Fillable Radiologic Technology Clinical Time Card (Indian Hills Community College)

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Radiologic Technology Clinical Time Card (Indian Hills Community College)

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Clinical Time Card
Radiologic Technology Program
Name:
Start Date:
Clinical Facilities:
Each student will be allowed ten (10) days for the entire length of the program. These are not intended to be
additional vacation days. When the student decides to use these days he/she must call in to the clinical site and
state reason for absenteeism. Absences will be documented on this time card. Clinical Instructors will notify the
faculty if the student has been absent 8 or more days and is in danger of exceeding their (10) days. If a student
misses more than six (6) clinical days the first year the student must withdraw from the program. Second year
students who miss more than (10) days and do not meet the criteria stated in the Leave of Absence Policy must
withdraw from the program. There are no banking of days.
Term Date Absent Reason
Signature Clinical
Instructor Midterm
Signature Clinical
Instructor Final
Program Director: Midterm Final
Term I:
Term II:
Term III:
Term IV:
Term V:
Term VI:
Term VII:
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Radiologic Technology Clinical Time Card (Indian Hills Community College)

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Completed 18 July 2020

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