Associate of Technical Study Degree Contract (Radiology Department Management) Please Print or Type Clearly Social Security/Student Number ______________ Name ___________________________________________________________________________________________________ Last First Middle Mailing Address __________________________________________________________________________________________ Street ________________________________________________________________________________________ City State Zip Code Home Phone (_____) _________________________ Work Phone (_____) _________________________ Area Code Area Code Education: List all post-secondary educational institutions that you have attended (list most recent first). Separate official transcripts must be on file in Admissions and Records. Institution Degree/Diploma/Certificate Date Received __________________________ _________________________________________ ________________________________ __________________________ _________________________________________ ________________________________ __________________________ _________________________________________ ________________________________ I. Comprehensive Graduation Requirements: A. Completion of an application for admission to the Associate of Technical Study Degree Program, which includes an outline of specific coursework to be taken to earn the ATS degree. B. The satisfactory completion of at least 60 semester hours (exclusive of P.E.) at the 1000-level or higher. C. The achievement of a minimum overall grade point average of 2.00 for all courses attempted at Cuyahoga Community College. Special Topics, Independent Research/Study and Cooperative Education may be applied to the General Education and Program Requirements unless otherwise noted. D. The completion of no fewer than 20 of the required 60 semester hours at Cuyahoga Community College after the ATS Application has been approved. II. General Education Requirements (GERs): A. Communication—6 sem. hrs. required, exclusive of 09xx, ENG-1000 and ESL courses. [] ENG-1010/101H, College Composition I ____ sem. hrs. [] Select one course from the following: ENG-1020/102H, College Composition II, or ENG-2150, Technical Writing, or SPCH-1000, Funds. of Interpersonal Comm., or SPCH-1010, Funds. of Speech Comm. ____ sem. hrs. B. Mathematics—3 sem. hrs. required, exclusive of 09xx, Special Topics, Independent Research/Study courses. The following course is required: [] MATH-1141, Applied Algebra or higher ____ sem. hrs. C. Arts & Humanities/Social & Behavioral Sciences—8 sem. hrs. required, exclusive of ENG-1000 and 09xx courses. The following courses are required: [] PHIL-2050, Bioethics ____ sem. hrs. [] PSY-1010, General Psychology ____ sem. hrs. [] Any 2000-level PSY course _____ _________________________ ____ sem. hrs. D. Required Electives—13 sem. hrs. required, exclusive of 09xx and P.E. courses. The following courses are required: [] BADM-1020, Intro. to Business ____ sem. hrs. [] BADM-2010, Business Communications ____ sem. hrs. [] BADM-2330, Human Resource Mgmt. ____ sem. hrs. [] IT-1010, Intro. to Microcomputer Appls. ____ sem. hrs. [] BADM-2150, Business Law, or BADM-2160, Introduction to Purchasing ____ sem. hrs. E. III. Competencies and Skills (C&S, 1-4). [] The Competencies and Skills have been met by the Radiography Department Management requirements. Program Requirements (check Option 1 or 2): Option 1: [] ATS Transfer: Minimum of 30 semester hours technical/transfer credits earned 1) as documented by a diploma or certificate issued by the hospital and 2) a copy of a current Registry (ARRT) Card. List school and program qualifying you for the ATS degree: ___________________________________________________ ___________________________________________________ Option 2: [] ATS Combination: Complete the following information: Occupational Objective: Please describe your specific occupational objective as it relates to the courses listed below. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ List below a minimum of 30 semester hours of technical coursework drawn from two or more technical programs currently offered by the College. These courses should form a coherent combination of courses and be clearly identifiable with the career objective you have described above. NOTE: These courses should be selected with the help of a faculty member(s) from one or more of the disciplines listed below. Courses (Tech. Area 1) Hrs. Courses (Tech. Area 2) Hrs. Courses (Tech. Area 3) []___________________________ ____ []____________________________ ____ []___________________________ _____ []___________________________ ____ []____________________________ ____ []___________________________ _____ []___________________________ ____ []____________________________ ____ []___________________________ _____ []___________________________ ____ []____________________________ ____ []___________________________ _____ []___________________________ ____ []____________________________ ____ []___________________________ _____ []___________________________ ____ []____________________________ ____ []___________________________ _____ []___________________________ ____ []____________________________ ____ TOTAL TECHNICAL CRS. Faculty signatures indicate concurrence with the proposed degree title and technical courses as listed. ________________________________ _____________________________________ _________________________________ Signature and Date Signature and Date Signature and Date Title of ATS Degree will read: Radiology Department Management I understand that completion of ATS degree requirements does not establish eligibility to take certification exams for Technical/Professional programs not completed at Cuyahoga Community College. ____________________________________________ Student’s Signature Date _____________________________________________________ Counselor’s Signature Date Associate of Technical Studies Contract Approved __________________________________________________________________________________________ Academic Dean’s Signature Date Hrs. _____