Indiana Society

of

Radiologic Technologists

Student Intern Program

This is an invitation for all students to consider becoming an active part of the state professional society through the Student Intern Program.

The purpose of the ISRT Student Intern Program is to foster knowledgeable students with insight into the activities, functions, purpose and goals of the Indiana Society of Radiologic Technologists and to increase student participation and involvement in your professional organization. This is your opportunity to prepare yourself as a future leader in our profession.

The Student Intern Program offers students the opportunity to work closely with ISRT Board members in order to learn more about the activities, functions, purpose and goals of the Society. Students interested in becoming an ISRT Student Intern must be a member of the ISRT and must be available to attend all ISRT Board of Directors meetings, the ISRT Annual Conference and all Business Sessions. The one year term of the Student Intern would begin at the first ISRT Board meeting of the current year’sAnnual Conference and would conclude at the close of the following year’s Annual Conference. A Student Intern can extend their service a second term if they choose simply by submitting a letter of intent to the ISRT Board of Directors.

**NOTE: If you are a 2nd year student, the Summer board meeting and the Annual Conference will typically occur after you have graduated. A Student Intern (first or second term) who graduates may continue the program as a technologist until the end of their term or they may withdraw from the program upon graduation by submitting a written letter to the ISRT Board of Directors.

Interested students should submit an application and other required documentation to the ISRT Secretarywith an electronic postmark date no later than August 15 of the current calendar year. Questions concerning electronic submission (or concerns with being able to submit electronically) can be directed to the ISRT Secretary. You can also contact current ISRT President for additional information. The Student Intern Manual is located on the ISRT website at

StudentIntern Application

The Indiana Society of Radiologic Technologists is committed to planning and providing leadership for the Student Intern Program.

The purpose of the program is to foster knowledgeable students with an insight into the activities, functions, purpose, and goals of the ISRT and to increase the participation and involvement of students.

STUDENT QUALIFICATIONS:

Student Intern applicants must be a student of an accredited entry level program in the Radiologic Sciences. The Student Intern must be available to attend all ISRT Board of Directors meetings, the ISRT Annual Conference, and all Business Sessions. The Annual Conference and Business Sessions occur at the end of the Student Intern’s term. A Student Intern who graduates may continue the program as a technologist until the end of their term or they may withdraw from the program upon graduation by submitting a written letter to the ISRT Board of Directors. The Student Intern applicant must be a current member of the ISRT at the time of application and must maintain ISRT membership while serving as a Student Intern. Please include a copy of your ISRT membership card with your application.

  • Use the Tab key to move to each field to complete.
  • When finished please save the form to your computer and then email as an attachment.

NAME OF STUDENT INTERN APPLICANT

ADDRESS OF APPLICANT

CITY/STATE/ZIP

PHONE WITH AREA CODE E-MAIL

MONTH/YEAR OF GRADUATION

NAME OF RADIOLOGIC SCIENCES PROGRAM

NAME OF PROGRAM DIRECTOR

APPLICANT STATEMENT:

Please provide a brief narrative that explains how serving as an ISRT Student Intern would benefit you. Please type your statement, double spaced and no more than two (2) pages in length and attach to your application.

APPLICANT CERTIFICATION:

I submit this application for consideration as an ISRT Student Intern. If selected I will comply with all ISRT policies for the Student Intern program.

Applicant SignatureDate of Application

(An electronic signature or email verifying this accuracy/authenticity of this form can be used when emailing the forms).

Please submit your Student Intern program application and required documents electronically on or before August 15 of current year to:

ISRT SECRETARY: changes annually. The currentSecretary's information can be found on the Printable Directory on under “About”.
ISRT Secretary to Complete:

Postmark or Electronic Date Stamp

Date Received

Was documentation complete?

Director of Competitions Name