Michigan Submit Request

First Name*

Last Name*

Email*

Phone*

Do you have BLS certification? *

No

Yes

Do you have ARDMS certification?*

No

Yes

What is your ARDMS 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 experience as a Sonographer do you have?*

How many years Echo experience do you have?*

Have you worked as a Sonographer in the past year?*

No

Yes

What Facilityhave you worked as a Sonographer most recently?*

Can you perform cardiac echo's?*

No

Yes

Can you perform OB ultrasound?*

No

Yes

Can you perform TEE?*

No

Yes

Do you have Pediatric experience?*

Do you have neonatal experience?*

Do you have structural heart services experience?*

No

Yes

Which specialty are you most comfortable with?*

Can you utilize PACS (picture archiving and communications system) with accuracy?*

No

Yes

Are you experienced in vascular studies?*

No

Yes

List any equipment you have experience with not listed above:

Michigan - Potential Strike

Submit Request