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 Application Forms

​​​​​​Prospective students will be required to submit a completed application form, all academic transcripts post high school and three letters of recommendation. 

Participation in a formal interview with the program director also is required. The Program Board will then make their final decision based upon the student's past academic performance and professional demeanor.

Marshfield Clinic does not discriminate, in accordance with applicable local, state, and federal law, against any qualified applicant for reasons of race, color, age, marital status, veteran’s status, nationality, ancestry, creed, physical or mental disability, sex, sexual orientation, or other protected status.

Application Checklist

Application Form (fillable)

Reference Form (fillable)

Please print, fill out, and forward the application forms to: 

Carlyn M. Johnson
Educational Program Director
Nuclear Medicine Technology Program
Marshfield Medical Center
611 Saint Joseph Avenue
Marshfield, WI 54449

Telephone: 715.389.3905