ADOM Application for Admission

First name

Last name

Email

Phone

Address

What is your highest level of education?

Citizenship

US Citizen

Legal Resident

Non-Citizen

Do you have any experience in the medical field?

Yes. I currently work in a medical and/or healthcare related field.

I do not currently work in a medical and/or healthcare related field, but I have prior experience working in healthcare.

I have never worked in a medical and/or healthcare related field.

Medical Experience/Personal Patient Care Experience Statement: Please describe, in at least 200 words, at least one experience where you were involved in a patient care setting. This can personal experience such as caring for a love one.

Ultrasound Goals: Please describe why you are interested in becoming a Diagnostic Medical Sonographer.

Start Date Preference

March 2025

September 2025

March 2026

September 2026

Driver's License or State ID

Resume

I certify that the information provided in this form is true, accurate, and complete to the best of my knowledge and belief.

Signature

Life changing education. Life saving research.

Campus

Ultrasound Careers Begin Here

ADOM Application for Admission