Application Checklist

Florida Institute of Ultrasound, Inc.

Name:

Classes begin every three months, please check the class you would like to attend:

JANUARY _______

APRIL _______

JULY _______

OCTOBER _______

Please submit the following documents to apply to the program.

Application

Transcripts from ALL Colleges/Universities you attended.

Reference Letters (2)

Immunization Records

Hepatitis B

Measles Mumps Rubella (MMR)

Varicella (Chicken Pox)

TB Test (To be done the week before class starts)

Background Check (Background checks must be current for the full year of

attendance. If applying to the program more than 2 months in

advance, please contact the school to determine the date to request the

background check.)

Application documents can be mailed to 8800 University Pkwy, Suite A-4,

Pensacola, FL 32514, faxed to (850) 478-3727 or emailed to

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