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Skills Checklist

Self Evaluation

This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Springboard Health.


Please rate yourself using the following criteria:


1 = No Experience, 2 = Some Experience, 3 = Experienced, 4 = Very Experienced


Specialty

Radiography

1

2

3

4

Age Specific Criteria

1

2

3

4

Facility Setting

1

2

3

4

Applicant Agreement

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Signature

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