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Please Read Before Beginning Application

  • The estimated time to complete this application is 30 minutes.
  • This application does not allow you to save and continue at a later time. Please see the information in the sidebar on this page about free, third-party software that can perform this function.
  • You will have the opportunity to preview your application before submitting it. Use this opportunity to make your text as readable as possible.
  • Do not click your browser's refresh button while completing this form, as your data will not be saved.

What You Will Need

  • Resume
  • Personal Statement (of no more than 1,000 words)

    Note: You will need to "cut and paste" the text from these documents into this application. You may not attach them.

If you have questions, e-mail apollow@mskcc.org.

* indicates required information
Your Contact Information
Title:
First Name:
  Middle Name:
Last Name:
  Maiden Name:
(or other name used)
Address:
City:
State:
Zip Code:

Home Phone:
  Work Phone:
  Cell Phone:

E-mail:
Confirm E-mail:
About You
Is English your primary language?

Languages spoken and read fluently:

Are you a citizen of the US?

How did you hear about our program?
High School Education
Name of School:
(Name of school graduated from, or last school attended.)
Address:

Type of Degree:
Date Degree Awarded:
College Education
  Name of School:
(Name of school graduated from, or last school attended.)
  Address:

  Start Date:
  Actual or Expected End Date:

  Major:
  Degree Awarded:
  Date Degree Awarded:
Additional Education
Please include any additional education experiences:
Radiation Therapy Training Program
Name of Program:
Degree Awarded:
Associate, Bachelors, certificate, etc.
Length of Program:
Date Degree Awarded:

Details of the training you completed:
Include techniques covered (IMRT, TSEB, TBI, OBI, Gating, etc), equipment trained on (type of Linacs, simulators, R&B system, etc).
Clinical Experience
Please detail your clinical experience as a radiation therapist:
Include your job responsibilities, experience with IMRT, MLC, DMLC, TBI, conventional simulation, CT-based simulation and other treatment techniques, patient load, types of treatments/procedures performed, etc.
Employment Experience
Employment and other relevant experience (i.e. lab work, clinical research, volunteer work, etc.):
Include the following points of information:
  • Name and Address of employer (list most recent job first)
  • Name and Phone Number of Department Supervisor
  • Job Title
  • Dates of Employment (mm/yy - mm/yy)
  • Reason for Leaving
Personal Statement
Describe your strengths and weaknesses in the clinical and didactic areas:
Please answer the following questions in your Personal Statement:
  • Having practiced in the field as a licensed RT, what would you have done differently during your training?
  • Describe the areas you would like to improve on and why.
  • What are the qualities that set you apart from other radiation therapists?
Additional Information
Do you have or have you ever had any physical or mental condition that would limit your participation in this educational program?

Have you ever been convicted of a crime other than a traffic violation?

Technical Standards for Admission

Technical Standards for Admission to the MSKCC School of Radiation Therapy

Anyone entering the program must be able, with or without reasonable accommodation, to meet the following standards:

  1. Visually monitor patient from outside of the radiation room
  2. Read digital readout devices on machine controls and gantry
  3. Visually review films for evaluation purposes
  4. Visually observe the patient's clinical status
  5. Orally communicate clearly with patients and co-workers
  6. Hear patient communications from a distance of ten feet away
  7. Hear patient and/or co-worker in a darkened treatment room
  8. Lift blocks weighing up to 35 lb. and insert them into the machine
  9. Assist patients onto treatment couch from wheelchair or stretcher
  10. Respond to emergencies in a timely fashion
  11. Observe, recognize and report on non-verbal reactions from a patient (a change in mood for example)
  12. Stand or walk in order to perform the job functions throughout the day.
Are you able with or without reasonable accommodation to meet the standards outlined above?

Application Fee

For this online application to be processed, a non-refundable $50 check or money order, payable to MSKCC School of Radiation Therapy must be submitted to:

School of Radiation Therapy, Box 22
Memorial Sloan-Kettering Cancer Center
1275 York Avenue
New York, NY 10065

Do not send cash.

Transcripts

Transcripts should be sent directly from the sender to the school. All documents submitted in support of the application for admission will become the property of MSKCC School of Radiation Therapy and will not be returned. The school respects the confidentiality of all records received in support of this application and reserves the sole right to discuss information in part or totally to such persons, as the school deems advisable.

Interview

A personal interview with the program director and administrator (s) is required of all applicants meeting the preliminary requirements. Final selection of students is based on the results of the pre-assessment examination, review of official transcripts, clinical experience, personal statement, and interview.

The information contained in this application is correct and complete to the best of my knowledge and belief.
I further understand and agree that misrepresentation of facts called for on this application will be cause for rejection of this application or dismissal after admission, and that final admission is subject to verification of clinical experience, fingerprint/background check according to law, physical examination and satisfactory completion of three-month probationary period. This application is neither an employer contract nor part of an employment contract.
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An Equal Opportunity Organization. Federal, New York State and New York City laws prohibit discrimination against applicants on the basis of age, sex, religion, race, non job-related disability, marital status, national origin or veteran's status.

All documents should be mailed to:

Wilson Apollo, Program Director
School of Radiation Therapy, Box 22
Memorial Sloan-Kettering Cancer Center
1275 York Avenue
New York, NY 10065
Last Updated: Oct. 8, 2008
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