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Southwest Missouri Allied Health Education Internet Sonography Registration Form

Complete the registration form below.  Upon submission you will receive an email within 48 hours indicating the receipt of your application.  Once your application and transcript (official or unofficial) are received, you will receive an email within 72 hours concerning your application.

Prior to completing the application, you must have a verbal commitment from a potential clinical site.  PLEASE DO NOT COMPLETE THE APPLICATION UNTIL THE FOLLOWING INFORMATION IS OBTAINED.  Without the following information about the clinical site, your application will be considered to be incomplete and will not be processed.  On the application you must provide the following:

  1. Name of potential clinical site
  2. Address of potential clinical site
  3. Name of the person that gave you the approval to do your internship along with their contact informtion to include, phone number and email address

SMAHE will contact the person at the clinical site for evaluation as a clinical site.  If approved then an affilation agreement will be pursued.   

Your unofficial transcript may be uploaded with your application or you may have your official transcripts mailed to SMAHE, 4481 CR 6180, West Plains, MO 65775.  Only the transcript that pertains to your bachelor's degree or allied health program needs to be submitted at this time.

 
1 Start 2 Complete
Biographical Data
Prerequisites
Files must be less than 500 KB.
Allowed file types: gif jpg jpeg png pdf.
Program Choice
Clinical Site Information
Application Questions

I certify that the information provided with this application is true and correct and I make application for admission to Southwest Missouri Allied Health Education. I understand that Southwest Missouri Allied Health Education does not guarantee employment or salary.