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					                                      Kilgore College
                                Radiologic Science Program
                                    Admission Packet



Dear Prospective Student:


Thank you for your interest in the Radiologic Science Program at Kilgore College.

The Radiologic Science Program is an Associate of Applied Science program offered on the
Kilgore campus of Kilgore College. Students enrolled in this program are prepared to
assume a professional role in the field of Radiography. The program is accredited through
SACS, and as such is recognized as an accredited educational program in Radiography by
the American Registry of Radiologic Technologists (ARRT) and the Texas Department of
State Health Services (TDSHS). Upon successful program completion and meeting the
specified ARRT and TDSHS standards, the graduate will be eligible to take the national
certification examination for Radiography offered by the ARRT, and will be eligible for a
temporary Medical Radiologic Technologist certificate from the Texas Department of State
Health Services. A passing score on the ARRT examination will grant the graduate ARRT
Registry status and eligibility for certification as a Medical Radiologic Technologist by The
Texas Department of State Health Services.

The program is a 24-month program providing clinical and didactical (classroom and
laboratory) education in the field of Radiologic Science. The program begins a new class
each Fall semester. There is a limited number of applicants admitted to the program due to
limited space in the classroom and available clinical assignments. To be considered for
admission to the Fall class application materials should be submitted by March 15.

If after reviewing this packet you have questions, please feel free to contact me.

Ursula Dyer, MS,RT(R)(CT)
Radiologic Science
Program Director
(903)983-8636
udyer@kilgore.edu


To be considered for admission to the Radiologic Science Program, the student must first
be admitted to Kilgore College. If not currently enrolled at Kilgore College, the following is
required:

      1.     An Application for Admission to Kilgore College form must be completed and
             submitted. The following is the link to KC application information:

                            http://www.kilgore.edu/rs_welcome.asp

      2.     An appointment with the Health Sciences Counselor
             (Counseling Office – (903) 983-8184)




                                                                                REV 6/2010
After admission to Kilgore College, the program application instruction steps (included in this packet) must be
taken for application to the Radiologic Science Program. All application information MUST
be submitted in full by March 15. Incomplete applications or failure to follow application instructions
may result in the applicant not being considered. Applicants will be ranked based on information submitted
and applicable scores and/or data. The top 25 applicants from the applicant pool will be scheduled for an
interview with the interview committee during the latter portion of April. Applicants will be notified of
acceptance status by mail around mid-May.

 Listed below are some items of interest that should be considered prior to making application.

               As many pre-admission courses as possible should be completed prior to application. Pre-
                admission courses are those general education courses in the curriculum that are not RADR
                courses. Since Biology 2402 is a pre-requisite to RADR 1411, priority consideration is given to
                those applicants who have/or will have completed Biology 2402 prior to Fall program courses.

               A personal visit with the Program faculty is strongly recommended.

               An observation day at a local facility is required and should be scheduled during the month of
                February by contacting Renee’ Golden, Health Science Administrative Assitant, in the TV
                building office 113, rgolden@kilgore.edu , or (903)983-8146. A minimum of the Radiologic
                Science Program Application form should be on file in the Radiologic Science Program office
                prior to scheduling an observation. (Applicants may submit application materials in sections as
                they are completed.)

               Students must receive a “C” or better in all Math and Science and Computer courses.

               A minimum cumulative GPA of 2.0 must be achieved in order to be considered for admission to
                the Radiologic Science program.

               All general education remediation requirements must be satisfied prior to admission to the
                program.

               Applicants must be at least 18 years of age and be in sufficient mental and physical health to
                meet the minimum clinical performance standards.

               Priority will be given to students who have completed at least 12 hours of study at Kilgore
                College.

               Applicants are required to pass a physician’s physical examination and present evidence of
                tuberculosis screening and hepatitis B vaccination. THIS IS REQUIRED ONLY IF YOU ARE
                ACCEPTED INTO THE PROGRAM. (Hepatitis B vaccinations may be obtained at the start of the
                Fall semester through the campus nurse. Payment for the vaccination will be assessed with
                Fall tuition. Cost is approximately $150)

               Students are responsible for their own transportation including to classes and clinical sites.
                (See Clinical Affiliate list in this packet for possible clinical site assignments.)

               Clinical assignment hours are not limited to traditional day time hours. Students are required to
                attend clinicals during evening hours as scheduled.

               Applicants who have convictions for any felony or misdemeanor other than minor traffic
                citations are required to seek clarification of eligibility of the ARRT registry examination prior
                to enrollment in this course of study. The ARRT maintains standards of conduct and a
                conviction may exclude an applicant from being eligible to become registered. Note that
                Registered status with the ARRT is a requirement of most employers. Eligibility to take the
                ARRT examination based on conviction can only be determined by the ARRT. See additional
                information in this packet about Background and Drug Screening.

