---
title: Nuclear Medicine Technologist Application Form Template | Paperform
description: Professional application form for nuclear medicine technologist positions with NMTCB certification upload, radiopharmaceutical handling assessment, PET/CT experience verification, and radiation safety expertise evaluation.
url: "https://paperform.co/templates/nuclear-medicine-technologist-application-form"
type: static
generatedAt: "2026-03-28T00:44:39.396Z"
---

[← Back to free form templates](/templates/)    ![Nuclear Medicine Technologist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/nuclear-medicine-technologist-application-form.png)
    [Preview](https://_preview.paperform.co/ai-template/nuclear-medicine-technologist-application-form) [Use this template for free](/create?ai-template=nuclear-medicine-technologist-application-form)    [Application Forms](/templates/category/applications/) [Staffing & Recruitment](/templates/industry/staffing-recruitment/)[Healthcare](/templates/industry/healthcare/) [HR Manager](/templates/role/hr-manager/)[Recruiter](/templates/role/recruiter/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Apply for a Nuclear Medicine Technologist Position with Confidence

Finding qualified nuclear medicine technologists requires more than a standard job application—you need to assess specialized certifications, technical proficiency with radiopharmaceuticals, imaging expertise, and an unwavering commitment to radiation safety. This **Nuclear Medicine Technologist Application Form** template helps healthcare facilities, imaging centers, and hospitals streamline their hiring process while gathering comprehensive information about candidates' qualifications and experience.

#### Why Healthcare Facilities Choose This Template

Nuclear medicine is a highly specialized field that demands precision, technical knowledge, and regulatory compliance. This application form is specifically designed for:

 - **Hospitals and medical centers** hiring for nuclear medicine departments
 - **Diagnostic imaging centers** expanding their nuclear medicine services
 - **Outpatient imaging facilities** seeking certified technologists
 - **Healthcare recruitment agencies** specializing in radiology and imaging placements
 - **Research institutions** requiring nuclear medicine expertise

The template captures everything from NMTCB certification details to hands-on experience with PET/CT scanners, stress test monitoring, and radiopharmaceutical preparation—ensuring you identify candidates who meet your facility's specific requirements.

#### Key Features Built for Nuclear Medicine Hiring

This form template includes specialized sections that address the unique qualifications needed in nuclear medicine technology:

**Certification Verification**: Dedicated fields for NMTCB (Nuclear Medicine Technology Certification Board) or ARRT-N certification upload, license numbers, expiration dates, and state licensure documentation. The form makes it easy to verify credentials upfront, reducing time spent on unqualified applications.

**Technical Proficiency Assessment**: Structured questions about radiopharmaceutical handling experience, including compounding, dose calculation, quality control procedures, and radionuclide elution. Candidates can detail their experience with specific isotopes and preparation protocols.

**Imaging Expertise**: Comprehensive fields covering PET/CT imaging experience, SPECT imaging, cardiac stress testing, thyroid imaging, bone scans, and other nuclear medicine procedures. This helps you match candidates with your facility's specific equipment and service offerings.

**Radiation Safety Compliance**: Questions about ALARA principles, dosimetry monitoring, radiation safety protocols, contamination control, and emergency response procedures. These fields ensure candidates understand the critical safety requirements of the role.

**Equipment Experience**: Detailed questions about specific gamma cameras, PET/CT scanners, dose calibrators, and imaging software platforms candidates have used, helping you assess their readiness to work with your equipment.

#### Designed for Healthcare Hiring Workflows

The form integrates seamlessly into healthcare recruitment processes. When a candidate submits their application, you can automatically route it to your hiring team via email or integrate with your applicant tracking system through Paperform's native integrations or **Stepper** workflows.

With conditional logic built in, the form adapts based on candidate responses—for example, if someone indicates they have cardiac stress test experience, follow-up questions appear about pharmacological vs. exercise stress protocols and experience with specific stress agents.

File upload fields make it simple for candidates to attach their NMTCB certification, state license, resume, and continuing education certificates all in one place, creating a complete application package for your review.

#### Perfect for Healthcare Organizations of All Sizes

Whether you're a large hospital system with a dedicated nuclear medicine department or a smaller imaging center, this template scales to your needs:

 - **Hospital HR departments** can customize the form to match their specific department needs and compliance requirements
 - **Imaging center managers** can focus on the procedures and equipment most relevant to their practice
 - **Healthcare recruiters** can use the form across multiple client facilities, adjusting questions for each placement
 - **Medical staffing coordinators** can quickly identify qualified candidates for temporary or permanent positions

#### Streamline Your Nuclear Medicine Hiring Process

Nuclear medicine technologist positions require specialized skills that go far beyond general radiology experience. This application form helps you:

 - **Pre-screen for essential certifications** before spending time on interviews
 - **Assess hands-on experience** with the specific procedures your facility performs
 - **Verify radiation safety knowledge** to ensure regulatory compliance
 - **Identify equipment proficiency** to reduce training time for new hires
 - **Build a qualified candidate pipeline** for current and future openings

#### Enhance Your Recruitment Workflow with Automation

Paperform's flexibility means you can take this template further with **Stepper** integration. Automatically send application data to your ATS, trigger background check processes for qualified candidates, schedule interview emails based on certification status, or create custom approval workflows for hiring managers.

