VSOP, Training Consideration Form

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 below COMPLETELY to be considered for Training!
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 2/8hr 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!
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
Student E-mail
example@example.com
Are you at least 17yrs of age w/HS Diploma or GED?
CAN NOT ATTEND WITHOUT!
Do you have a CLEAR BACKGROUND?
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!
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.
How did you hear about VSOP?
Website, Google, Friend, Facebook?
Please upload a picture of your HS Diploma/GED, College Degree or Transcripts

Make sure the pictures are clear!
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Please upload a picture of your Valid ID

Make sure the pictures are clear!
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Signature

Clear
You will receive the Enrollment Agreement to electronically sign & your invoice for payment by email after submitting this form. As well as an Official Letter of Acceptance into VSOP ~Veinpire, School Of Phlebotomy w/study materials & videos you can start the same day!
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Presented by: Ms. Vein, Lab Director, CPI/CPT/MA.

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