               Applicants will be required to undergo and submit to the program results of the Nelson-Denny
                Test. Results should be current within 1 year. The test will be administered by the Radiologic
                Science Department during the Spring semester. Details regarding test administration such as
                dates offered are to be announced. After the start of the Spring semester, applicants may
                contact Renee’ Golden, Health Science Administrative Assitant, at Office 113 TV building 113,
                rgolden@kilgore.edu , or (903)983-8146 for more details and scheduling availability.
Background and Drug Screening


Prior to final admission into the Radiologic Science Program each applicant is required to
satisfactorily pass both a Drug Screening and a Background Screening in accordance with
the Kilgore College Health Science Programs Criminal Background Check and Drug Screen
Policies. A copy of the Kilgore College Health Science Programs Criminal Background Check
and Drug Screen Policies are available upon request.


The Background Screening and Drug Screening are the sole financial responsibility of each
student. The cost is approximately $54 for the background screening and $16 for the
drug\screening. The results must be returned to Kilgore College Radiologic Science
Program by the company completing the screenings. The student must use the vendors
selected by Kilgore College.


       THE SCREENINGS ARE PERFORMED ONLY ON SUCCESSFUL
      APPLICANTS WHO ARE ACCEPTED TO ENTER THE PROGRAM.
                Entry is contingent upon the screening results.

If a disqualifying history is identified in the results of the screening, the student will be
removed from the admissions list and will be required to submit a Pre-Application Review
to the American Registry of Radiologic Technologists. Additional information about the
Pre-Application Review process can be found on the following webpage:


https://www.arrt.org/
Select “Ethics” from the left side of the page, then click “Pre-Application Process”

Students who are required to submit a Pre-Application Review to the American Registry of
Radiologic Technologists due to a potentially disqualifying background history must
present to the Program Director an official letter from the American Registry of Radiologic
Technologists stating that the student is an eligible candidate for the certification exam.
Only then will the student be admitted to the program or placed on the current list of
applicants requesting admission to the program. This will depend on the timing of when
the letter is received by the Program Director in relation to the start of a new class.


A positive drug screen disqualifies student from admission to the program.

      Employment upon graduation is dependent on the rules and regulations of
      the employing agency and Kilgore College does not ensure employment.
                          Kilgore College Radiologic Science Program Curriculum
First Year
                SECOND SUMMER TERM
     Course                 Course Name                   Lec   Lab   Ext   Cont   Cred
   SRGT 1301            Medical Terminology                3     0     0     48     3
   MATH 1333            Mathmatical Topics II              3     0     0     48     3
                   (or MATH 1314 College Algebra)
                     Total Hours                          6      0     0     96     6

                   FIRST SEMESTER
     Course                  Course Name                  Lec   Lab   Ext   Cont   Cred
   BIOL 2401       Human Anatomy and Pysiology I           3     4     0    112      4
   ENGL1301            Grammar and Composition             3     0     0     48      3
   BCIS 1305        Business Computer Applications         3     0     0     48      3
   RADR 1411        Basic Radiographic Procedures          2     6     0    128      4
   RADR 1309    Intro. To Radiography and Patient Care     2     2     0     64      3
                      Total Hours                         13    12     0    400     17

                   SECOND SEMESTER
     Course                   Course Name                 Lec   Lab   Ext   Cont   Cred
   BIOL 2402       Human Anatomy and Physiology II         3     4     0    112      4
   RADR 1360                     Clinical I                0     0    16    256      3
   RADR 2217             Radiographic Pathology            2     0     0     32      2
   RADR 2309        Radiographic Imaging Equipment         2     2     0     64      3
   RADR 1313      Principles of Radiographic Imaging I     2     4     0     96      3
                       Total Hours                         9    10    16    560     15

                 FIRST SUMMER TERM
     Course                 Course Name                   Lec   Lab   Ext   Cont   Cred
   RADR 1261                 Clinical II                   0     0    12    192     2
                     Total Hours                           0     0    12    192     2

                SECOND SUMMER TERM
     Course                 Course Name                   Lec   Lab   Ext   Cont   Cred
   RADR 1262                 Clinical III                  0     0    12    192     2
                     Total Hours                           0     0    12    192     2

 Second Year
                    FIRST SEMESTER
     Course                   Course Name                 Lec   Lab   Ext   Cont   Cred
   RADR 2313        Radiation Biology and Protection       3     0     0     48     3
   RADR 2366                   Practicum I                 0     0    24    384     3
   RADR 2331       Advanced Radiographic Procedures        2     3     0     80     3
   SPCH 1318          Interpersonal Communication          3     0     0     48     3
                     (or SPCH 1311 Intro. To Speech
                            Communication)
                (or SPCH 1321 Business and Professional
                                Speaking)
                       Total Hours                        8      3    24    560     12

                  SECOND SEMESTER
     Course                   Course Name                 Lec   Lab   Ext   Cont   Cred
   PSYC 2314       Human Growth and Development            3     0     0     48      3
   RADR 2333          Advanced Medical Imaging             3     0     0     48      3
   RADR 2305     Principles of Radiographic Imaging II     3     0     0     48      3
   RADR 2367                  Practicum II                 0     0    24    384      3
    ---- ----        Humanities/ Fine Arts Elective        3     0     0     48      3
                      Total Hours                         12     0    24    576     15

