JEM College || Medical Imaging Education




			Application for SEVIS Enrollment JEM College would like to thank you for your interest in studying abroad in the United States. We are committed to providing quality medical imaging education, and offer professionally career oriented programs. We are now accepting applications for the 2010 - 2011 school year. Please complete the on-line application below and submit. Your application will be reviewed, and a response will be e mailed to you regarding the status of your application. Family Name Present Address City State Postal Code Country Home Phone E-mail What type of work do you do now? Please be sure all boxes are filled in before clicking the "Send Details" button. If a box is not applicable to you, please type "none" in the box. First Name Middle Name Other Names Used or Aliases Full Name in Native Alphabet Place of Birth (City or Town) Province Country Date of Birth Age Gender Marital Status Highest Level of Education Completed Tell us a little about yourself and why you want to go to school here: Do you currently have a passport? Do you currently have a Visa? If yes, what type of Visa? Maiden Name (If applicable) Mobile Phone Today's Date Select a Program of Study Level of English Comprehension Level of English Reading Ability Visa is issued from what country?








		JEM College 271 Ott Street, Ste. 23 Corona, CA 92882 (951) 549-0693 FAX (951) 738-XRAY email: imaging@jemedu.com