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Home
/ PSRT Survey Results (2015)
PSRT Survey Results (2015)
Resource
PSRT Survey Results (2015)
Poster Competition Application
1
Registration Info
2
Participant Info
3
Submission
What is the name or title of your Poster?
(Required)
What level is your poster entry?
(Required)
Student/Entry Level
Technologist/Advanced Level
What is the name of your educational program?
How many participants are associated with this poster?
(Required)
1
2
First Participant Name
(Required)
First
Last
First Participant Email
(Required)
Second Participant Name
(Required)
First
Last
Second Participant Email
(Required)
Additional Notes
Comments
This field is for validation purposes and should be left unchanged.
Techni-Bowl Competition Application
Step
1
of
4
25%
Program Director Information
Name of Educational Program
(Required)
Name of program director
(Required)
First
Last
Email address of program director
(Required)
Student Information
Name of student competitor #1
(Required)
First
Last
Email address of student competitor #1
(Required)
Program Director Verification
By checking this box, I hereby verify that student competitor #1 is in their final semester of didactic radiography courses or have completed it.
Name of student competitor #2
(Required)
First
Last
Email address of student competitor #2
(Required)
Program Director Verification
By checking this box, I hereby verify that student competitor #2 is in their final semester of didactic radiography courses or have completed it.
Alternate Information
Name of alternate #1
First
Last
Email address of alternate #1
Payment Information
Payment
(Required)
By check, money order or cash at the event
Mail a check or money order to PSRT
Payment Online
A fee of $50 per team is required, and student competitors are required to be in attendance at the PSRT Annual Spring Conference and Business Meeting. Contestants must be present during the awards presentations at the business meeting or forfeit their prize. Prizes: 1st Place $300; 2nd Place $200 and 3rd Place $100 (per team) 1st Place Team School takes the trophy home to display and must return the trophy the following year.
Registration Fee
Price:
Send payments to:
PSRT - P.O. Box 17145 Pittsburgh, PA 15235
(checks must be received 2 weeks prior to event)
Credit Card
Total
Comments
This field is for validation purposes and should be left unchanged.
Scholarship Application
Step
1
of
7
- General
0%
Please select an option
Fill Out Online Form
Upload Printed Form
File Uploads
Drop files here or
Select files
Max. file size: 250 MB.
Student's Name
(Required)
First
Last
Email
(Required)
PSRT Scholarship Application Form
Mailing Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
(Required)
Name and address of program you attend
(Required)
Years of Attendance
Program Director's Name
Letter of Recommendation
Drop files here or
Select files
Max. file size: 250 MB.
PSRT Scholarship Personal Profile Form
Instructions:
Please be specific in describing your personal accomplishments and activities.
Professional Organizations, Affiliations, or Societies
Organization
Start Month and Year
End Month and Year
Title/Position
Description of Participation
Please indicate if you have ever been a volunteer with either the PSRT or ASRT; if so, please list your volunteer service.
Community Service
List agencies or organizations in which you have volunteered within the last five years
Volunteer Activity
Volunteer Dues
Start Month and Year
End Month and Year
Total Hours
Add
Remove
(religious groups, hospital volunteer, cultural activities, outreach programs, etc.). Enter total hours per activity. Do not use acronyms.
Academic Clubs and Activities
List those in which you have participated
Description
Number of Years Involved
Highest Position Held
Add
Remove
school clubs, student government, varsity or club sports, theater arts, scouting, 4-H, etc. Do not use acronyms.
Essay Questions
Each essay answer will be no less than 50 words and no more than 100
Explain why you are the best candidate for this scholarship and how winning this scholarship would affect you as an imaging professional.
Essay Question 1:
Provide a plan of your career goals and how your degree or certificate will help you to achieve them.
Essay Question 2:
What challenges have you encountered? Provide specific details of how you handled it and how you applied what you learned.
Essay Question 3:
List your personal and/or professional strengths. How do you develop or manage your strengths? List your personal and/or professional weaknesses. How do you develop or manage your weaknesses?
Essay Question 4:
List at least 1-2 examples of personal leadership abilities and explain how those leadership abilities have been applied. How will those leadership abilities help you reach your career goals?
Essay Question 5:
What aspects of the medical imaging profession persuaded you to pursue a career in the field? Explain, with examples, the areas of the profession that keep you engaged.
Essay Question 6:
Comments
This field is for validation purposes and should be left unchanged.
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