New U.S Undergraduate Application

U.S Undergraduate Application

Training Opportunities

If you need help with this application or have any questions please email admissions@medisend.org or call (214) 575-5006 x 112. Note: Documents can be uploaded at the end of this application.

Program

Start Date

How did you hear about the College?

Entrance Requirements

To be considered for enrollment, candidates must meet the following requirements:

Online Application
High school graduation (or equivalent)
Complete Aptitude Test

Required Documents

Proof of high school graduation

Supplemental Documents

College or University transcripts (official)

Helpful Experience

Electrical/Mechanical Engineering, Information Technology, Computer Science or similar background
Electrical/Mechanical Engineering, Biomedical Engineering, Physics, Chemistry, Biology, Computer Science, Information Technology or similar curriculum.

For more information, contact:
E-mail: admissions@medisend.org
Phone: 1-214-575-5006 Ext. 112
www.medisend.org

Personal Information

First Name

Last Name

Previous Name

Gender

Street

City

State/Province

Zip/Postcode

Preferred method of contact

Birth Date

Education Summary

Please list all educational experience, starting with High School

1. Name of School

Type of Institution

City & State

Course / Area of Study

From

Certificate, Diploma or Degree Received

Year Earned

2. Name of School

Type of Institution

City & State

Course/Area of Study

From

Certificate, Diploma or Degree Received

Year Earned

3. Name of School

Type of Institution

City & State

Course/Area of Study

From

Certificate, Diploma or Degree Received

Year Earned

Current Employment

1. Employer

Employee Position Title

Supervisor's Name

Supervisor's Title

Supervisor's Phone Number

Supervisor's Email

Mailing Address

Status

Position Type

Start Date

Summary of Job Experience

Previous Employment

2. Employer

Employee Position Title

Supervisor's Title

Supervisor's Name

Supervisor's Phone Number

Mailing Address

Status

Position Type

Start Date

End Date

Summary of Job Experience

Work Related Experience

Please check as many options below that apply to your work related experiences.

Installed / Repaired / Maintained the following

Home appliances (Ovens, refrigerators, washers, dryers, microwave systems, dishwashers, etc.)

Electrical Power Systems (including transformers, power lines, distribution panels etc.)

Electronic equipment used in research, diagnostic, and educational purposes

Personal computers, media networks

Industrial equipment

Medical equipment

Other electrical equipment

None

Other tasks

Diagnosed electrical circuit problems

Tested medical systems and power supplies

Assembled medical equipment

Performed electrical safety tests

Maintained preventative maintenance records

Diagnosed instrumentation problems

Performed installations, maintenance checks and repairs on medical equipment

Performed troubleshooting at component/system level

None

Personal Information and Background

Please tell us in your own words why you want to become a biomedical technician

Criminal Record

Have you ever been convicted of a criminal offense?

Yes No Not Selected

If yes, please provide additional information.

Note: An affirmative answer to this question will not automatically disqualify you from acceptance into this program.

Documents

Copy of Drivers License or Identification Card

Proof of high school (or equivalent) graduation

Unofficial Transcript #1

Unofficial Transcript #2

Important

You must read and sign below in order to complete your application.

I understand that this Application is part of the Medisend College of Biomedical Engineering Technology admissions process. I further agree to the release of any transcripts, student records, and test scores to Medisend College, including test score reports that Medisend College may request. I further authorize and request each reference, former employer, educational institution or any other organization(s) to provide, as required, all information that may be sought in connection with this Application.

By signing this Application I agree to abide by the policies and regulations of Medisend College if I am admitted. I understand that as a student, I am expected to engage in full-time study at Medisend College and obey all the related rules and regulations, as specified in the Medisend College Catalogue.

I am aware that Medisend College does not guarantee or promise any employment upon the completion of any of its educational programs.

Signature

Enter the above code

Required