Medical Laboratory Science Online Application

Welcome to our online application.  A complete initial application to our program includes this online application, transcripts from universities and colleges attended, and 3 required letters of recommendation.  All of these application components must be received by the application deadline or your application will not be considered.  See “Medical Laboratory Science Admission” for further details.

* Denotes required fields

Due to Website issues experienced in July 2019, our deadline for the submission of application materials for the class beginning in January 2020 has been extended to August 8, 2019.

Contact Information
Example: NY
Example 12345
Example: NY
Example: 123-123-1234 x123
Personal Information
yyyy
Personal Statement
Employment Record 1
Employment Record 2
Education Record 1
Education Record 2
Educational Record 3
Education Status
Additional Information
Extracurricular Activities
Application Affidavit / Terms and Conditions

I understand that in order for my application file to be complete I must submit this application, official transcripts and/or evaluations from the colleges and universities I have attended, and 3 letters of recommendation. I hereby certify that all of the information listed on this form is true and complete. I understand that any false, incomplete or misleading information given by me on this application is sufficient cause for rejection. I also understand and agree that any false, incomplete or misleading information discovered on this application at any time after I begin the Medical Technology Program may result in my dismissal. * I have read and consent to the TERMS and CONDITIONS of the application in its entirety. I further recognize that typing my name in the box below constitutes my electronic signature to this agreement