VSOP, Training Consideration Form

Veinpire, School Of Phlebotomy is Approved by the Illinois Board of Higher Education Division of Private Business & Vocational Schools ibhe.org

Training Includes: Certificate of Completion in Phlebotomy Training, Hands-On Practical 3/8hr Days 9a-5p, HYBRID @Home Unlimited Study Time, @Home Unlimited Practice Exams & @Home National Certification Final Exam within 1yr, Color Downloadable Certificate, 2yr Registry into National Database, Resume Preparation Assistance, Job Placement Assistance!
Presented by: Ms. Vein, Lab Director, CPI/CPT/MA.

20yrs Experienced, Nationally Certified Phlebotomy Instructor, 5 🌟🌟🌟🌟🌟 Google/Indeed Rating, A+BBB Rating & Accredited & 2021 Torch Awards Finalist, 2022/2023 Torch Awards Nominated who has trained over 200 Phlebotomist! VSOP is the ONLY in Central, IL. who includes National Certification Exam w/Tuition, Shortest Accelerated Hybrid Phlebotomy Program & the LOWEST PRICED for all offered! Please COMPLETE THE FORM COMPLETELY.. ANSWER ALL QUESTIONS to be considered for training at Veinpire, School Of Phlebotomy.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Mobile Number
Do you have a CLEAR BACKGROUND?
No pending court dates, Expunged must be in the system to not show! MUST have proof of a waiver. Active Misdemeanors or Felonies NOT PERMITTED if children or the medical field are involved, if so please get expunged and return to Veinpire, School Of Phlebotomy!
Student E-mail
example@example.com
Are you at least 17yrs of age w/HS Diploma or GED?
CAN NOT ATTEND WITHOUT!
Select Training Date
RESCHEDULING ONLY PERMITTED WITH VALID PROOF OF AN EMERGENCY. Choose any month and start your payment plan today by securing your seat w/$500 NON-REFUNDABLE DEPOSIT which gives you time to pay the balance of $1500 by the 1st day.
What date will you be making your NON_REFUNDABLE DEPOSIT of $500 or FULL PAYMENT of $2000 to hold your seat in training?
Specify the date and amount with response. Balances will be due by the 1st day!
Please upload a picture of your HS Diploma/GED, College Degree or Transcripts

Make sure the pictures are clear!
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How did you hear about VSOP and why do you want to become a Certified Phlebotomist?
Veinpire aims to train those who will be diligent about passing Hands-On Practicals, National Phlebotomy Certification Exam within 2 weeks and gaining employment within 90 days!
Please upload a picture of your Valid ID

Make sure the pictures are clear!
Cancelof
CLEAR SIGNATURE

Clear
You will receive the Catalog & Enrollment Agreement to electronically sign & your invoice for payment by email after submitting this form. Once deposit is received you will get an Official Letter of Acceptance into VSOP~Veinpire, School Of Phlebotomy, along w/study materials & videos you can start the same day! National Exam Platform will be sent when paid in full.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Veinpire, School Of Phlebotomy is Approved by the Illinois Board of Higher Education Division of Private Business & Vocational Schools ibhe.org

Presented by: Ms. Vein, Lab Director, CPI/CPT/MA.