THE Missouri Society of Radiologic Technologists
Student Internship Committee
The duties of the MSRT Student Internship committee shall be as follows:
1. The Chairman of this committee shall be the MSRT President, unless otherwise designated. Committee members shall include all MSRT Board members who are not sponsoring a candidate as well as the Student Activities Chairman. In the event the MSRT President is sponsoring a candidate, he will designate a new Chairman.
2. Information regarding the internship, application, deadline, and necessary forms will be mailed to each educational program in Missouri and the Publications Chair. Such information shall be mailed in time to allow for maximum participation.
3. The return address for all applications shall be the mailing address of the Student Internship Committee Chairman. This will expedite the application and judging process.
4. Applications will be reviewed by all committee members at the spring Board of Directors meeting. At that time a student intern will be chosen.
5. The Chairman will make all necessary arrangements for contacting the Publications Chair with the name of the MSRT Student Internship winner as soon as he has been identified.
6. The Chairman will arrange contact with the winner as soon as possible to insure the student has ample time to arrange to attend the Presidential Banquet during the Annual Conference. A banquet ticket will be provided.
7. The Chairman will submit a written report to the Board at the Pre-Conference Board meeting. This report will include such items as the number of applicants, the points awarded each applicant, any applications that were disallowed, and other pertinent data.
8. The Chairman will keep a list of each winner and the date the awards were given.
The Missouri Society of Radiologic Technologists
Student Internship Program
There will be one (1) student internship available for a second year radiography student who meets the necessary qualifications. The recipient will shadow MSRT Board members during regular meetings of the MSRT Board of Directors and during the MSRT Annual Conference. The recipient will receive all privileges and financial compensation of an MSRT Board member except the ability to vote. Candidates must be sponsored by a current MSRT Board member.
Requirements:
The candidate must:
Be a student member of the MSRT.
Be in good standings with a training program acceptable for credit by The American Registry of Radiologic Technologists.
Be able to attend all regular meetings of the MSRT Board of Directors.
The recipient is required to attend the annual conference to receive his/her award. Note: The recipient will be notified of his/her selection prior to the conference, and registration fees will be waived for day the internship award is given.
E
Application Procedure:
1. Complete the internship application form.
2. Submit two (2) letters of recommendation, in a sealed envelope, using the forms provided. The sponsoring Board member must complete one of the recommendation forms.
3. Submit a Personal Essay.
4. Submit Program Directors verification of the candidate's student status.
5. Submit proof of MSRT student membership.
6. Submit Sponsorship Form.
Directions for Personal Essay:
Essay must be typewritten on a separate piece of paper and must be 1000 words or less in length, double-spaced and in 12-point font. Essay content must include the following information:
Personal or academic achievements
Career goals
Professional goals
Incomplete or late applications will not be considered.
Send the completed application & documents in a single packet to:
MSRT Student Internship Committee
Brenda Matthews, BSRT (R)(M)(CDT)
621 Shenandoah Dr
Columbia, MO 65210
All Intern Application Materials Must be Post Marked NO LATER THAN:
February 29, 2008
THE Missouri Society of Radiologic Technologists
Student Internship Program
Application Form
Applicant's Name:_________________________________________________________
Address: ______________________________________________________________
City: _______________________________________State: ________Zip: __________
Home Phone # ( ) _____________ School Phone # ( ) ________________
Email: __________________________________________________________________
Name & Address of Radiologic Technology Program currently enrolled in:
Anticipated Date of Graduation:__________________________________
Missouri Society of Radiologic Technologists
Student Internship Program
Blind Review Form
Applicant ID Number: _______________
PART I
RECOMMENDATIONS
Add points in each category based on the following values:
6 points = Exceptional 3 points = Good
5 points = Outstanding 2 points = Average
4 points = Excellent 1 point = Below Average
0 points = Not Observed
First Recommendation:
Intellectual Ability = ___________ points
Maturity = ___________ points
Motivation = ___________ points
Ability to work with others . = ___________ points
Self Confidence .. = ___________ points
Leadership Potential . = ___________ points
Critical-thinking Skills . = ___________ points
Verbal Communication Skills = ___________ points
Written Communication Skills . = ___________ points
Second Recommendation:
Intellectual Ability = ___________ points
Maturity = ___________ points
Motivation = ___________ points
Ability to work with others . = ___________ points
Self Confidence .. = ___________ points
Leadership Potential . = ___________ points
Critical-thinking Skills . = ___________ points
Verbal Communication Skills = ___________ points
Written Communication Skills . = ___________ points
Total Points = ___________
* Divide by 2 = ___________
&#(54 45 points = 30%; 44 35 points = 20%;
34 25 points = 10%; 24 15 points = 5%)
Applicant has earned .= ___________%
PART II
RECOMMENDATION COMMENTS
This area is subjective. You may award from 5% - 0% for this applicant based on the individuals comments. The percentages from the two recommendations will be added together and averaged.
