Academic Programs

November 07, 2009

Quick Links

Introduction

Radiography Program Forms

Application Form (RAD TECH)	Observation Form	HIPPA Agreement Form
Clinical Instructor Evaluation Form	Hepatitis_B_Waiver Form	Transcript Evaluation Form
Clinical Preceptor Evaluation Form	Incomplete Grade Form	Quantitative_Selection Form
Clinical_Site Evaluation Form	Incident Report Form	JCTC Application Form
Clinical Attendance Form	Patient Log Form	Clinical Competency Requirements Form
Clinical Attendance Make-up Contract	Declaration of Pregnancy Form	Immunizations-Health Info Form
Clinical Notebook Notebook Form	Acknowledgement Fetal Risk Form	Curriculum Guide
Procedure Check-Out Form	Declaration of Academic Major Form	Post-registry Articulation & Transfer Form
Student Performance Evaluation Form

Jefferson is a part of the Kentucky Community & Technical College System & is an Equal Opportunity / Affirmative Action Institution.

Kentucky Community & Technical College System
300 North Main
Versailles , KY 40383
(859) 256-3100

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Jefferson Community & Technical College
109 East Broadway
Louisville, KY 40202
(502) 213-5333