Apply to School of Ultrasound at AZ Heart Foundation

I am applying for:*
- Cardiac Ultrasound DAY Program - starts in January
- Cardiac Ultrasound EVENING (2pm-9pm) Program - starts in January
- Cardiac Ultrasound Program - starts in July
- Vascular Ultrasound Program - starts in January
Personal Information
Name*
First Middle Last
Email*
Phone*
Is this a cell phone?
- Yes
Alternate Phone
Is this a cell phone?
- Yes
Preferred Contact*
- Email
- Phone
- Alternate Phone
Date of Birth*
MM slash DD slash YYYY

Add your date of birth.

Education & Experience
Note: you will be asked to upload or email letters of recommendation and transcripts in order to complete this application. Please gather these items as soon as possible.
High School
IMPORTANT: You must have a High School Diploma or GED to apply for this program.
Name & Location of High School (or GED)*
Years Attended
Major (if applicable)
Graduation Date (or Date GED Received)*
GPA
College or University
Name & Location
Years Attended
Major (if applicable)
Graduation or Degree Date
GPA
Graduate / Post Graduate
Name & Location
Years Attended
Major (if applicable)
Graduation or Degree Date
GPA
Medical Training
Name & Location
Years Attended
Major (if applicable)
Graduation or Degree Date
GPA
Ultrasound Training
Name & Location
Years Attended
Major (if applicable)
Graduation or Degree Date
GPA
Additional Experience
Other pertinent information relating to professional background or experience:

Letters of Recommendation
Two letters of recommendation must be submitted with this application or emailed to admissions@azheartfoundation.org.
File
Accepted file types: pdf, jpg, jpeg, png, Max. file size: 3 MB.
File
Accepted file types: pdf, jpg, png, gif, jpeg, Max. file size: 3 MB.
Transcripts
Copies of all transcripts must be submitted with this application or emailed to admissions@azheartfoundation.org.
File
Accepted file types: pdf, jpg, jpeg, png, Max. file size: 3 MB.
File
Accepted file types: pdf, jpg, jpeg, png, Max. file size: 3 MB.
OR Email Letters of Recommendation and Transcripts
Email Documents
Remember
You can NOT be considered for acceptance until your transcripts and letters of recommendations have been received.
Comments
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Personal Information