ARDMS PROGRAM COMPLETION LETTER REQUEST

1. ARDMS PROGRAM COMPLETION LETTER REQUEST

Congratulations on your next step toward becoming a registered sonographer.

BEFORE completing this request form, please download and complete your portion of the ARDMS Program Completion and CV forms or any other document template that you need the school to complete for ARDMS.

You will be asked to upload the completed templates as part of this request form.

UMI DMS PROGRAM COMPLETION FORM

ARDMS CLINICAL EVALUATION (CV) FORM-AB

ARMDS CLINICAL EVALUATION (CV) FORM-OB/GYN

ARDMS CLINICAL EVALUATION (CV) FORM-VT

(You may also find the ARDMS CV Forms on ARDMS website )

For assistance with the letter or the form, contact us at info@unitedmedicalinstitute.com

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* 1. Click yes to acknowledge that you understand that the information you are about to provide is subject to review and verification.

Yes, I understand that UMI and/or ARDMS may verify the information I provide in this form.

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* 2. YOUR LEGAL NAME AND CONTACT INFORMATION

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 3. Is your legal name different from the one in the school's record?

If different, enter the name you had while in your program?

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* 4. If your current legal name is different, please upload a name change supporting document

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 5. Enter Your SS#

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* 6. We will email you a digital copy of the letter after it's signed.
If you want the letter to be emailed to a recipient other than yourself, please complete the information below.

Name

Company

Email Address

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* 7. Name of the Program you attended at UMI

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* 8. When did you begin your program?

Date / Time

Date

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* 9. When did you graduate?

Date / Time

Date

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* 10. Complete student / graduate portion and upload the ARDMS Program Completion form

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 11. Complete student / graduate portion and upload the ARDMS CV form

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 12. Upload any additional documents as needed

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 1. Click yes to acknowledge that you understand that the information you are about to provide is subject to review and verification.

Question Title

* 2. YOUR LEGAL NAME AND CONTACT INFORMATION

Question Title

* 3. Is your legal name different from the one in the school's record?

Question Title

* 4. If your current legal name is different, please upload a name change supporting document

Question Title

* 5. Enter Your SS#

Question Title

* 6. We will email you a digital copy of the letter after it's signed.If you want the letter to be emailed to a recipient other than yourself, please complete the information below.

Question Title

* 7. Name of the Program you attended at UMI

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* 8. When did you begin your program?

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* 9. When did you graduate?

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* 10. Complete student / graduate portion and upload the ARDMS Program Completion form

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* 11. Complete student / graduate portion and upload the ARDMS CV form

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* 12. Upload any additional documents as needed

* 6. We will email you a digital copy of the letter after it's signed.
If you want the letter to be emailed to a recipient other than yourself, please complete the information below.