The form's professional appearance and mobile-friendly design ensure candidates have a positive application experience that reflects well on your healthcare facility—an important factor in attracting top talent in this competitive field.

#### Trusted by Healthcare Facilities Nationwide

Healthcare organizations rely on Paperform for recruitment because it combines the professional polish needed for medical hiring with the technical flexibility to capture specialized credentials. With SOC 2 Type II compliance and robust data security, you can confidently collect sensitive certification and personal information from applicants.

This Nuclear Medicine Technologist Application Form template is ready to use immediately or can be customized to match your facility's specific requirements, branding, and hiring workflow. Start identifying qualified nuclear medicine professionals faster and build a stronger imaging team with a streamlined, comprehensive application process.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Anesthesia Technician Interview & Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/anesthesia-technician-interview-assessment-form.png)

### Anesthesia Technician Interview & Assessment Form

A comprehensive interview scheduling and assessment form for anesthesia technician candidates, evaluating equipment knowledge, case turnover capabilities, and emergency preparedness.](/templates/anesthesia-technician-interview-assessment-form/)
[![Audiologist Interview Coordinator](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/audiologist-interview-coordinator.png)

### Audiologist Interview Coordinator

Streamline your audiology hiring process with this interview scheduling form that captures candidate availability, clinical experience, and specialization preferences.](/templates/audiologist-interview-coordinator/)
[![Cardiac Electrophysiologist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/cardiac-electrophysiologist-application-form.png)

### Cardiac Electrophysiologist Application Form

A comprehensive application form for cardiac electrophysiology positions, collecting board certification, procedural experience, 3D mapping proficiency, and research interests.](/templates/cardiac-electrophysiologist-application-form/)
[![Cardiac Sonographer Interview Coordinator](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/cardiac-sonographer-interview-coordinator.png)

### Cardiac Sonographer Interview Coordinator

Professional interview scheduling form for cardiac sonographer candidates with certification verification, advanced imaging modality experience assessment, and on-call rotation discussion.](/templates/cardiac-sonographer-interview-coordinator/)
[![Cardiovascular Sonographer Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/cardiovascular-sonographer-application-form.png)

### Cardiovascular Sonographer Application Form

A comprehensive job application form for cardiovascular sonographer positions that collects credentials, echocardiography proficiency, vascular ultrasound experience, and availability information.](/templates/cardiovascular-sonographer-application-form/)
[![Certified Nursing Assistant (CNA) Employment Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-nursing-assistant-cna-employment-application.png)

### Certified Nursing Assistant (CNA) Employment Application

Complete employment application for CNAs including license verification, immunization records, shift preferences, and HIPAA compliance assessment.](/templates/certified-nursing-assistant-cna-employment-application/)
[![Clinical Documentation Improvement Specialist Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/clinical-documentation-improvement-specialist-application.png)

### Clinical Documentation Improvement Specialist Application

Comprehensive application form for CDI specialist positions requiring CCDS certification, coding credentials, physician query expertise, and audit methodology knowledge.](/templates/clinical-documentation-improvement-specialist-application/)
[![Clinical Embryologist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/clinical-embryologist-application-form.png)

### Clinical Embryologist Application Form

Comprehensive employment application for clinical embryologist positions, designed to capture IVF lab expertise, HCLD certification, cryopreservation experience, andrology skills, and quality control documentation proficiency.](/templates/clinical-embryologist-application-form/)
[![Clinical Laboratory Scientist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/clinical-laboratory-scientist-application-form.png)

### Clinical Laboratory Scientist Application Form

Apply for clinical laboratory scientist positions with MLS certification, specialized proficiency assessments, and shift preference collection. Streamline your lab hiring process.](/templates/clinical-laboratory-scientist-application-form/)
[![Clinical Nurse Educator Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/clinical-nurse-educator-application-form.png)

### Clinical Nurse Educator Application Form

A comprehensive application form for clinical nurse educator positions, capturing RN credentials, specialty certifications, teaching experience, and competency assessment expertise.](/templates/clinical-nurse-educator-application-form/)
[![Clinical Nurse Specialist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/clinical-nurse-specialist-application-form.png)

### Clinical Nurse Specialist Application Form

Professional application form for Clinical Nurse Specialist (CNS) positions with certification verification, evidence-based practice examples, and specialty focus areas.](/templates/clinical-nurse-specialist-application-form/)
[![Clinical Perfusionist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/clinical-perfusionist-application-form.png)

### Clinical Perfusionist Application Form

A comprehensive clinical perfusionist job application form for healthcare facilities to evaluate qualified candidates with CCP certification, cardiac surgery experience, and ECMO proficiency.](/templates/clinical-perfusionist-application-form/)