                 FIRST SUMMER TERM
     Course                 Course Name                   Lec   Lab   Ext   Cont   Cred
   RADR 2235         Radiologic Science Seminar            1     4     0     80     2
   RADR 2167                Practicum III                  0     0     9    144     1
                     Total Hours                           1     4     9    224     3

                   PROGRAM TOTALS                         LEC   LAB   EXT   CONT   CRED   Rev 1/2011
                                                           49    29    97   2800    72
                                ESTIMATED RADIOLOGIC SCIENCE PROGRAM COST ANALYSIS

                                                                                            IN DISTRICT        OUT OF DISTRICT
PRE-ADMISSION (GENERAL EDUCATION) COSTS
                       Tuition and fees                                                        $1,617                $3,432
                                    Books (required only)                                      $1,295                $1,295
                                                Total                                          $2,912                $4,727

PROGRAM CORE COSTS (RADR COURSES)
First Year

          Summer (after acceptance, prior to entry)
                             Background/Drug Screening                                          $70                    $70
                             Hepatitis B vaccination/TB Screening                               $165                  $165
                                           Total                                                $235                  $235

          Fall Semester          Tuition and fees                                               $538                  $923
                                 Books                                                          $467                  $467
                                 Liability Insurance                                            $30                    $30
                                 Rad Tech Club and
                                                                                                $20                   $20
                                 Professional Society Dues
                                 Uniforms- includes name tags, markers, etc.
                                                                                                $275                  $275
                                 (to be purchased in November)
                                                Total for Semester                             $1,330                $1,715


          Spring Semester        Tuition and fees                                               $760                 $1,365
                                 Books                                                          $475                  $475
                                               Total for Semester                              $1,235                $1,840


          Summer I               Tuition and fees                                               $133                  $243
                                 Uniforms                                                       $100                  $100
                                               Total for Semester                               $233                  $343


          Summer I I            Tuition and fees                                                $133                  $243
                                TB Screening                                                    $15                    $15
                                               Total for Semester                               $148                  $258


Second Year
       Fall Semester           Tuition and fees                                                 $551                 $1,046
                               Books                                                            $365                  $365
                               Rad Tech Club and
                                                                                                $20                   $20
                               Professional Society Dues
                               Liability Insurance                                              $30                    $30
                               Uniforms                                                         $100                  $100
                                               Total for Semester                              $1,066                $1,561


          Spring Semester       Tuition and fees                                                $566                 $1,061
                                Books                                                           $110                  $110
                                ARRT Application Fee                                            $150                  $150
                                Graduation Expenses                                             $70                    $70
                                              Total for Semester                                $896                 $1,391


          Summer I              Tuition and fees                                                $212                  $377
                                Books                                                           $200                  $200
                                TDSHS MRT Application Fee                                       $32                    $32
                                               Total for Semester                               $444                  $609

                                              RADR Total                                       $5,587                $7,952


Total for Program                                                                              $8,499               $12,679
Costs are estimated. All costs including tuition, fees and books are subject to change. Placement test and remediation course
fees are not included in cost analysis. Drug Screening, Background Screening are included, but are also subject to change. Out
of state tuition costs are at a higher rate than out of district and are stated per semester hour in the Kilgore College Catalog.
* Last estimate assessed June 2010
                           RADIOLOGIC TECHNOLOGISTS SEEKING A DEGREE
                Registered Radiologic Technologists may be granted college credit which will
                  apply toward the completion of the A.A.S. degree in Radiologic Science.
               Interested persons may apply to the Program Director for credit by presenting
                  evidence of current certification by the American Registry of Radiologic
              Technologists (ARRT). At least 15 semester hours must be completed at Kilgore
                       College in addition to the credit granted for ARRT Certification.
                   The A.A.S. degree will be awarded upon completion of full curriculum
                                  as specified in the Kilgore College catalog.

                                          ARTICULATION AGREEMENT
               Kilgore College maintains an articulation agreement with Midwestern State
             University, Wichita Falls. This means students completing the Radiologic Science
              Program at Kilgore College who are interested in pursuing a Bachelor’s degree
                          will be considered for candidacy for such through MSU.
                          Some course work may be done through online means.
                    Contact MSU Radiologic Sciences Department for specific details.


According to The Bureau of Labor Statistics, “Employment of radiologic technologists is
expected to increase by about 17 percent from 2008 to 2018, faster than the average for all occupations. ” -
Information obtained from 2010-11 edition of the Occupational Outlook Handbook on The Bureau of Labor Statistics website:
http://www.bls.gov/oco/ocos105.htm


             The courses of study for the Radiologic Science Program include:

                      Orientation to Radiography                                 Imaging Equipment
                         Medical Ethics and Law                         Radiographic Film Processing
                            Methods of Patient Care                        Evaluation of Radiographs
                         Human Structure & Function                        Radiographic Procedures
                          Medical Terminology                                       Radiobiology
                               Radiation Physics                            Radiographic Pathology
                 Principles of Radiation Protection                       Introduction to Computer Science
                 Principles of Radiographic Exposure                   Introduction to Quality Assurance


             Each student is responsible for his/her own transportation
     to and from the clinical sites as well as to Kilgore College- Kilgore campus.

