective Mid Michigan College EEG students are required to observe at least four hours in a hospital medical imaging department in order to evaluate EEG technology as a career. The observation requirement may be waived in lieu of experience working in a medical imaging setting. If seeking a waiver of this requirement, briefly describe previous experience in a medical imaging setting on a document and upload below.
Upload Completed Prospective Student Observation Form
Make sure you have followed the directions on the Prospective Student Observation Form. Must upload the completed and signed form here for admission.

Personal Statement

A brief account of:
1. Significant experiences, activities, and employment.
2. Your reasons for considering a career in Health Sciences.
3. How your medical imaging department observation related to your reasons for selecting a career in Health Sciences.
4. Your plans and aspirations for the future.
The personal statement is to by typed on a seperate document, should be a maxiumum of one page in length, and uploaded below.
Upload Personal Statement
The personal statement is part of the selective admission criteria, and therefore, does affect your prospects for admission. Please refer to the Personal Statement Evaluation Rubric found on the Radiography website and in the information packet.

Bonus Points

Students must successfully complete the following courses to receive bonus points towards selective admissions. Maximum bonus points allowed is 10.
Please check any of the following courses successfully completed or anticipating completion by May 30th.

CHM 105 BIO 210 BIO 110

Additional Requirements/Statements
By checking this box I certify that my answers are true and complete to the best of my knowledge. I am responsible for assuring all documents are received and all required are completed to apply. Late documents will NOT be accepted for consideration.

I agree to and understand this statement
Final acceptance into the EEG program is pending a clear criminal background check and drug screening. These tests will be at the students expense.

I agree to and understand this statement
Campus Safety, Security, and Non-Discrimination Information

In Mid Michigan College’s commitment to provide an environment that is safe, transparent and equitable, Mid publishes an Annual Security Report that outlines safety and security policies, protocols, measures and crime statistics. To learn about these initiative please review the Annual Security Report on Mid’s website at www.midmich.edu/securityreport.

The College’s general consumer information along with financial assistance, graduation and completion rates are available to prospective and enrolled students on the College’s Student Right to Know webpage.

Mid prohibits any form of discrimination on the basis of ‘protected characteristics.’ These include: race, color, religion, sex, gender identity or expression, pregnancy, age, sexual orientation, marital or parental status, national origin, citizenship, genetics, disability, military or veteran status, or any other legally-protected status; as well as victims of intimate partner violence or criminal conviction in the administration of and access to the College’s programs and activities and in conditions of admission or employment. Mid adheres to the principles of all applicable state and federal equal opportunity laws and regulations for its students, staff and applicants for admission and employment.

Mid strongly encourages anyone who experiences or observes any acts of discrimination, harassment, or sexual misconduct to promptly report the incident(s) and seek assistance from the College. Reports may be filed using the online report form or by contacting one of the College’s Title IX Coordinators as follows:

For Students:

Kim Barnes, AVP of Security Operations and Systems
Chief Title IX Coordinator
2600 S. Summerton Rd., Mt. Pleasant, MI 48858
Office: Mt. Pleasant Campus Doan Center, Room 105
(989) 386-6622, Ext. 236
kbarnes@midmich.edu

Martricia Farrell, Director of Security Operations and Systems
Deputy Title IX Coordinator/Clery Compliance Officer
1375 S. Clare Ave, Harrison, MI 48625
Office: Harrison Campus Safety and Security Office
(989) 386-6622, Ext. 394
mfarrell@midmich.edu

Mid’s full Non-Discrimination, Harassment and Sexual Misconduct Policy is available online, along with various other safety and security related policies, procedures and information. Questions may be submitted to sos@midmich.edu.
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EEG Program Admission Application

Application Deadline: March 1 (Annually)

Applicant Information

Prerequisite Information

Transfer Students

Mid Credits

Previous Earned Degrees

Health Care Work or Health Care Volunteer Experience

Prospective Student Observation Form

Personal Statement

Bonus Points

Additional Requirements/Statements

Campus Safety, Security, and Non-Discrimination Information

For Students: