Employer Verification Form:

    Magnetic Resonance Imaging (MRI) TechnologistRadiologic/ X-Ray TechnologistDiagnostic Medical Sonographer (DMS)Echocardiography/Noninvasive Cardiovascular SonographerCentral Supply TechSurgical TechnologistDialysis TechnologistPhlebotomy TechnicianMedical AssistingEKG Technician

    My Electronic signature certifies all the information above as true and correct to the best of my knowledge. Part Time/Temporary Work Statement: My electronic signature above indicates my choice to seek or accept part time work. Part time work is defined as at least 20 hours per week for 5 weeks (35 calendar days)