                                                 Clinical Affiliates
                                          Diagnostic Clinic of Longview
                                    East Texas Medical Center- Henderson
                                     East Texas Medical Center- Carthage
                                  Good Shepherd Medical Center- Longview
                                   Good Shepherd Medical Center- Marshall
                                             Longview Cancer Center
                                       Longview Regional Medical Center
                                  University of Texas Health Center at Tyler
The Radiologic Technologist, also known as a radiographer, is primarily responsible for
applying ionizing radiation to demonstrate portions of the human body in a radiographic image
on a film, computer monitor, fluoroscopic screen or other imaging system for the purpose of
assisting physicians (the Radiologist and other Physicians) in diagnosis of disease and injury.

A typical staff radiographer job description is included below. These duties should match the
prospective Radiologic Science student’s interests, motivation, and physical abilities.


                                STAFF RADIOGRAPHER JOB DESCRIPTION

Title:          Staff Radiographer or Radiologic Technologist

Reports to:     Director or Supervisor of Imaging Department

Position        Provides patient services using imaging modalities
Summary:        Performs radiographic procedures
                Applies principles of radiation protection
                Evaluates radiographic images for technical quality
                Exercises professional judgment in the performance of procedures
                Provides patient care essential to radiographic procedures
                Recognizes patient conditions requiring immediate action and initiates life support
                measures
Other
Duties:

1. Perform diagnostic radiographic services:
        A.    Operate imaging equipment
                (technologist must be physically able to reach and manipulate the X-ray tube head)
          B.    Operate other equipment devices as appropriate
          C.    Position patients
          D.    Immobilize patients as necessary
          E.    Calculate exposure factors
          F.    Assume care for physical and psychological needs of patients during examinations and
                procedures
          G.    Practice aseptic technique as necessary
          H.    Assist with administration of contrast media
                (may include performing venipuncture)
         I.     Verbally communicate with the patient in order to obtain pertinent clinical history
         J.     Input data utilizing a keybord, mouse or barcode scanner
 2.   Maintain patient records and confidentiality
 3.   Assume responsibility for assigned area
 4.   Provide input for equipment and supply purchase decisions
 5.   Instruct specific clinical education for students in Radiologic Science
 6.   Assume responsibility for portions of the quality assurance program
 7.   Pursue ongoing continuing education

Qualifications:
 1.     Graduate of an accredited Radiologic Science Program.
 2.     Radiography certification by the American Registry of Radiologic Technologists (ARRT)
 3.     Valid state certification

Career Advancement: Supervisor; Specialty area technologist
                                      KILGORE COLLEGE
                                RADIOLOGIC SCIENCE PROGRAM
                                PROGRAM MISSION AND GOALS

The mission of the Department of Radiologic Science at Kilgore College is to prepare
qualified imaging technologists. Through didactical learning, laboratory preparation, and
clinical experiences, students will develop professional knowledge, ethical patient care and
technical skills.

GOALS:

1.    To provide students with a broad educational background by using a variety of educational
      resources and experiences.
2.    To provide a strong undergraduate curriculum based on current needs.
3.    To develop in students the professional attitudes and ethics required of Radiologic Technologists.
4.    To educate students in the merits of continuing professional development.
5.    To prepare students to graduate with an Associate of Applied Science Degree and for employment
      in the Radiologic Technologist field.
6.    To prepare students to pass the national certification examination for radiography administered by
      the American Registry of Radiologic Technologists (ARRT).
7.    To provide the community with competent and educated Radiologic Technologists.
8.    To promote independent thinking and life-long learning.
9.    To present state of the art medical imaging to Radiologic Science students.
10.   To meet and exceed medical imaging educational standards as required by the State of Texas.
                                                                                               Revised Aug 2007



                                        Clinical Philosophy

 The Radiologic Science Program was developed under the philosophy that clinical
 experience should be in combination with academic preparation. In the classroom, the
 student will learn theoretical information necessary to develop and perform as a technologist.
 In the laboratory, this information is used to practice patient care and procedures. In the
 clinical environment, the student will have the opportunity to perfect the technological skills
 and progressively develop professional skills and independence so that they are ready to enter
 the profession following program completion. The ultimate goal of the program is to prepare
 students to become outstanding staff radiologic technologists who have the potential to become
 effective supervisors, instructors, or specialty technologists.

 The ability of graduates from a Radiologic Science program to enter the profession and to
 assume the role and responsibilities of staff technologists depends on the quality of their
 academic and clinical experience. This program provides students opportunity to gain proficiency
 in diagnostic radiology. In order to achieve this proficiency, students are integrated into the normal
 operation of a radiology department.

