Official SealSan Joaquin County Human Resources Division


#0723-RH5010-FX
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess one year paid work experience performing cardiac diagnostics procedures including echocardiograms?
Yes No

 

Please ensure this is CLEARLY demonstrated in the Employment Experience section of your application.

Note: resumes will not be accepted in lieu of a completed application. 
2.

Have you completed an approved training course in echogradiography technology or ultrasound technology?
Yes No

 

Please ensure this is CLEARLY indicated in the Education section of your application.
3.

Are you currently certified as a Registered Diagnostic Cardiac Sonographer?
Yes No
4.

 Are you currently certified as a Registered Cardiac Vascular Technician (RVT)?
Yes No
5.

Are you currently certified as a Registered Diagnostic Medical Sonographer (RMDS) in good standing with the American Registry of Diagnostic Medical Sonography (ARDMS)?
Yes No

 

Please ensure this is CLEARLY indicated in the Professional Licenses, Certifications, or Registrations section of your application. 
 

By checking this box, I acknowledge that I must provide copies of all certifications with my application.