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IMU APPLICATION FOR ADMISSION

Select The Term In Which You Would Like To Start *
Full Name *
Last 4 Digits of Your Social Security Number *
Address *
City *
State/Province *
ZIP/Postal Code *
Country *
Primary Phone Number *
Primary Email Address *
Emergency Contact Person Name and Phone Number *
Highest Level of Education Attained *Applicants must be at least 18 years of age and have a high school diploma or GED.
School(s) Attended *
Please list all schools attended (High School, GED, or College/University) along with the address, city, state, ZIP code and graduation date (if applicable) of each school separately. For example: ABC High School - 1234 Great Future Way Atlanta, GA 30303; 05/28/2003 EFG College - 9876 Brighter Path Atlanta, GA 30317; 12/15/2007
Major *Please enter your major field(s) of study (if applicable) at all previous institutions. For example: High School - College Prep or Technical ABC College - Business Administration
Health Questionnaire
Which of the following best describes your status regarding the Hepatitis B Series of injections that the health department recommends for all health care workers?I have previously received the Hepatitis B vaccine series of injections and can provide documents or titer results.I have started or will start the Hepatitis B vaccine prior to registering for any of the Institute of Medical Ultrasound's clinical training courses. I will notify the Institute of Medical Ultrasound upon initiation and completion of the series.I have decided NOT to receive the Hepatitis B vaccine even though I understand that my clinical training and future profession may expose me to blood or other infectious materials, that NOT receiving the vaccine may seriously limit the Institute's ability to assign me to a clinical training facility, and that limiting my assignment to a clinical training facility may negatively impact my ability to graduate from the program.

APTITUDE REQUIREMENTS OF THE PROFESSION

Visual Aptitude-Discriminate among shades of gray, differentiate red, blue and associated shades, identify keys on a keyboard, read doctor's orders, requisitions and medical records, interpret sonograms, assess patient's skill pallor, respiratory distress
Please check 'I UNDERSTAND' if you understand to the following statement(s) as they pertain to the profession of a Diagnostic Medical Sonographer.I UnderstandI Do Not Understand
Auditory Aptitude-Hear speech within the normal audible range, discriminate among heart sounds, assess patient respiratory efforts, respond to department emergency procedure instructions, respond to patient requests when they are not facing you.
Please check 'I UNDERSTAND' if you understand to the following statement(s) as they pertain to the profession of a Diagnostic Medical Sonographer.I UnderstandI Do Not Understand
Physical Aptitude-Gross Motor: walk, crouch, stand, stoop, reach, and push/pull exert up to 50lbs of force. (While transporting, assisting, patients/equipment). Fine Motor: fingering a keyboard, writing legible reports, assembling procedure trays.
Please check 'I UNDERSTAND' if you understand to the following statement(s) as they pertain to the profession of a Diagnostic Medical Sonographer.I UnderstandI Do Not Understand
Intellectual Aptitude-Assess sonograms, differentiate among pathological and sonographic appearances, must follow department protocols.
Please check 'I UNDERSTAND' if you understand to the following statement(s) as they pertain to the profession of a Diagnostic Medical Sonographer.I UnderstandI Do Not Understand
Emotional Aptitude-Demonstrate compassion for patients, cooperate with other staff, respond appropriately during emergencies, remain focused despite potential stressful situations related to the clinical work environment, and accept constructive criticism
Please check 'I UNDERSTAND' if you understand to the following statement(s) as they pertain to the profession of a Diagnostic Medical Sonographer.I UnderstandI Do Not Understand
Additional Documents
Additional documents are required prior to finalizing your application for admission into the program. Links to these forms will be provided with a confirmation email granting provisional acceptance into the program. Please check all boxes to confirm your understanding.The application process requires three (3) letters of recommendation, preferably on the reference's letter head, describing the applicant's level of initiative and self-motivation, demonstration of professional behaviors, problem-solving abilities and communication skills.The application process requires original transcripts from all academic institutions listed in this application.The application process requires a record of immunizations or titer results for the following: MMR, DPT, and TB.
Unofficial Transcript Upload *Please upload your unofficial transcript here | Accepted file formats PDF, JPG, DOC, DOCX, PNG
Are you a US Veteran? *Have you served in the United States Armed Forces?

Verification

ACKNOWLEDGEMENT *I understand that a $50.00 NON-REFUNDALBE application fee must be submitted with this application before it can be processed. By submitting this online application, I agree, that to the best of my knowledge, the above information is true and correct. If you understand and agree acknowledging the preceding statements, please type the number "11" (no quotation marks).
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