Nuclear Medicine Technology Application

APPLICATION FOR ADMISSION |
NUCLEAR MEDICINE TECHNOLOGY PROGRAM

In compliance with federal law, including the provisions of Title IX of the Education Amendment of 1972, Sections 503 and 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, Vanderbilt University Medical Center and its Center for Programs in Allied Health do not discriminate on the basis of race, sex, religion, color, national or ethnic origin, age, disability, or military service in its administration of educational policies, programs, or activities; its admissions policies; scholarship or loan programs; or employment. In addition, the Vanderbilt University Medical Center and its Center for Programs Allied Health do not discriminate on the basis of sexual orientation consistent with the Medical Center nondiscrimination policy.


APPLICATION

EMERGENCY CONTACT INFORMATION

MILITARY STATUS

CITIZENSHIP/RESIDENCY INFORMATION


*US Citizenship, permanent residency (i.e., green card), or legal eligibility to study in the country (i.e., student visa) is required for all applicants.
 ** The Test of English as a Foreign Language test (TOEFL) is required for students for whom English is not their first language. Please consult the CPiAH website for more information.

EDUCATION INFORMATION

POSTSECONDARY EDUCATION


List all higher education institutions attended.
* Transcripts of postsecondary education are required for all institutions attended. This includes both completed and courses in progress. OFFICIAL transcripts may be submitted either by mail in a sealed envelope or via electronic submission sent from the institution to CPiAHadministration@vumc.org.

** For education obtained at a non-U.S. Institution, translation into the U.S. equivalency (i.e., equivalence of credits per course and of degree conferred) by an independent evaluation provider must be submitted with this application (translation into English language only is NOT accepted). Please see the CPiAH website for more information regarding approved evaluators.

*If you have attended more than 4 Colleges/Universities, please upload the Unofficial Transcript in the fields below*

REFERENCES


List names and affiliations of three professionals that you have asked to write recommendation letters on your behalf. Recommendations from academic and work-related experiences are considered professional. Only three references will be evaluated with your application; additional references need not be sent. Applicants will be responsible for providing references with the survey link. Link will be provided upon application submission.

PERSONAL STATEMENT

Please upload a PDF of this document.


Your personal statement should address your motivation to become a nuclear medicine technologist, meaningful experiences you have had that will allow you to succeed in the program as well as the profession, and your future goals following completion of the program. Your personal statement should not exceed two pages in length. Please upload a PDF of this document.

RESUME

Please upload a PDF of this document.

Provide a personal resume to include the following information with dates:

  • ALL academic institutions attended
  • Academic honors, awards and achievements
  • ALL licensures/credentials, including agency/organization and license/credential number(s)
  • Professional organization membership(s)
  • Professional development activities (additional professional training)
  • Extra-curricular activities, leadership opportunities and volunteer experiences
  • Employment Information: dates, employer name, city/state, phone number, position/responsibilities, may we contact the employer, if no state reason

PROFESSIONAL LICENSURE/CERTIFCATION


If you wish to provide evidence of any additonal licensures or certifications, you may do so below. This is optional and is not a requirement for admission to the program.

ADDITIONAL DOCUMENT UPLOADS


Please upload a PDF of the observation form. A blank copy of the observation form can be found on the NMT Program website.

Please note that health insurance cards and BLS certifications are optional uploads at the time of application submission. If selected for program admission, documents will be required prior to program start date.

Passport or state issued photo ID.

PROGRAM STANDARDS & IMMUNIZATION REQUIREMENTS


Physical and Verbal Activity Standards

A nuclear medicine technologist must be able to perform a variety of physical movements. Any student admitted to the program must acknowledge his/her ability to carry out the physical standards with or without reasonable accommodations:

  • Push, pull or lift 50 pounds routinely and more than 50 pounds occasionally.
  • Stand, bend, stoop, kneel, squat or sit and reach for a long period of time.
  • Adequately control and manipulate equipment weighing up to 500 pounds on wheels.
  • Adequately visualize and perceive image data on computer and video monitors to acquire and interpret hemodynamic data with color distinction.
  • Sufficiently distinguish audible differences including audio signals, patient and co-worker communication and patient conditions.
  • Fluently demonstrate English language skills to provide optimum communication with patient and healthcare team members.
  • Follow verbal and written instructions to provide optimum care for patients.

Intellectual and Emotional Standards
A nuclear medicine technologist must also possess intellectual and emotional qualities that permit adequate care for patients and response to unexpected or emergent situations. Any student admitted into the program must acknowledge his/her ability to demonstrate the following qualities with or without reasonable accommodations:

  • Problem solve and interpret data in both routine and emergent situations
  • Empathy
  • Emotional stability and maturity
  • Courtesy and compassion to patients and their families, as well as co-workers
  • Adaptability and flexibility to clinical or didactic schedule changes
  • Follow protocols and organize data accurately to facilitate management of nuclear medicine studies
  • Maintain patient confidentiality

Immunization Requirements
Upon acceptance, students must provide written documentation of the following:

  • Two (2) negative TB skin tests within the past 12 months with the most recent being within the past three (3) months. If history of a positive skin test is present, a chest x-ray within the past 6 months will be necessary.
  • If born on or after January 1, 1957: two (2) live measles vaccinations after the 1st birthday at least one month apart OR MMR vaccination since 1989 OR laboratory evidence of immunity to measles, mumps and rubella
  • Laboratory evidence of immunity to varicella (chickenpox) or immunization series
  • Hepatitis B immunization (series of 3 injections), immunization series in progress or informed refusal of immunization
  • Tetanus/Diphtheria booster within the past 10 years (Routine adult Td boosters and the childhood DTP/DTaP vaccines do not satisfy this requirement)
  • Annual influenza vaccine
  • COVID-19 UPDATE: VUMC is not currently requiring employees to receive the updated COVID-19 vaccine. However, employees are encouraged to protect themselves and help prevent the spread of COVID-19 by keeping up-to-date with COVID-19 vaccination.

APPLICANT SIGNATURE


I certify that the information given on this application is complete and correct to the best of my knowledge. I understand that willfully withholding information or making false statements in this application may be used as the basis for dismissal or denial of consideration. I understand that an offer of admission will require compliance with the Activity Standards and Immunization Requirements outlined in this application. I understand that if selected for admission to this program, my acceptance is conditional on successfully completing a background check and drug screen conducted by Vanderbilt University Medical Center. I understand that my acceptance to the program is contingent upon the successful completion of any outstanding prerequisites (if applicable) and that verification must be provided to the Program prior to matriculation. I understand that all documents submitted to Vanderbilt University Medical Center will be retained permanently by the Program regardless of my admission status.

NOTE: TITLE IV FEDERAL FINANCIAL AID (FAFSA) IS NOT AVAILABLE THROUGH THE VUMC CENTER FOR PROGRAMS IN ALLIED HEALTH (CPiAH). THIS INCLUDES LOAN DEFERMENT OPTIONS FOR ANY EXISTING LOANS. PLEASE CONTACT US WITH QUESTIONS IF YOU NEED ADDITIONAL CLARIFICATION AT CPiAHadministration@vumc.org.
Required