 Initially, close supervision is essential; however, the quicker the student learns to function under
 limited supervision, the easier it is for the student to become an independent technologist upon
 program completion. Students are integrated into the department's work schedules with scheduled
 rotations through all work centers. During the first semester of clinical education, students must
 be supervised closely and contribute little toward the workload of the department. Each semester,
 the student should gain more experience, knowledge, and confidence, so that during later semesters
 of enrollment in the program the student perfects his or her clinical skills and prepares for the transition
 from student to technologist by assuming more patient care responsibility.
                                RADIOLOGIC SCIENCE PROGRAM
                                     GRADING POLICIES



              Final course grades are calculated by specifications made in each course outline.
         To satisfy degree requirements, students are required to MAINTAIN a “C” average,
               in all RADR courses. This average must be maintained for the student
     to remain eligible to be enrolled in the program and eventually attain program completion.
                                    The grading scale is as follows:




Academic (Didactical) Course Grading Scale:


                                               100-92          A
                                                91-83          B
                                                82-75          C
                                                74-67          D
                                              Below 67         F




Clinical/Practicum Course Grading Scale:


                                               100-94          A
                                                93-87          B
                                                86-80          C
                                                79-70          D
                                              Below 70         F




           Failure to achieve a “C” or better overall grade in any RADR course will result in
            dismissal or suspension from the program. However, this does not mean that
                 a student is ineligible to register for other courses at Kilgore College.

      NOTE: A grade of "C" or higher is required in all math and science and computer courses.
                  The grading scale in these courses is in accordance with
                             the current Kilgore College Catalog.
                                  Radiologic Science Program Application Instructions

In addition to admission to Kilgore College, a student must submit additional materials as part of an application packet for the
Radiologic Science Program. The deadline for all applications is MARCH 15th. This means that all application
packets must be postmarked or hand-delivered by March 15th or delivered to the office on the next business
day if the 15th falls on the weekend or during campus closure. The Radiologic Science Program application
packet requires that the following be submitted in entirety to: RADIOLOGIC SCIENCE PROGRAM
                                                                          Kilgore College
                                                                          1100 Broadway
                                                                          Kilgore, TX 75662

To make application to the Radiologic Science Program, submit the following completed materials in their
entirety to the above address.

    1. The Radiologic Science Program Application For Admission Form (included in this packet) will need to
       be on file in the Radiologic Science office prior to scheduling an observation day. You may submit your
       packet in sections as you complete them.

    2. If you have attended or are attending college, submit official copies of all college transcript(s).
       This includes attendance at Kilgore College. The Office of Admissions and Records will not automatically
       send them. You must make request to the KC Office of Admissions and Records. Most institutions require
       a written request along with a fee for official transcripts. The Registrar of the college or university will
       send a sealed envelope with a seal of the institution on the transcript. Allow sufficient time for transcripts
       to be sent. You may have them sent to you or the Radiologic Science Program at the above address. If
       you have transcripts sent directly to you, DO NOT OPEN THESE TRANSCRIPTS OR THEY MAY BE
       INVALIDATED. ENCLOSE THEM IN YOUR PACKET IN THEIR SEALED ENVELOPES or have them sent
       directly to the Radiologic Science Program.

    3. Two Applicant Reference Forms must be submitted (included in packet). Applicants will need to
       complete only the upper portion of the form. Ask the person completing the reference form to mail the
       form directly to the Radiologic Science Program. As a suggestion, you may want to provide a stamped
       envelope with the program address on it for the convenience of the person completing the reference
       form. One reference must be from an employer or a teacher. The other can be from another employer,
       co-worker, teacher, counselor, pastor, or friend.

    4. A typed, double-spaced, well-developed one-to-two page essay that explains your interest in the
       Radiologic Science Program. Comment on previous work, personal experiences, influences and/or hobbies
       that demonstrate a strong interest in the field of Radiologic Science. Include ideas about how the
       Radiologic Science Program will assist you in your personal/professional goals. Indicate why you want to
       become a Radiologic Technologist.

    5. An observation day in the radiology department of a local facility is required of all applicants. The
       observation should be scheduled by contacting Renee’ Golden, Health Science Administrative Assistant, in
       the TV building office 113 or (903)983-8146, during the month of February. It is your responsibility to
       schedule the observation assignment. The Clinical Instructor at the facility will complete an observation
       evaluation form on the day of your visit. The Clinical Instructor will submit the form to the program.

    6. Applicants will be required to undergo and submit to the program results of the Nelson-Denny test.
       Results should be current within 1 year (scores used from previous year’s application process will be
       accepted). The test will be administered by the Radiologic Science Department (dates and specific details
       TBA). After the start of the Spring semester, applicants may contact Renee’ Golden, Health Science
       Administrative Assitant, at Office 113 TV building 113, rgolden@kilgore.edu , or (903)983-8146 for details
       and scheduling availability.

    7. Applicant should read, sign and submit the Essential Job Functions form (included in packet). You
       should contact the Program Director regarding any task listed which you have concern about or would
       like more detailed clarification.

         Applicants without all of the above information submitted by the March 15th deadline (or first business
         day campus is open following March 15th) will not be considered. Please read the above instructions
         carefully. Failure to follow instructions may affect your acceptance into the program.
After the applicant information has been reviewed, applicants will be numerically ranked. The
top 25 applicants from the applicant pool will be scheduled for an interview with the
admission interview committee during the latter portion of April. Applicants who
are not selected for an interview will receive a notification letter which will also
serve as a decline of program admission letter. Applicants who are selected to
undergo the interview process will be notified of program admission status
(acceptance, alternate status, or non-acceptance) by mail around mid-May.

