Skip to content
Home
About Us
About Us
Our History
Team Members
FAQ
Services
Make Appointment
Sleep School
Pharmacology
Orthopedic
Education
A-STEP Program
Sleep Consultant
Sleep Tech Refresher
CPR / First Aid Certification
Blog
Sleep Study Blog
Sleep Technology Education
Contact Us
+1(212)255-511
+1(212)255-511
Apply Now
Application
Polysom Tech Institute
>
Application
Search for:
Search
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name:
*
First
Last
Phone:
*
Email:
*
Address:
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Preferred Pronouns:
He, him, his
She, her, hers
They, them, their
Ze, zir, zirs
Ze, hir, hirs
Other
Choose Course:
A-STEP Program
CPSGT Program
RPSGT Program
CCSH Program
First Aid/ CPR
Education:
High School
College Graduate / Bachelor's Degree
Master's Degree
Other Vocational Education
Do you have Experience in any Health Related Field?
No Experience.
1 Year
2 years
3 Years
Describe your Experience..
How many hours you can spend in education/training to upgrade your career?
10 Hours
20 Hours
40 Hours
As much as needed.
How much you are willing to invest financially to start make $60K + a year from next year?
$10K - $20K
$5K - $10K
$1K - $5K
Can't invest need Payment Plan
Resume Upload:
Click or drag a file to this area to upload.
Resume Upload. Optional
Submit
Application
