VSRT Scholarship Form

Mary C. Harris Bencoach Scholarship Application

Purpose
The purpose of this scholarship is to provide financial assistance to registered radiologic technologists (ARRT), (ARDMS), (NMTCB) who wish to continue their education in the imaging science field such as the prescribed program in Nuclear Medicine, Radiation Therapy, Special procedures, Angiography, Computed Tomography, Magnetic Resonance Imaging, Mammography, Radiology, Administration, Education, Sonography, Healthcare Administration/Management or other post-primary certification programs. The Society hopes that this will provide individuals with an opportunity for lifelong learning and professional advancement.

Eligibility
1. Be a registered radiologic technologist (ARRT or other recognized modalities),
2. Be a current VSRT member 1 year prior to the time of application and without lapse to apply for this scholarship.
3. Be in good standing with the VSRT
4. If you are currently attending a course or program, Be in good standing with your educational institution.

Application Deadline
Completed applications must be electronically submitted by January 31, 2025, at 11:59 PM.

This includes:
1. Two Letters of Reference - emailed directly to scholarships@vsrt.org
a. Remember that the people you have chosen as a reference will be answering questions based on you as a professional team member in the work environment as well as your Educational goals, Professional involvement and Merit. A reference must meet the following criteria: 1)Should be a coworker, colleague, or other imaging professional that is a registered technologist (ARRT. ARDMS or NMTCB) or a radiologist. 2) A Supervisor, director, or someone in the imaging profession that you have served or worked under. References cannot be family members.
2. Your VSRT member number and expiration date
a. Must be good through April
b. If you are not a member, you can apply at vsrt.org
3. Signed FERPA release form to your references and the VSRT
4. Copy of your ARRT card, including expiration date and ARRT number
5. Complete the Essay Questions
6. Resume or CV

Award Details

A total of $2,000 ($500.00 per awardee) is available this year and may be awarded based on the recommendations of the Scholarship Committee; the winner(s).

The winner(s) will be announced at the VSRT Student, Educator, and Technologist meeting in April. The winner(s) will be notified by February 15th. VSRT memberships must be current through at least April to receive any awards.

The Committee has the option to recommend that all, part or none of the scholarship funds be awarded. A minimum of $500.00 will be awarded.

Scholarships are paid directly to the student.

Selection Criteria
The scholarship committee will consider these items in selecting the award recipient(s):
1. Professional involvement
2. Professional goals and insight
3. Merit

Applicant:*

Full Legal Name

Date of Birth:*

MM/DD/YYYY

Phone Number:*

Ex. (XXX) XXX-XXXX

Email Address*

example@example.com

Mailing Address:*

Street Address

Street Address Line 2

CityState

Zip Code

VSRT member number

Please upload a copy of your ARRT card. *

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Please upload a copy of your Resume/CV. *

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Name of Employer*

Current employer.

Employer Address *

Current employer.

Employer Phone Number*

(xxx) xxx-xxxx

Supervisor Information*

Include name and credentials.

Supervisor Phone Number*

(xxx) xxx-xxxx

Supervisor Email Address*

example@gmail.com

School Name and Address

Degree/Major*

example@gmail.com

Expected completion date.

Date

Tuition cost per credit hour*

Total tuition cost (including books)*

Letters of Recommendation

Applicants will need 2 formal letters of recommendation. These must meet the criteria listed in the description. Letters should be on company letterhead, indicate the relationship to the Applicant, and provide a contact phone number and email for follow-up.

Letters should be sent directly to scholarships@vsrt.org by the individual writing the letter, not the applicant.

Essay Prompts:

Submit a short essay to answer to each of the following questions (50-100 words per prompt). Essays should be typed and double-spaced. Click NEXT to upload your essay submission.

Prompt 1: Briefly comment on your educational and professional goals.

Prompt 2: Briefly comment on the role of your professional societies in helping you to achieve your goals.

Prompt 3: Briefly comment on your role in your professional societies, both now and in the future.

Click to attach your essay submission to this application.*

Upload a File

Max Total Upload Size: 500MB

Please download and complete the FERPA Release Form.

FERPA Release Form

Upload the completed FERPA release file.

Browse Files

Scholarship Terms and Conditions

Certification and Release Authorization. I/We certify that this information is complete and accurate. I/We authorize the release of this information to confirm and/or verify this application. I/We further grant unto the Virginia Society of Radiologic Technologists (VSRT), the right to use my name and likeness in connection with the promotion of the VSRT Scholarship fund on, but not limited to, our website, email distribution, and social media platforms.

I certify that I meet the eligibility criteria for the VSRT Scholarship Program, and have attached my transcript, essay submission, and 2 written recommendations. I understand that applications that are incomplete, late, or not submitted in accordance with directions will be ineligible for consideration.

I hereby apply for the VSRT Scholarship Program. I understand if I am selected to receive this Scholarship, the VSRT has no legal liability or obligation to me other than the payment of the Scholarship Award on my behalf to the accredited school listed above. I further understand that if I choose not to enroll after payment of the Scholarship, I am responsible to notify my school, and notify the VSRT of my decision.

Signature*

Signature Date:*

MM/DD/YYYY