Although Kilgore College has an open-door policy, the Radiologic Science Program must limit
enrollment in the program due to limited classroom space and available clinical facilities.
Successful completion of the criteria provides proof of qualification for the Radiologic Science
Program but does not guarantee admission to the Program. Minimum academic standards may
be set. There is no restriction as to gender, age, race, color, creed or religion, national origin,
sexual orientation, disability, or marital status.

       Applicants   will be ranked for admission using the following:

              Cumulative GPA (2.0 minimum GPA required)
              Completeness of pre-requisite courses
              Status of completion of required Biology courses
              Grades received in Biology courses
              Scores on Applicant Reference Forms
              Score on Observation Evaluation Form
              Score on Essay
              Nelson-Denny Test Score
              Interview Scores
              Priority will be given to a similar ranking candidate who has 12 or more hours of
               course work that was completed at Kilgore College



           APPLICATION CHECKLIST

              Application and Acceptance to Kilgore College
              Application for Program Admission Form Completed and Submitted
              All College Transcripts Submitted to Program including a current KC transcript
              Two Applicant Reference Forms mailed by the individual completing the form
               (you may want to confirm these were received as the March 15th deadline nears)
              Completed and Submitted an Essay of Interest
              Scheduled and Attended Observation Day
              Nelson-Denny Test Scheduled and Completed
              Signed Job Essentials Form
                  Kilgore College Radiologic Science Application For Admission


Full Legal Name_____________________________________________________________
Other name(s)_______________________________________________________________
Home Address_______________________________________________________________
Mailing Adress_______________________________________________________________
Email Address_______________________________________________________________
Home Phone (       )    -         Business Phone (          )     -          Other Phone (        )    -
Emergency Contact__________________________________                          Home Phone (         )    -
If you are not a U.S. citizen, what type Visa do you have? _______________ #___________
Length of time in Texas? ___________            Do you have your own transportation? yes no
Have you served in the U.S. military? yes no                  If yes, branch ________________________
Date Entered ___________           Date Discharged ___________               Type of Discharge ___________
Member of Reserve? yes no               If yes, Active or Inactive ? Draft Status __________

Have you ever been convicted of a misdemeanor or felony other than minor traffic citations?
yes no        If yes, you are required to seek clarification of eligibility of the ARRT registry
                examination prior to enrollment in this course of study. This is necessary in
                determination of clinical and program eligibility. Information and instructions for
                this process can be obtained at
                                        http://www.arrt.org

Education List name and location of all schools attended (most recent first), including high school.
       All transcripts must be submitted, with the exception of high school transcripts.
 Name of School                           Location                           Hours          Dates
                                                                             Earned         Attended




                                 Deadline for application is March 15.
 If accepted to the Radiologic Science Program,
      1) you will be responsible for your own transportation to KC campus and all clinical
          assignments
      2) you will be responsible for purchasing uniforms as arranged by Radiologic Science
          Program faculty
      3) you will be responsible for purchasing student liability insurance that will be assessed
          with tuition fees each fall semester while enrolled in the program.
      4) you will be responsible for purchasing for each enrolled program course any adopted
          texts, e-products or other required materials, fees or subscriptions
  Confirm by signing below that you:
     have read and will comply with the above information
     the information you have provided in this application is true and complete to the best of
         your knowledge
     understand that any misrepresentation or falsification of information is cause for denial of
         admission and/or expulsion from Kilgore College and may affect eligibility for the national
         certification examination administered by the ARRT

 ________________________________________                         ____________________________
 Signature of Applicant                                               Date

                       Kilgore College does not discriminate on basis of race, color, religion,
                        national origin, sex, age, handicap, marital status or veteran status.
                                       KILGORE COLLEGE
                                    ESSENTIAL JOB FUNCTIONS
                                   RADIOGRAPHY TECHNOLOGY
              The following are essential job functions for any Radiologic Technologist
                 as compiled from observations of a wide variety of job experience.