Comments from first recommendation = ____________%
Comments form second recommendation . = ____________ %
Total Percentage = ____________ %
Applicant has earned (Divide by 2) . = __________%
PART III
CAREER ESSAY
Rank according to the specific scale noted under each category.
Personal or Academic Achievements .. .. = _____________ %
Scale ranges from 25% (excellent coverage) to 0% (not covered)
Career goals / contributions to Radiologic Technology = ______________%
Scale ranges from 25% (excellent coverage) to 0% (not covered)
Professional goals .......... = _____________ %
Scale ranges from 10% (excellent coverage) to 0% (not covered)
Mechanics (grammar, spelling, etc.) . = ____________ %
Scale ranges from 5% (excellent) to 0% (poor)
Applicant has earned .. = _____________ %
(Maximum total = 65%)
PART IV
ADDITIONAL COMMENTS
(Based upon additional information supplied by the applicant, recommendations and impressions of you, the reviewer.)
TOTAL PERCENTAGE = _____________ %
(Maximum points from Parts I, II (A and B), and III: 100%)
(Minimum points to award internship: 80%)
Missouri Society of Radiologic Technologists
Student Internship Program
Candidate Recommendation Form
Name of Applicant ______________________________________
Current Address ________________________________________
Name of Evaluator ______________________________________
To the Applicant:
Please Read and Sign below. Enter your name and address above, and give this form to the two individuals you have asked to provide an evaluation as part of your application. The recommender should complete the form and return it to you in a sealed envelope. Next, attach these envelopes to your MSRT Student Intern Application when you submit it to the appropriate MSRT Student Internship Committee Chair.
1. How long and in what capacity have you known the applicant?
2. What separates the applicant from their peers that should be considered as making them deserving of this award (e.g. their principle talents or strengths)?
3. Please give us your appraisal of the applicant relative to others you have known in a similar capacity by marking the appropriate boxes in the chart below.
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Exceptional |
Outstanding |
Excellent |
Good |
Average |
Below Average |
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Intellectual Ability |
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Maturity |
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Motivation |
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Ability to work with others |
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Self-Confidence |
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Leadership Potential |
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Critical-thinking Skills |
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Verbal Communication Skills |
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Written Communication Skills |
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4. Describe the applicants aptitude for education and professionalism in the radiologic sciences:
5. Use the space below to make any additional comments concerning the applicant. If additional space is needed, use a separate sheet.
Signature ___________________________________ Date ________________________
Name ________________________________________ Title _____________________
(Please type or print)
Employer _______________________________________________________________
Business Address _________________________________________________________
The Missouri Society of Radiologic Technologists
Student Internship Program
Sponsorship Form
Name of Applicant _______________________________________________________
Name of Sponsoring Board member_________________________________________
Board Position held by Sponsor ____________________________________________
Address of Sponsor: ______________________________________________________
City: _____________________________________State: ________Zip: ____________
Home Phone # ( ) _________________ Work Phone # ( )__________________
Email:__________________________________________________________________