DCS Program Application

Diagnostic Cardiac Sonography
Program Application

All components and questions in this application must be complete in their entirety to be eligible for consideration for admissions into the DCS program. You may save your progress at any time and continue later. Once the application is completely filled out, you may submit the application. After submitting the application, no edits can be made. If you have any problems with the form, email us at HCT@CCSF.edu.

Applicant Information
Applicant Information
First Name*
First Name
Last Name*
Last Name
Preferred First Name*
Preferred First Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Personal Email (non-CCSF email)*

Confirmation Email
CCSF Student Information

If you do not have a CCSF Email or CCSF Student ID Number, you will need to apply to CCSF.
CCSF Email*

Confirmation Email
CCSF Student ID Number*
W00000000 or @00000000

Cardiac Sonography Profession Questions
The purpose of the cardiac sonography profession questions is to expose a prospective applicant to the cardiac sonography profession. Cardiac sonographers interact with the community. Understanding how to properly communicate with the public are essential skills of a cardiac sonographer. An applicant can use any means available to answer the following questions.

Instructions
- Provide a brief original answer to each question.
- Application screening includes the quality of answers which indicate your research into sonography. Two or more incorrect or poorly answered questions are grounds for disqualification due to a lack of research and interest in the profession.
- Your written communication skills are expected to be at the college level. “Yes” or “no” responses are not acceptable.
Two Minute Max Introduction Video: Introduce yourself and why you would like to become a Cardiac Sonographer.*

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MP4 or MPG Video format only (not audio only: student must be on camera) Cancelof
1. Describe both the educational background and job description of a Cardiac Sonographer.*
2. Communication is critical between cardiac sonographers, patients, co-workers, and providers. Explain in detail how your spoken and written communication skills are at the appropriate level for this profession.*
3. Sonography can be a demanding profession. Describe a situation where you had to manage a high-stress or high-workload environment and how you coped with it.*
4. Provide an example of a time when you had to work collaboratively in a team setting. How do you view the importance of teamwork in the field of Cardiac Sonography? *
Resume
Upload Resume*

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Academic Requirements
Colleges/Universities Attended
1. Academic Degrees: Check only highest degree completed

MA/MS degree or higherBA/BSAA/AS
2. In the text box below, list each college/university separately with overall GPA for each you have attended. If accepted into the program, you must provide official transcripts from the colleges listed here.*
Unofficial Transcripts

You must upload all unofficial domestic and international transcripts from every college/university you attended and all College Board transcripts with AP test results of three or higher. You must upload an unofficial transcript if you took courses at CCSF. If accepted into the program, you must provide official domestic and international transcripts to the DCS program.

Domestic Transcripts
- Each unofficial transcript must include your name and the college's name
- Upload unofficial transcripts from all colleges/universities you have attended
International Transcripts
- International transcripts must be evaluated prior to submitting an application
- Contact graduate@ccsf.edu regarding international transcripts
Upload unofficial transcripts from every college/university attended*

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Prerequisite Courses to Complete Before Application

These courses must be completed before applying to the program. Applicants with courses currently in progress may apply but will be placed on a waitlist. Anatomy, physiology, must be completed within seven years of the application date. If any of these courses were taken not at CCSF, you may need to complete a Course Equivalency Form.

Select the proper answer for each requirement.*

	I completed this requirement at CCSF	I completed this requirement somewhere other than CCSF	I have not completed this requirement but is in progress (completion before summer 2026)
Human Anatomy Lecture
Human Anatomy Lab
Human Physiology Lecture
Human Physiology Lab
Introductory Physics Lecture
Introductory Physics Lab
EMT 14 (can be taken later if accepted into program)
BLS certificate (American Heart Association only)
EKG 101 (or equivalent course (minimum 90 hour course); within last 2 years or working as an EKG tech)
Algebra (Math 70 or higher)
Communication (C1000 or higher)
English (ENGL 1000 or higher)

Course Equivalency Form

If you completed all requirements at CCSF, you do not need to submit a Course Equivalency Form.
Course Equivalency Form
If you completed any requirements somewhere other than CCSF, you must complete a Course Equivalency form. Follow these directions:
Download Course Equivalency Form
Fill out the "To be completed by student" section
Email the Course Equivalency Form and appropriate course description and unofficial transcript to the appropriate CCSF department chair (ex. math course equivalency forms go to CCSF's math department chair)
Upload Completed Course Equivalencies (required)
Upload completed Course Equivalency Form(s)

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Multi-Criteria Worksheet

Completion of sections 3-8 are not required for program application or admission; however, they are used in the program’s point-based selection process. Applicants should review the DCS Program Multi-Criteria Worksheet and submit required supporting documentation for all categories for which points are requested.

*Verification of Foreign Language Proficiency
Check box only if applicable: upload the required supporting documents for every item selected. Criteria points will not be given if mandatory documentation is not provided.

