Radiologic Technology Pre-Registration Screening Form

This form serves as the Pre-Registration Screening for the CNM Radiologic Technology Program.

Need Help?

If you have any questions about this form, please call (505) 224-4111 or email before submitting.

Before Submitting This Form

  1. Please read the screening criteria and guidelines for the Coordinated Entry Programs.
  2. Please read the instructions for the Radiologic Technology Program Pre-Registration Screening Form.

You cannot "save" your work and return to it later.

Submission of your form does not guarantee you a seat in the program. Screening forms will not be considered for students who have not been admitted to CNM.


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When you click "submit" a screen will appear that will notify you that your form was submitted successfully. You will also receive an email confirmation to your CNM email account.