Country:*
Province/State:
Birth Date:
Have you previously applied and been denied admission to East Valley Medical College?*
Have you previously been enrolled at East Valley Medical College?*
Did you graduate from an East Valley Medical College Program?*
Ethnic Origin:
Non-Discriminatory Policy
East Valley Medical College does not discriminate against students or potential students on the basis of race, creed, color, national origin, sex, sexual orientation, marital status, religion, age, disability, citizenship or veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained guide dog or service animal by a person with a disability. The school does not discriminate against a student with a disability who requests a reasonable accomodation in any of its activities, programs, admission policies, academics, advertising, placement or any other services, activites or functions of the college. East Valley Medical College endeavors at all times to be in full compliance with Title IX and the Educational Amendment Act of 1972. Discrimination in any form will not be tolerated by East Valley Medical College, whether by students, staff or faculty and is cause for dismissal. Any person unlawfully discriminated against, as described in ORS 345.240, may le a complaint under ORS 659A.820 with the Commissioner of the Bureau of Labor and Industries
If yes, do you have an Educational IEP?
High School Grad Date
Do you have a Level One Fingerprint Clearance Card?
Have you ever been expelled, suspended, dismissed,placed on probation from a place of Education?