Radiation Therapist Skills Checklist

Candidate Self Assessment

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 No experience; Theory/observed only

2 Limited competency; < 5 times per year; Needs supervision

3 Acceptable competency; > 5 times per year

4 Competent; Performs on a daily or weekly basis; Proficient

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.

Radiation Therapist Skills Checklist

Personal Information

Proficiency Scale & Legend

Radiation Therapy

Provision Of Treatment To Patients With:

General Skills

National Patient Safety Goals

Age Appropriate Care

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