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  Radiologic Technologists

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Apply to Join DiagnosTemps' Team

 
First Name:  
MI:  
Last Name:  
Address Line 1:  
Address Line 2:
City:  
State:    
Zip:  
Day Phone:  
Evening Phone:  
Cell Phone:  
Pager:  
Email:  

Check all that apply:  
  ARRT
  ARRT(M)
  ARRT(CT)
  ARRT(CV)
  ARRT(MR)
  ARRT(N)
  ARRT(T)
  RDMS
  RVT
  RDCS
  CNMT

In which states do you have a current radiology license:
State1:    
State2:    
State3:    
State4:    
State5:    

Check all in which you are proficient. (we will speak with you about your skills at greater length during the interview)
  General Radiography
  Fluoroscopy
  Surgery
  Special Procedures
  Mammography
  General Ultrasound
  Arterial
  Venous Doppler
  Echocardiagram
  CT
  MRI
  Nuclear Medicine
  CathLab
  Radiation Therapy

From which institution did you receive your professional training?
   
Graduation Year:  

Please check the days and shifts you wish to work.
 
  M Tu W Th F Sa Su
1st
2nd
3rd
 

When are you available to begin working?
 

Comments:  

How did you hear of DiagnosTemps?
   

Upload your Resume:
   
  Note: Use the 'Browse' button to select the file (do not type the file name directly into the text area to the left of the 'Browse' button).

Then click the 'Submit' button to submit this form and upload your resume.

 
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