      1.     VISUAL ACUITY:
             •        Distinguish whether beam is perpendicular, horizontal, of angled through center of
                     anatomical areas being x-rayed to the center of image receptor.
             •        Perform or assist with, as appropriate, necessary radiography procedures that
                     involve placement of needles, catheters, etc. into proper anatomic structure of the
                     patient.
                     Distinguish objects both in the darkroom, radiographic room, on the imaging
                      monitor, or electronic control panel in order to perform tasks related to
                      radiographic and fluoroscopic procedures in light controlled areas.
             •        Read protocol for radiography procedures in the department.
             •        Perform data entry tasks using digital and computer terminals.
      2.     HEARING ACUITY:
             •        Hearing must be sufficient to communicate with others.
             •        Distinguish phonetic sounds either mechanically transmitted or from conversation
                     in order to perform processing tasks and other tasks such as fluoroscopic
                     procedures which are conducted in a dimly lighted environment.
             •        Hear and retain pertinent information to relay instructions.
             •        Hear and respond to patient questions and clinical history information while
                     processing an examination request.
      3.     SPEAKING ABILITY:
             •        Speak clearly and loudly enough to be understood by a person in the radiology
                     department, in surgery or on the phone.
             •        Good communication skills are also necessary to maintain good interpersonal
                     relationships with patients and peers.
      4.     DIGITAL DEXTERITY:
             •        Grasp and manipulate small objects required to perform job function.
             •        Operate a variety of imaging equipment and accessories.
             •        Arms and hands or functional artificial limbs are essential to perform radiographic
                     procedures and transfer patients.
             •        Legs and feet or functional artificial limbs are essential to maintain balance to
                     accomplish required duties and transport patients.
      5.     PHYSICAL ABILITY:
             •        Stand for the majority of a normal work day.
             •        Maneuver through congested area(s) or unit(s) to perform positioning procedures
                     and transport patients.
             •        Raise arm(s) while maintaining balance when positioning a patient, reaching over
                     examination table, or adjusting x-ray tube.
             •        Maneuver between different floors of an institution.
             •        Pull/push medical equipment and adjust x-ray tubes to standard distances;
                     transfer of patients to and from examination table and stretcher or wheelchair.
             •        Personal weight must allow free movement within small control area, move quickly
                     during patient emergencies; maneuver in small areas while performing portable
                     radiography procedures.
      6.     ADAPTIVE ABILITY:
             •       Complete tasks or job functions within deadlines.
             •       Complete required tasks/functions under stressful conditions.
             •       Track and complete multiple tasks at the same time.
             •       Perform independently with minimal supervision.
             •       Interact appropriately with diverse personalities.

      I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS. I MEET THE ABOVE STATED
             STANDARDS FOR THE RADIOLOGIC SCIENCE PROGRAM AT KILGORE COLLEGE.
IF I CANNOT MEET THESE STANDARDS, I UNDERSTAND THAT I MAY BE DISMISSED FROM THE PROGRAM.


Signature______________________________________                       Date______________________
                       KILGORE COLLEGE RADIOLOGIC SCIENCE PROGRAM
                             APPLICANT REFERENCE FORM

                APPLICANT COMPLETE THE UPPER PORTION OF THIS FORM ONLY


APPLICANT NAME (Please Print):___________________________________________

Under the Federal law entitled the Family Educational Right and Privacy Act of 1974, students are
given the right to inspect their records, including letters of recommendation. While we shall
consider all letters of recommendation carefully, we believe that in many instances letters written
in confidence in the long run are of greater use in assessment of a student’s qualifications,
abilities, and promise.

I do ____ do not ____ waive my right to review the content of this form.

Applicant signature: ________________________________ Date _________________

_________Only The Person Completing Reference Form is to Respond Below_________

The applicant whose name appears above is requesting that you complete this reference
        form in regard to his/her application to the Radiologic Science Program.
     Please take the time to respond to the questionnaire as honestly as possible.
                 Mark at least one but only one choice in each category.

This applicant will not be considered for the Radiologic Science Program unless this reference
form is returned. Please advise the applicant if you will not be returning it.
Please mail the completed form prior to March 15 to:

                         Kilgore College
                         Radiologic Science Program
                         1100 Broadway
                         Kilgore, TX, 75662

How long have you known this person?
    <6 months                  6-12 months                    1-3 years             >3 years
In what capacity have you known the applicant?

Friend/Acquaintance Teacher/Counselor/Pastor        Employer/Co-worker       Employer/Co-worker
                                                     Non-Healthcare           Healthcare
                                                     Profession               Profession

Rate this applicant’s behavior in the following areas by circling the appropriate phrase:

DEPENDABILITY / ATTENDANCE
Frequently absent or       Never absent or late       Occasionally absent     Rarely absent or
late - rarely calls if                                or late - sometimes     late-usually calls
either                                                calls

INITIATIVE / MOTIVATION / ENTHUSIASM
Seldom needs               Self-motivated; asks       Relies on direction     Occasionally
direction and              appropriate                for all actions         initiates own
prompting;                 questions and                                      activity, needing
frequently initiates       requests learning                                  occasional direction
own activity               opportunities
                                                                                Page 1 OF 2
        MATURITY
        Occasionally acts       Acts maturely most         Frequently acts               Very mature in all
        immaturely              of the time                immaturely                    actions

        NEATNESS / GROOMING
        Consistently            Always neat and well       Occasionally                  Usually neat and
        displays poor           groomed                    displays poor                 well groomed
        hygiene and                                        hygiene and
        grooming                                           grooming

        ATTITUDE / PERSONALITY / INTERPERSONAL SKILLS
        Displays evidence of    Gets along well most       Makes an attempt to           Always gets along
        difficulty getting      of the time with most      get along but easily          with coworkers,
        along with people       people                     swayed or angered             supervisors, and
                                                                                         subordinates

        REACTION TO STRESS
        Displays good           Easily upset by            Needs freq. direction         Handles stress but
        coping skills under     stressful situations       and assistance                shows some signs
        stress                                             during stressful              of distress during or
                                                           situations                    immediately after
                                                                                         stress

        CAPACITY FOR PROBLEM-SOLVING
        Needs freq.             Independent thinker        Needs occasional              Usually able to
        guidance and                                       guidance and                  problem-solve
        direction for problem                              direction for                 independently
        solving                                            problem solving               needing minimal
                                                                                         guidance

