Application

• PERFUSION APPLICATION
• PERFUSION REFERENCE FORM
• PERFUSION CASE SHADOW FORM

Applications must be delivered to the Center for Programs in Allied Health at the address below, with postmarks dated on or before the deadline of October 16, 2020. ALL SUPPORTING APPLICATION DOCUMENTS FOUND IN THE CHECKLIST BELOW MUST BE SECURED BY THE APPLICANT AND INCLUDED WITH THE APPLICATION FOR ADMISSION IN ONE MAILING ENVELOPE. Failure to follow these instructions will result in points deducted from your final applicant ranking score. Full submission of application materials by the applicant MUST include the following:

• Completed application (postmarked by: Friday, October 16, 2020)
• $100 non‐refundable application fee (check/money order payable to VUMC – do NOT send cash)
• Passport sized photo
• Personal statement
• Perfusion case shadow form
• 3 letters of reference and reference forms in sealed envelope(s)
• Official transcripts for ALL post‐secondary coursework in sealed envelope(s).  For education obtained at a non‐ U.S. Institution, translation into the U.S. equivalency (i.e., equivalence of credits per course and of degree conferred) must be submitted with this application (translation into English language only is NOT accepted).

Allied Health, Perfusion Program
2211 Garland Avenue
3402 MRB 4
Nashville, TN 37232-0495

In compliance with federal law, including the provisions of Title IX of the Education Amendment of 1972, Sections 5053 and 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, Vanderbilt University does not discriminate on the basis of race, sex, religion, color, national or ethnic origin, age, disability, or military service in its administration of educational policies, programs, or activities; its admissions policies; scholarship or loan programs; athletic or other University-administered programs; or employment. In addition, the University does not discriminate on the basis of sexual orientation consistent with University non-discriminatory policy.