3. Licensed Health Care Professional4. Work or volunteer in healthcare5. Life experience or special circumstance6. Military Service7. Site Sponsorship8. Proficiency in another language *Verification of Foreign Language Proficiency
3. Upload Licensed Health Care Professional if applicable

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Copy of current license, should include number, date issued,and expiration date. Course completion certificates are not accepted. Items listed are examples only and not an exhaustive list of certifications that may be accepted. The admissions committee will make the final determination of acceptance. Cancelof
4. Upload Work or Volunteer in Healthcare if applicable

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Provide proof of work experience from current or former employer verifying number of hours worked per week, include job title, and date of employment on official letterhead. The admissions committee will make the final determination of acceptance. Cancelof
5. Upload Life Experience or special circumstance if applicable

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Select and upload documentation for only ONE life experience or special circumstance from multi-criteria worksheet. Cancelof
6. Upload Military Service if applicable

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Copy of Defense Department Form DD214. Honorable Discharge required. Cancelof
7. Upload Site Sponsorship if applicable

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Provide proof of site sponsorship from manager and preceptor (Must be on organization letterhead). The admissions committee will make the final determination of acceptance. Please be advised that if the site partnership is not finalized, the student will be rescheduled to the end of the clinical rotation start timeline. Cancelof
8. Upload Proficiency or Advanced Level Coursework in a Language other than English if applicable

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Transcripts from regionally accredited U.S.colleges or universities verifying four semesters of foreign language – OR – “Verification of Foreign Language Proficiency” form Cancelof

Additional Requirements
Physical, Mental, and Emotional Aptitude for Cardiac Sonographers

The Physical, Mental, and Emotional Aptitude for cardiac sonographers can be found here under the accordion titled "Physical, Mental, and Emotional Aptitude for cardiac sonographers."
The student cardiac sonographer must be capable of meeting all physical, mental, and emotional requirements of the cardiac sonography profession.*

Yes, I have read and understand the criteria as outlined in the Physical, Mental, and Emotional Aptitude Requirements for Cardiac Sonographers.
Physical Exam, Vaccine Proof, Immunization Proof, Background Check, and Drug Screen

If accepted into the DCS program, the following requirements must be met:
- Physical examination by a physician to determine a student meets the physical, mental, and emotional aptitude requirements for a cardiac sonographer
- Vaccination proof of Tdap, seasonal influenza (flu), and Tuberculin test
- Immunization proof of COVID-19, Rubeola, Rubella, Mumps, Varicella, and Hepatitis B
- Negative background check
- Negative drug screen
The student radiologic technologist must meet physical examination, vaccine proof, immunization proof, background check, and drug screen requirements.*

Yes, I acknowledge I will be required to meet physical examination, vaccine proof, immunization proof, background check, and drug screen requirements.
Felonies or Misdemeanors

Felony or misdemeanor convictions, regardless of disposition or resolution, may affect an applicant’s eligibility to sit for national certification examinations administered by Cardiovascular Credentialing International (CCI) and/or the American Registry for Diagnostic Medical Sonography (ARDMS). Many clinical affiliates and healthcare facilities require sonographers to hold or be eligible for professional certification as a condition of employment.

Applicants with a felony or misdemeanor conviction must obtain an eligibility determination from CCI and/or ARDMS prior to completing the Diagnostic Cardiac Sonography program. Determining examination eligibility is solely the responsibility of the applicant. The Diagnostic Cardiac Sonography Program does not participate in, influence, or intervene in this process.

CCI and ARDMS review felony and misdemeanor convictions on a case-by-case basis and may charge a fee for eligibility review or pre-application determination.
Have you ever been convicted of a felony or misdemeanor (felony or misdemeanor convictions are not a considering factor when reviewing your application)?*

YesNo
If you selected "Yes" above, you must request an ethics review through the CCI and ARDMS

I will request, or have requested, an ethics review through the Cardiovascular Credentialing International (CCI) and the American Registry for Diagnostic Medical Sonography (ARDMS). I also understand I may submit this application while the CCI and ARDMS ethics investigation is ongoing.

Equal Opportunity Statement
Equal Opportunity Statement

The Diagnostic Cardiac Sonography Program is committed to maintaining a workplace and educational environment that is free from discrimination, harassment, intimidation, threats, or coercion based on any legally protected status. It is the policy of the Diagnostic Cardiac Sonography Program to provide equal educational opportunities to all individuals in its programs and activities, regardless of race, color, national origin, ancestry, ethnic group identification, religion, age, gender, marital status, domestic partner status, sexual orientation, disability, AIDS/HIV status, medical condition, gender identity, or status as a Vietnam-era veteran. This policy also applies to individuals perceived as having these characteristics or who are associated with individuals who have such characteristics.

The Diagnostic Cardiac Sonography Program strictly prohibits retaliation against any student or employee for filing a good-faith complaint under the nondiscrimination policies, participating in an investigation, or otherwise exercising rights protected by law.

The program complies with all applicable federal and state laws and regulations, including but not limited to Titles VI and VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, Title IX of the Education Amendments of 1972, California Government Code Section 11135 et seq., and all requirements related to the receipt of federal and/or state funding.

Information regarding applicable laws and complaint procedures may be obtained from the District Title 5/EEO/ADA/Title IX Compliance Officer. The designated compliance officer for this policy is the District Title 5/EEO/ADA/Title IX Compliance Officer, located at 50 Frida Kahlo Way, B213, San Francisco, CA 94112, phone (415) 452-5053.

Signature, Save, and Submit
To the best of my knowledge, the information contained in this application is a true and correct representation of my qualifications. I acknowledge: (select all)*

Any missing information is cause for disqualification.No edits or additions (including attaching transcripts/documents) can be made to the application once submitted.Only one application is allowed per person per application cycle. Multiple submissions will disqualify the applicant.
Signature*

Clear

ATTENTION

Clicking "Save" Does NOT Submit Your Application

To officially submit your application, you must click "Submit" between January 17 and February 28. The submit button will only be available between January 17 and February 28. Clicking "Save" does not submit your application. Clicking "Save" will save your progress so you can return between January 17 and February 28 to officially submit your application.

After clicking Submit, you will receive a submission confirmation email. If you do not receive a submission email within two hours, contact HCT@CCSF.edu.

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