Biodata Form: Elementary
Biodata Form: Elementary
Name:
Telephone#:
Address:
Cell phone#:
E-mail:
Education Attainment:
Elementary :
High School :
College :
Degree received :
Special Skills
:
Employment History:
Organization
Dates
Job Title
1.
2.
3.
4.
Professional Affiliations, Licensures, & Certificates: List all relevant to radiologic technology.
Optional Summary Statement: Highlight strongest skills and area of professional expertise
Thank you! Please return this form along with the ARRT Exam Development Activity
Preference Form via: fax (651) 681-3298; or mail to ARRT, Attn: Psychometric Services, 1255
Northland Dr., St. Paul, MN 55120
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