Michigan Submit Request

First Name*

Last Name*

Email*

Phone*

Do you have BLS certification? *

No

Yes

Do you have ARRT MRI certification?*

No

Yes

If yes, what is your ARRT Number?

Do you have NMTCB MRI certification?*

No

Yes

If yes, what is your NMTCB Number?

List any other certification you have:*

What specialties do you float to?*

Do you have the COVID Vaccination?*

No

Yes - Vaccinated

Yes - Vaccinated with Booster

Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?*

No

Yes

Can you work a Day shift?*

No

Yes

Can you work a Mid shift?*

No

Yes

Can you work a Night shift?*

No

Yes

What is your Primary Shift preference?*

Day

Mid

Night

100% Flexible

How many years Nuc Med Tech experience do you have?*

Have you worked as a Nuc Med Tech in the past year?*

No

Yes

What Facilityhave you worked as a Nuc Med Tech most recently?*

Can you administer radioactive chemical compounds?*

No

Yes

Can you perform patient imaging procedures?*

No

Yes

Can you analyze biologic specimens?*

No

Yes

Do you start PIV's?*

No

Yes

Do you do PET scans?*

No

Yes

List any equipment you have experience with not listed above:

Michigan - Potential Strike

Submit Request