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
Example: NY
Example 12345
Example: NY
Example: 12345
Example: 123-123-1234 x123
Personal Information
Employee Records 1
Employee Records 2
Education Records 1
Education Records 2
Educational Records 3
Additional Information
Terms & Conditions

Terms & 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