Get Az Adhs Certified Practical Technologist In Radiology Initial Application 2021-2025

Filling out the AZ ADHS Certified Practical Technologist In Radiology Initial Application online is a straightforward process that requires careful attention to detail. This guide provides step-by-step instructions to help users confidently complete their application.

Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to obtain the application form and open it in the editor.
2. Begin by entering your legal first, middle, and last names in the designated fields. Ensure that the names match your official documents.
3. If you have a previous Arizona Certified Practical Technologist number, enter it in the corresponding field.
4. Provide your date of birth in the format MM/DD/YYYY and your Social Security Number. These are essential for identity verification.
5. Enter your current email address and phone number to facilitate communication throughout the application process.
6. Fill in your residential and mailing addresses accurately. If your mailing address differs from your residential one, ensure to indicate so.
7. Complete the License/Certification History section. If applicable, enter your certification numbers from recognized organizations such as ARRT or NMTCB.
8. Answer the questions regarding prior professional licenses or certifications, including any disciplinary actions, truthfully.
9. Document your educational history, including the name of the institution, degree or certification obtained, and graduation date.
10. Provide current employment details if applicable, including your employer's name, address, and your position.
11. If you have a criminal history, complete that section accurately, providing all requested details about convictions.
12. Complete the Applicant Attestation section, affirming that all the information provided is true and accurate.
13. Prepare your supporting documents, including proof of citizenship or alien status, and any required documentation related to your application.
14. Finally, submit your application once all fields are completed, and all necessary documentation is attached. You may have the option to save, download, or print the form for your records.

Complete your application online today to take the first step toward becoming a certified practical technologist in radiology.