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#0724-RH5153-AC
Supplemental Questionnaire

Last Name
First Name
1.

How many years of full-time paid work experience performing ultrasound examinations in a physician's office, clinic or hospital do you have? 
Three years or more
More than two years, but less than three
More than one year, but less than one
Less than one year
2.

Have you graduated from an approved ultrasound/vascular technology education program, or a two-year allied health education program that is patient care related?
Yes No

 

Please ensure this is CLEARLY indicated in the Education section of your application.