1. HACC CARDIAC SONOGRAPHY PROGRAM CLINICAL APPLICATION

By completing this form you are applying for the August (Fall) 2018 Cardiac Sonography clinical program. If you have any questions regarding your application, please contact Tami Burkholder (tlburkho@hacc.edu, 717-358-2837) prior to May 1.

You must attend a mandatory information session this spring (2018) to be eligible to apply.

All applicants will be notified of the committee's decision mid May 2018.

ALL QUESTIONS MUST BE ANSWERED.

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* 1. CARDIAC SONOGRAPHY - Please enter your information here. PLEASE LIST YOUR HAWKMAIL email address. If you haven't activated it yet, do that NOW.

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* 2. What is your HACC ID (begins with H)?

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* 3. Have you registered for a mandatory CVT information session? (You must attend one of these sessions this year even if you have attended one in the past.) If not, you are not eligible to apply.

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* 4. Are you currently taking or have you taken CVT 101 & 102 or do you have CCT certification and 6 months of employment in a cardiovascular department or physician's practice?

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