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Diagnostic Medical Sonography Program Application Form - Non SSO

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Diagnostic Medical Sonography Program Application

The application period opens on April 1 and closes June 14 at 11:00 am.

*If application deadline falls on a weekend, holiday, or campus closure day, the deadline will be moved to the next business day, 11:00 am.

These documents must be submitted with application as PDF files. Transcripts should be ordered as official, then scanned to a PDF document:

Printed HESI Score Sheet - only one (1) score sheet will be accepted

Current “What If” SOS degree evaluation for AAS Diagnostic Medical Sonography under the catalog year you are applying for

Official transcripts from ALL colleges/universities attended INCLUDING SanJacinto College

NOTE: Final rubric scores are not determined until they have been processed through the Application Review Committee. This will be determined after the application deadline date.

General Information

*Form has Required Fields

What is the date of the Sonography Information session you attended?

What is the application code provided

Will you be 18 years of age or older by anticipated program start date

San Jacinto College G#

First Name

Middle Initial

Last Name

Email Address:

Primary Phone

Secondary Phone

Street Address

City

State

Postal/Zip Code

Education Information

Have you taken classes at any other colleges/universities?

Complete for all Colleges/Universities you have attended, regardless if courses are being transferred in

All official transcripts must be on file with Enrollment Services and submitted with this application:

School/College/University

Dates Attended

Major

Certificate or degree received?

Add Entry

Note: All certificates and degrees awarded must be on the transcripts submitted with application

Have you obtained a national certification/license/registry associated with any of the programs listed above?

Are you currently enrolled in any courses?

Course Name & Number

Part of Term

Expected End Date

Is this a San Jac Course?

Add Entry

Have you previously applied to the Diagnostic Medical Sonography program at San Jacinto College?

Have you previously served or are you currently serving in any branch of the Armed Forces?

Do you have 3 years or more verifiable work experience with direct patient care duties?

Have you taken any of the following courses in the last 5 years (must be on the SanJac degree evaluation under the correct course number)

BIOL 2404

BIOL 2302 and BIOL 2102

PHYS 1301 and PHYS 1101

PHYS 1302 and PHYS 1102

Do you hold any healthcare related certifications (ex. ARRT(R))?

*If yes, must be submitted with application

Humanities and Fine Arts Course Requirement

Students may select the Humanities/Fine Arts course that satisfies the degree requirement : Selection will determine the applicable rubric point value.

The selected course must appear on the GPS/Degree Evaluation with the correct course and number. Circle the selected course taken.

Applicant Acknowledgement

I acknowledge that the information on this application is accurate, to the best of my knowledge. I understand that falsification of information provided will result in disqualification for admission.

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