Temple College

Diagnostic Medical Sonography

Application for Admission

Application must be filled out completely. Please type and use the print button. Be sure to add a photocopy of your I.D. in the packet. See the DMSO webpage for more information.

Personal Information

Last Name

First Name

Middle Initial

Preferred Name

Social Security Number Format: xxx-xx-xxxx

Date of Birth

Mailing Address

City

State

Zip Code

E-mail Address

Cell Telephone (with area code) Format: (xxx) xxx-xxxx

Emergency Notification Contact

Telephone Format: (xxx) xxx-xxxx

Relationship

Education Background

High School / GED Name

City

State

Year

College

City

State

Year

College

City

State

Year

Additional Education / College

City

State

Year

Please indicate the program that you are applying to:

Program Track

General Track Deadline: Physically in DMSO office by 3rd Wednesday in May

Cardiovascular Track Deadline: Physically in DMSO office by 3rd Wednesday in May

All application material should be completed, and hand delivered or sent in a manila envelope to:

DMS Program
Health Sciences Center
2600 South First Street
Temple, Texas 76504