___________________________________________________
MLT Pre-Admission Conference
Spring Semester 2020
Name _____________________________________________________________
Address ___________________________________________________________
Home Campus ______________________________________________________
Student ID number ____________________________________________
Telephone _________________________________________________________
E-mail _____________________________________________________________
Understanding of Academic Progression &
Written Technical Standards for
Medical Laboratory Technician Program
I have read and understand the information in the on-line MLT Pre-Admission
Conference presentation. I understand the academic standards and process for
progression through the program. I also understand the Technical Standards of
the MLT Program. These are located in the on-line conference presentation.
I have been informed that immunization records are required before being
allowed to participate in clinical experiences. I have also been informed that a
criminal background check and a drug screen are required before being allowed
to participate in clinical experiences. If you do not “pass” the test, the facility may
refuse to allow you to practice in their facility. The cost of these checks will be
the responsibility of the student.
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