Nichols Career Center
Program of Radiologic Technology
Jefferson City, MO 65101
Students considering a career in the radiologic sciences can make a better informed
career decision if their choice is based on some personal experiences or observations. Please
observe a minimum of 4 hours and document this experience by taking this form with you to a
local radiology department. Applicants should call and make an appointment with the radiology
manager or supervisor regarding their observation. Try to spend the majority of your
observation time in diagnostic radiology. (If the department is not busy that day, please
consider doing another observation.) Ask the technologist you observed to sign the form on
the designated signature.
Professional dress is a must when observing at the clinical sites. Jeans, t-shirts,
sweatshirts, or tennis shoes are not allowed. No pierced jewelry shall be worn with the exception
of one earring per earlobe. Overall appearance should be clean and neat. A professional
appearance inspires confidence in the patient.
On an additional piece of paper, describe the examinations and
equipment you observed. Please type or neatly print your responses.
Applicant Name _____________________________________________
Radiology Department _____________________________________________
Date of observation _____________________________________________
Time of observation _____________________________________________
Technologist signature _____________________________________________
Applicant Signature Date