• Radiation Therapist Skills Checklist

  • Answer Key:

    1. No Experience

    2. Limited Experience

    3. Experienced

    4. Very Experienced

  • Age of Patients Cared For
    Rows
  • Skills
    Rows
  • Setting
    Rows
  • Therapy Treatments
    Rows
  • Provision of Treatments to Patients With:
    Rows

  • I attest that this checklist represents a true reflection of my experience to the best of my knowledge.  By electronically signing this form I give my permission for it to be shared with facilities as a way to assess my skill level and be considered for employment opportunities.  

  •  -
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: