Application

Long Term Programs
CU009157 - Diagnostic Cardiac Sonography
CU009156 - Vascular Technology
CU009945 - Echocardiography and Vascular Technology
CU009161 - Diagnostic Medical Sonography, Vascular Technology & Echocardiography
Personal Information
Middle Name
Date of Birth
Mailing Address
City, State
,
Zip Code
Home Phone
Work Phone
Cell Phone
Email Address
Best Time to Contact
Class Time
Day Evening

How did you hear about CURE?

EDUCATION
High School
City/State
Did you graduate?
Yes No
Graduation Date
 
List All Colleges/Technical Schools Attended City/State Month/Year Degree Earned
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Essay Please answer each question below. (Minimum 100 words, Maximum 500 words)

If you are not coming immediately from high school/college to CURE, please state how you have occupied the intervening time.

Why are you interested in entering the field of ultrasound? Please emphasize why you would like to be in a patient care related field.

Additional Information
Do you have a medical condition requiring special attention or medication? If yes, please explain.
Yes No
Have you ever been arrested or convicted for a felony? If Yes, please provide details in the space provided.
Yes No
Are you a US citizen?
Yes No
Image Verification
 
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Submit Application I certify that the above information is complete and accurate.  I am aware that this information will be verified.
    
I understand that providing false information will prevent my acceptance into CURE or any associated programs.

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