        COMMUNICATION SKILLS
        Frequently uses         Occasionally uses          Always uses proper            Usually uses proper
        poor grammar and        poor grammar and           grammar and                   grammar and
        terminology in          terminology in verbal      terminology in                terminology in
        verbal and written      and written                verbal and written            verbal and written
        communication           communication              communication                 communication

        ORGANIZATION / WORK HABITS
        Occasionally            Completes tasks in         Disorganized; does            Well organized in
        disorganized;           timely manner even         not complete tasks            work habits;
        requires excessive      though disorganized                                      productive
        time to complete
        tasks


        In your opinion, is this applicant suited for a career in the healthcare field? Yes or No
        Comments (May use back if needed):




Signature                                 Printed Name                            Date


Phone                                     Position/Title                          Business/Company


                                                                                     Page 2 of 2
                 KILGORE COLLEGE RADIOLOGIC SCIENCE PROGRAM
                          APPLICANT REFERENCE FORM

                APPLICANT COMPLETE THE UPPER PORTION OF THIS FORM ONLY


APPLICANT NAME (Please Print):___________________________________________

Under the Federal law entitled the Family Educational Right and Privacy Act of 1974, students are
given the right to inspect their records, including letters of recommendation. While we shall
consider all letters of recommendation carefully, we believe that in many instances letters written
in confidence in the long run are of greater use in assessment of a student’s qualifications,
abilities, and promise.

I do ____ do not ____ waive my right to review the content of this form.


Applicant signature: ________________________________ Date _________________

_________Only The Person Completing Reference Form is to Respond Below_________

The applicant whose name appears above is requesting that you complete this reference
        form in regard to his/her application to the Radiologic Science Program.
     Please take the time to respond to the questionnaire as honestly as possible.
                 Mark at least one but only one choice in each category.

This applicant will not be considered for the Radiologic Science Program unless this reference
form is returned. Please advise the applicant if you will not be returning it.
Please mail the completed form prior to March 15 to:

                         Kilgore College Radiologic Science Program
                         1100 Broadway
                         Kilgore, TX, 75662

How long have you known this person?
    <6 months                   6-12 months                  1-3 years              >3 years
In what capacity have you known the applicant?

Friend/Acquaintance Teacher/Counselor/Pastor Employer/Co-worker             Employer/Co-worker
                                               Non-Healthcare                Healthcare
                                               Profession                     Profession

Rate this applicant’s behavior in the following areas by circling the appropriate phrase:


DEPENDABILITY / ATTENDANCE
Frequently absent or       Never absent or late     Occasionally absent       Rarely absent or
late - rarely calls if                              or late - sometimes       late-usually calls
either                                              calls

INITIATIVE / MOTIVATION / ENTHUSIASM
Seldom needs               Self-motivated; asks     Relies on direction       Occasionally
direction and              appropriate              for all actions           initiates own
prompting;                 questions and                                      activity, needing
frequently initiates       requests learning                                  occasional direction
own activity               opportunities
                                                                                Page 1 OF 2
        MATURITY
        Occasionally acts       Acts maturely most         Frequently acts               Very mature in all
        immaturely              of the time                immaturely                    actions

        NEATNESS / GROOMING
        Consistently            Always neat and well       Occasionally                  Usually neat and
        displays poor           groomed                    displays poor                 well groomed
        hygiene and                                        hygiene and
        grooming                                           grooming

        ATTITUDE / PERSONALITY / INTERPERSONAL SKILLS
        Displays evidence of    Gets along well most       Makes an attempt to           Always gets along
        difficulty getting      of the time with most      get along but easily          with coworkers,
        along with people       people                     swayed or angered             supervisors, and
                                                                                         subordinates

        REACTION TO STRESS
        Displays good           Easily upset by            Needs freq. direction         Handles stress but
        coping skills under     stressful situations       and assistance                shows some signs
        stress                                             during stressful              of distress during or
                                                           situations                    immediately after
                                                                                         stress

        CAPACITY FOR PROBLEM-SOLVING
        Needs freq.             Independent thinker        Needs occasional              Usually able to
        guidance and                                       guidance and                  problem-solve
        direction for problem                              direction for                 independently
        solving                                            problem solving               needing minimal
                                                                                         guidance

        COMMUNICATION SKILLS
        Frequently uses         Occasionally uses          Always uses proper            Usually uses proper
        poor grammar and        poor grammar and           grammar and                   grammar and
        terminology in          terminology in verbal      terminology in                terminology in
        verbal and written      and written                verbal and written            verbal and written
        communication           communication              communication                 communication

        ORGANIZATION / WORK HABITS
        Occasionally            Completes tasks in         Disorganized; does            Well organized in
        disorganized;           timely manner even         not complete tasks            work habits;
        requires excessive      though disorganized                                      productive
        time to complete
        tasks


        In your opinion, is this applicant suited for a career in the healthcare field? Yes or No
        Comments (May use back if needed):

Signature                                 Printed Name                            Date


Phone                                     Position/Title                          Business/Company


Email Address


                                                                                     Page 2 of 2
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