RAP Application RSTI Training > RAP Application Step 1 of 6 16% Radiological Service Training Institute is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for apprenticeship on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.Applicant InformationFirst Name(Required)Last Name(Required)Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Apprenticeship PositionPosition(s) Applying For(Required)Desired SalaryHow did you hear about this position?What days are you available for work?What hours or shifts are you available for work?What date can you start working if hired?Do you have reliable transportation to and from work? Personal InformationHave you ever applied or worked for Radiological Service Training Institute before?(Required) Yes NoIf yes, when?Are you 18 years of age or older?(Required) Yes NoAre you a U.S. citizen or approved to work in the United States?(Required) Yes NoWhat document can you provide as proof of citizenship or legal status?Will you consent to a mandatory controlled substance test?(Required) Yes NoDo you have any condition which would require job accommodations?(Required) Yes NoPlease describe accommodations requiredHave you ever been convicted of a criminal offense (felony or misdemanor)?(Required) Yes NoPlease state the nature of the crime(s), when and where convicted, and disposition of the case(Note: No applicant will be denied apprenticeship solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.) Job Skills/QualificationsPlease list below the skills and qualifications you possess for the position for which you are applying(Required)(Note: Radiological Service Training Institute complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.) Education and TrainingHigh School(Required)Location(Required)Year Graduated(Required)Degree EarnedCollege/UniversityLocationYear GraduatedDegree EarnedVocational School/Specialized TrainingLocationYear GraduatedDegree EarnedMilitaryAre you a member of the Armed Services?(Required) Yes NoWhat branch of the military did you enlist?What was your military rank when dischared?How many years did you serve in the military?What military skills do you possess that would be an asset for this position? Previous EmploymentEmployer NameJob TitlePhoneSupervisor NameAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYYEnd Date MM slash DD slash YYYYReason for leavingEmployer NameJob TitlePhoneSupervisor NameAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYYEnd Date MM slash DD slash YYYYReason for leavingEmployer NameJob TitlePhoneSupervisor NameAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYYEnd Date MM slash DD slash YYYYReason for leavingAT-WILL APPRENTICESHIP The relationship between you and the employer is referred to as "apprenticeship at will." This means that your apprenticeship can be terminated at any time for any reason, with or without cause, with or without notice, by you or the employer. No representative has authority to enter into any agreement contrary to the foregoing "apprenticeship at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your apprenticeship can alter your at-will apprenticeship status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.Applicant Signature(Required)