Apply to School of Ultrasound at AZ Heart Foundation

I am applying for:*
- Cardia Ultrasound NIGHT Program - starting in February
- 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*
Date Format: 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.
File
Accepted file types: pdf, jpg, png, gif, jpeg.
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.
File
Accepted file types: pdf, jpg, jpeg, png.
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.
Name
This field is for validation purposes and should be left unchanged.

Personal Information