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Welcome to Orlando Medical Institute...... We are happy to have you join our Team #TeamOMI. Please complete this enrollment form and someone from Student Services will be in contact with you with what's next!!!
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First Name
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Last Name
Email Address
Social Security Number
Date of Birth
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Address & Phone Number(s)
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City
State
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ALABAMA
ALASKA
AMERICAN EMBASSY
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WASHINGTON
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WISCONSIN
WYOMING
Zip Code
US Emergency Phone
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Home Phone
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US Cell Phone
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High School (or GED center) attended
Post-Secondary Institution Attended
Post-Secondary Institution Attended
Program of Interest
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Emergency Medical Technician Diploma
Paramedics Diploma
Associate's of Nursing
Associate's of EmergencyMedical Services
Start Date
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2018-2019 Academic Year
Start 3 (2018-2019)
Disability
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Are you a Veteran?
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Not a veteran
Veteran = Yes
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How did you hear about the school?
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Alumni Referral
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Uniform Scrub Top Size
Uniform Scrub Bottom Size
Upon clicking the submit button, you will be redirected to your payment page. Payment is required to complete your initial enrollment. The institute accepts online payment and/or in-person payment with a member of Student Services.
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Orlando Medical Institute
6925 Lake Ellenor Drive
Building 3
Orlando, FL 32809
(407) 251-0007
info@omi.edu