Ascension Providence Hospital Application

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 sections to the application. For your application to be considered, both sections must be completed.

  1. Application for Admission

  2. Technical Standards Survey

Personal Information
Person to Notify in Case of Emergency
Education and Training
Employment History
Please Read the Following Carefully & Agree or Disagree
I hereby certify that the information given by me in this application is true and correct in all respects, and I understand that any misrepresentation, omission or falsification of information is grounds for immediate dismissal. I understand the information on this application is subject to check and verification by the Providence Hospital School of Diagnostic Sonography and that my previous employers may be asked for information regarding my employment with them. I hereby authorize all schools that I have attended, my former employers, my military service branch and any others having information concerning me or my past employment to release in confidence all information regarding me. I hereby release from liability each and all of those who provide such information. I understand that my acceptance into the school of Diagnostic Sonography is dependent upon my successful completion of a physical examination to be conducted by the hospital.
Technical Standards Survey

All applicants to the School of Diagnostic Medical Sonography are notified of the minimum requirements appropriate to the profession of sonography. The Americans with Disabilities Act (ADA) technical standards for the profession of diagnostic medical sonography include the ability to perform all of the following with reasonable accommodations:

  • Lift more than 50 pound routinely
  • Push and pull routinely
  • Bend and stoop routinely
  • Have full use of both hands, wrists and shoulders
  • Distinguish audible sounds
  • Adequately view sonograms, including color distinctions
  • Work standing on their feet 80% of the time
  • Interact compassionately and effectively with the sick or injured
  • Assist patients on and off examining tables
  • Organize and accurately perform the individual steps in a sonographic procedure in the proper sequence