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CAMPEPAccredited Residency Attestation Please complete fillable sections of the form, print & give the form to Program Director to sign. The form must be scanned & attached to your online Part 2 application
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How to fill out campep-accredited residency attestation:

01
Read the instructions: Start by carefully reading the instructions provided with the campep-accredited residency attestation form. It is important to understand all the requirements and guidelines before proceeding.
02
Gather necessary information: Collect all the necessary information and documents to fill out the attestation form. This may include your personal details, educational background, and relevant work experience.
03
Complete personal information: Begin by filling out the section related to personal information. This typically includes your full name, contact details, date of birth, and social security number.
04
Provide educational details: In the next section, provide information about your educational background. This may include the name of the institution where you completed your residency, the duration of the program, and any specific certifications or qualifications attained.
05
Document work experience: Fill out the section regarding your work experience. This usually involves listing your previous professional positions, the duration of each role, and a brief description of the responsibilities undertaken.
06
Obtain necessary signatures: Ensure that all required signatures are obtained before submitting the form. This may include the signatures of both the applicant and the program director or supervisor.
07
Review and double-check: Before submitting the attestation form, carefully review all the information provided. Check for any errors or missing details and make any necessary corrections.

Who needs campep-accredited residency attestation?

01
Candidates for medical physics residency programs: Individuals who are seeking to apply for medical physics residency programs that are accredited by the Commission on Accreditation of Medical Physics Education Programs (CAMPEP) will typically require campep-accredited residency attestation.
02
Accredited program directors: Program directors or supervisors of campep-accredited residency programs may also need to complete and submit campep-accredited residency attestation forms to verify the qualifications and experiences of their residents.
03
Residency program applicants: Applicants who have completed a medical physics residency program and are now applying for certifications or licensure in the field of medical physics may need to provide campep-accredited residency attestation as proof of their training and education.
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Campep-accredited residency attestation is a certification process that ensures a residency program meets the standards set by the Commission on Accreditation of Medical Physics Education Programs (CAMPEP).
Medical physicists who have completed a residency program accredited by CAMPEP are required to file campep-accredited residency attestation.
To fill out campep-accredited residency attestation, medical physicists need to provide information about their residency program, including the duration, location, and specific training received.
The purpose of campep-accredited residency attestation is to ensure that medical physicists have received adequate training and education during their residency program.
Information such as the duration of the residency program, the specific training received, and the location of the program must be reported on campep-accredited residency attestation.
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