Candidate Interest Form

Thank you for your interest in our Illinois Radiologist Technologist Urgent Care opportunities! Please complete the form below and we will contact you shortly with additional information:

First Name*	Last Name*


Email Address*

What is the best way to reach you?*

Text Message

Phone Call

Phone Number (for texting only - we won't call unless you ask us to!)*

Are you ARRT Board Certified?*

Years of experience:*

City/Regional Preference

In which state(s) are you currently licensed?*

OPTIONAL: Attach Resume