Transcript Review Form

If you would like to be considered for our 1 Year Program, you may apply one of two ways:
1) You may download the preliminary application here
OR
2) You may apply online by following the instructions below. Please note in order to use our online application system you MUST have a PDF copy of your transcripts available to submit with your application.
1. Complete ALL pages of the application and attach unofficial transcripts where provided.
2. If you want to apply as a distance student you must also complete the Clinical Site Preference Form
3. Once we have received your application and transcripts you will be notified via email of any pre-requisite class you still need as well as the other items need to complete your file.
Other important information
For each school, the terms local and distance student mean different things. For the purposes of IUD we define each as follows:
LOCAL Students – A Local student for the purposes of the One-Year General Sonography Program is any student who lives within a 90-mile radius of Spanish Fort, Alabama. If you live inside or just outside that perimeter you will be considered a local student and be required (if accepted) to rotate between our local clinical sites within that perimeter.
Distance Students – A distance student for the purposes of the One-Year General Sonography Program is any student who lives outside of the above mentioned geographic perimeter. Distance students are responsible for finding and making initial contact with a clinical site in their area. Distance students will not be accepted into the One-Year program until they have secured a clinical site.
If you have any questions regarding any of this information you can contact Micah Gill at mgill@iudmed.com or by phone at 251‐621‐8668 ext 3.

Educational Information
Have you graduated from an accredited high school or received your GED? * Required
- Yes
- No

Junior College/College/Post-secondary/Military Education *

Please list below all colleges, universities, and postsecondary community, junior, and technical colleges previously attended. Any schools listed below, will require submission of OFFICIAL transcripts to complete your application.

Name and Location of School	Dates Attended	Did you Graduate?	Cert/Diploma/Degree Awarded?	Overall GPA

Upload Transcripts * Required
You MUST upload a transcript showing you meet the educational requirements to enroll in this program in order to complete this application.
Drop files here or
Accepted file types: pdf, Max. file size: 512 MB, Max. files: 4.

IUD Clinical Site Preference Form
Distance Applicants ONLY
Instructions: The One Year Program requires a great deal of clinical exposure. To qualify and complete the One Year Program as a distance student, you must have a viable clinical site to use located near you or you must be willing to relocate to an available clinical site. If you are applying as a distance student, please fill in the information below.
Anticipated/Desired Start Date
MM slash DD slash YYYY
In which City, State do you plan on completing your clinical requirements? (First Choice)
If the above listed city is not a major city in your state, please list the closest major city and the distance from you. (Second Choice)
If the above listed city is not a major city in your state, please list the closest major city and the distance from you. (Third Choice)

Please list, in order of preference, the top hospitals/clinics (Name, city, state)(Up to 5) in your area you would like to use for your clinical site during the One Year Program.

If we do not have a particular clinical site in your area or are unable to secure a clinical site in your area, are you willing to relocate to an area where we do have clinical sites in order to be accepted into the One Year Program?
Name
This field is for validation purposes and should be left unchanged.

Transcript Review Form

Step 1 of 5

Other important information

Personal Information

Previous Medical or Allied Health Training (NOT REQUIRED FOR ENTRY INTO PROGRAM)

Educational Information

Employment / Current Information

Background Information

IUD Clinical Site Preference Form

Distance Applicants ONLY