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Joint Review Committee on Education in Radiologic Technology 20 N. Wacker Drive, Suite 2850 Chicago, IL 606063182 312.704.5300 (Fax) 312.704.5304 www.jrcert.orgAPPLICATION FOR INITIAL ACCREDITATION

How to fill out jrcert 104i-md application for

How to fill out jrcert form 104i-md application

1. To fill out JRCERT Form 104i-MD application, follow these steps:
2. Obtain the form from the JRCERT website or contact their office to request a physical copy.
3. Start by providing your personal information, including your name, address, and contact details.
4. Next, specify the program director's information, such as their name, job title, phone number, and email address.
5. Fill out the accreditation status section, indicating whether your program is currently accredited or seeking initial accreditation.
6. Provide details about the clinical site(s) where your program operates, including the site name, address, and contact information.
7. Document the clinical site affiliation agreement information, including the agreement start and end dates, as well as the name and title of the individual who signed the agreement.
8. Complete the program director and instructor qualifications section, outlining the qualifications of the individuals involved in the program.
9. Include information on the program curriculum, class size, and program completion rates.
10. Attach any supporting documents required, such as the program's catalog, policies, and procedures.
11. Review the completed form for accuracy and make any necessary corrections.
12. Sign and date the form, and ensure the program director also signs and dates it.
13. Submit the application by the specified deadline either online or by mail according to the JRCERT guidelines.
14. Keep a copy of the completed application for your records.

Who needs jrcert form 104i-md application?

1. JRCERT Form 104i-MD application is required by educational programs offering radiologic sciences or radiation therapy that are seeking initial accreditation, re-accreditation, or changes in accreditation status.
2. It is necessary for programs to demonstrate compliance with JRCERT standards and undergo the accreditation process to ensure the quality and integrity of their educational offerings.
3. Program directors and administrators responsible for radiologic sciences or radiation therapy programs would typically need to fill out and submit this form.

What is JRCERT 104I-MD (Application for Recognition of a Clinical ... Form?

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JRCERT 104I-MD (Application for Recognition of a Clinical ... template instructions

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What is jrcert form 104i-md application?

Jrcert Form 104i-MD application is a form used for applying for initial accreditation of medical dosimetry programs.

Who is required to file jrcert form 104i-md application?

Medical dosimetry programs seeking initial accreditation are required to file jrcert form 104i-md application.

How to fill out jrcert form 104i-md application?

To fill out jrcert form 104i-md application, the program must provide detailed information about the program, including curriculum, faculty qualifications, and program resources.

What is the purpose of jrcert form 104i-md application?

The purpose of jrcert form 104i-md application is to seek initial accreditation for medical dosimetry programs.

What information must be reported on jrcert form 104i-md application?

Information such as program curriculum, faculty qualifications, resources, and compliance with accreditation standards must be reported on jrcert form 104i-md application.