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Providence Hospital


Location

16001 W. 9 Mile Rd.
Southfield, Michigan 48075
Map

Phone

248-849-3000

Visitor Information

General visiting hours 11:00 a.m.-8 p.m.
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School of Diagnostic Medical Sonography Application

 


SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY

We are an equal opportunity employer. Qualified applicants are considered for employment without regard to race,  color, religion, sex, height, weight, national origin, age, sexual orientation, arrest record, marital, familial, veteran status, or disability as defined  under applicable law. It is the applicant's responsibility to notify us of any reasonable   accommodation necessary to perform the essential duties of the position for which the applicant has applied.  NOTE: There are two portions to the application. For your application to be considered - both portions must be completed. By clicking on the   "SUBMIT" button, both portions will be submitted:
1) Application for Admission (Personal Data, Emergency Contact, Education/Training, Employment History): 2 pages
2) Technical Standards Survey: 1 page

*Required information


APPLICATION FOR ADMISSION
Personal Data

*Name (Last, First, Middle)

  
*Address  
*City, State, Zip Code  
*Telephone (Home)   Example:2485555555
Telephone (Alternate)  
Email Address  
   

*Are you age 18 or older?    Yes    No 

*Are you a U.S. citizen or otherwise authorized to work in the U.S.?   Yes   No

*Have you ever been convicted of a crime other than a minor traffic violation?   Yes   No

 


Person to Notify in Case of Emergency

*Name

  
*Address  
*City, State, Zip Code  
*Telephone   Example:2485555555
Telephone (Alternate)   Example:2485555555

Education and Training 
*High School  
*Location  
*Graduated    Yes    No  
*Degree/Diploma  
Undergraduate College/University  
Location  
Major  
Graduated    Yes    No  
Degree/Diploma  
Undergraduate College/University  
Location  
Major  
Graduated    Yes    No  
Degree/Diploma  
Technical/Vocational  
Location  
Major  
Graduated    Yes    No  
Degree/Diploma/Certificate  
   

 

 

 
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