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Medical Laboratory Sciences Program Application
Idaho State University
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* Indicates required question
Email
*
Your email
Legal Name (Last, First, Middle Initial)
*
Your answer
Email
*
Your answer
Bengal ID (if have one) or Birthday
Your answer
Gender
Male
Female
Choose not to disclose
Other:
Clear selection
What is your ethnicity?
Latino or Hispanic origin
White
Black or African American
Native American or American Indian
Asian/Pacific Islander
Other
Choose not to disclose
Other:
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Age (optional)
Your answer
Are you a permanent resident of Idaho?
Yes
No
Clear selection
Are you a citizen or permanent resident of the United States?
Yes
No
Clear selection
Current Mailing Address
Your answer
Daytime Telephone Number
Your answer
Cell Phone Number
Your answer
Please consider this application for
Boise/Meridian campus only
Pocatello campus only
Idaho Falls campus only
Any campus location
Online student- requires full lab sponsorship
Clear selection
Have you applied to the ISU undergraduate or graduate school?
Yes, I have been accepted
Yes, I am waiting to be notified of acceptance
No
Clear selection
I am interested in the
BS in MLS (First Degree)
BS in MLS (Second Degree)
MS in MLS -Route 1 (Certified)
MS in MLS- Route 2 (Need to obtain certification)
Clear selection
Cumulative GPA for Biology and Chemistry courses (minimum 2.5)
Your answer
Cumulative GPA for ALL courses (minimum 2.5)
Your answer
I have completed all the prerequisite coursework
Your answer
To earn a degree in MLS, students are required to have credits in Chemistry. Please list the courses taken with the corresponding credit value and grade earned for those courses, if applicable.
Your answer
To earn a degree in MLS, students are required to have credits in Microbiology. Please list the courses taken with the corresponding credit value and grade earned for those courses, if applicable.
Your answer
To earn a degree in MLS, students are required to have credits in Cell Biology. Please list the courses taken with the corresponding credit value and grade earned for those courses, if applicable.
Your answer
To earn a degree in MLS, students are required to have credits in Genetics. Please list the courses taken with the corresponding credit value and grade earned for those courses, if applicable.
Your answer
To earn a degree in MLS, students are required to have credits in Anatomy and Physiology. Please list the courses taken with the corresponding credit value and grade earned for those courses, if applicable.
Your answer
To earn a degree in MLS, students are required to have credits in Pathobiology or Pathophysiology. Please list the courses taken with the corresponding credit value and grade earned for those courses, if applicable.
Your answer
To earn a degree in MLS, students are required to have credits in Immunology. Please list the courses taken with the corresponding credit and grade value earned for those courses, if applicable.
Your answer
To earn a degree in MLS, students are required to have credits in Statistics. Please list the courses taken with the corresponding credit value and grade earned for those courses, if applicable.
Your answer
Please describe your academic background.
Your answer
If you are missing any required pre-req as you complete the application, please indicate your plan to make up any deficiencies prior to start of MLS Classes in August.
Your answer
Have you ever been convicted of or have pending against you a felony or misdemeanor other than minor traffic violations?
No
Yes (if yes is checked, please contact MLS Program Director to ensure your eligibility for future employment)
Clear selection
Are you being sponsored by a hospital, clinic, or other institution?
Yes
No
Clear selection
If yes, please indicate the name and address of the Sponsoring organization and the contact name, telephone number and email address. If no, please mark N/A for not applicable.
Your answer
Please list the names, and complete contact information (telephone number and email addresses) of the three references from which you have requested recommendations:
Your answer
Please list all colleges or universities you have attended, and whether you earned a degree. (Example: College of Idaho- no degree; Boise State University- BS in Biology)
Your answer
I have scheduled an appointment or have met with the MLS Program Director or other MLS faculty member for advisement prior to the start of the fall semester classes
Yes
No, but I plan to email an advisor to schedule an appointment
Clear selection
I have read the essential functions information on the MLS website.
Yes, and I agree and understand
No, I have additional questions and will contact the MLS Program Director for follow up
Clear selection
I understand that I will need to provide vaccination documentation as requested (and prior to placement to internship/practicums).
Yes
No, I have additional questions and will contact the MLS/CLS Program Director for follow up
Clear selection
I understand that I will need to complete a background check as requested (and prior to placement to internship/practicums.
Yes
No, I have additional questions and will contact the MLS/CLS Program Director for follow up
I understand that applications missing ANY of the following documents listed below will be considered incomplete and will not be evaluated for acceptance
Yes
No, I have additional questions and will contact the MLS/CLS Program Director for follow up
I have compiled and mailed all my application materials in ONE envelope.
Yes
No (You will not be considered until all materials have been received)
Clear selection
How did you hear about the MLS Program
Family
Friend
ISU MLS Website
Graduate of MLS Program
Employer
The College of Idaho's Cooperative Program
ISU Catalog
Internet
Academic Advisor or Faculty Member
Other
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