1. How did you first learn about the profession of clinical laboratory sciences?

2. Have you ever been enrolled in a clinical laboratory sciences program?

   YesNo
   If yes, please specify.
   

3. Are you a certified MLT/CLT or eligible for certification?

   YesNo
   IIf yes, please indicate.
   

Prerequisites

Please complete this form as part of the application packet. Indicate what courses have been completed or will be completed to fulfill each prerequisite area, including when and where each course was completed or will be completed. Please refer to the Program Requirements page of this application packet for specific information about prerequisites. Questions regarding the transferability of courses from colleges in Virginia can be found online at www.transferguide.vcu.edu.

Clinical laboratory sciences and health services experience (work/volunteer) hours

College extracurricular and community activities

Resume

Personal Statement

Department of Clinical Laboratory Sciences Essential Functions for Admission

Please read the Essential Functions for Admission in the Department of Clinical Laboratory Sciences and sign below.

The VCU Department of Clinical Laboratory Sciences is responsible for providing education without regard to disability while assuring that academic and technical standards are met.  Academic standards are met by successfully completing the curriculum for the Bachelor of Science Degree in Clinical Laboratory Sciences (CLS).  Technical standards represent the essential non-academic requirements that a student must demonstrate to successfully participate in the CLS degree program.

The technical standards for each category identified below are consistent with the expectations of Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, and Americans with Disabilities Act Amendments Act of 2008.  Applicants should possess the following essential technical abilities and skills for admission consideration.

1. Manual dexterity: Ability to use hand(s) or prosthetic devices with coordination.
2. Fine motor: Ability to manipulate small objects with fingertips or adaptive devices.
3. Mobility: Ability to maneuver in the laboratory and around instruments and in patient-care settings.
4. Vision: Ability to distinguish red, yellow and blue colors; to distinguish clear from cloudy; and to distinguish objects through a microscope.
5. Hearing: Ability to hear with assistive devices (i.e., phone receivers, hearing aid, etc.).
6. Speech: Ability to verbally communicate in English.
7. Writing: Ability to communicate effectively in written form in English.
8. Reading: Ability to read, understand and follow directions printed in English.
9. Emotional and physical stability: Ability to work accurately and safely under stress, adapt to changing environments and prioritize tasks.
10. Personal attributes: Must demonstrate integrity, responsibility, tolerance and respect.

I attest that I have read and understand the essential functions required to successfully complete the program in clinical laboratory sciences, and I believe that I can, and am prepared to, meet these requirements.

You will receive a confirmation email upon submission of this form.