Clinical Year and Certificate Application

Application for MLS Clinical Year & MLS Certificate Program

Deadline October 1

This clinical application is required for:

  • students applying to enter the senior (clinical) year of the Bachelor of Science - Medical Laboratory Science (BS-MLS) program (INCLUDING Direct-Admit students- OR - 
  • individuals applying for admission to the certificate in Medical Laboratory Science (MLS) program. 

Please follow the steps below to complete the MLS Program Application. 

First: read the information including the FAQs which contain some instructions and note the deadline posted on the webpage for Clinical-Year and Certificate Program Admissions.

You will find the application below, broken down into several sections. They do not have to be completed in order, but each section must be completed entirely: once you begin each section of the application, you will not be able to save it and resume later.

Be sure to have all proper materials before beginning each section of the application.  You may preview the application to see what you will need and to download the Word files you can complete offline to submit with their respective forms.

 

You and your references must each confirm that your forms have been submitted correctly. Please share the following instructions with each of your 3 references:

After each form has been submitted, you will see a blank page. You must scroll up to the top of the page to see the submission message. UCIT has been unable to remedy this inconvenient glitch. 

The message states 1 of 2 things: that the form was successfully submitted ("completed form") or that there was an error. Errors tend to be caused by a missing field, so check for anything you might have missed. By design, the form takes a wide variety of formats - phone numbers, capitalization, so errors are almost always the result of missing items. To resolve them, search your form for any blank fields and fill them in and then resubmit. If you cannot resolve your errors, email MLS-Campus-Based@uc.edu

 

 

Please complete the Demographic Information form below and proceed to the "Essential Functions & Questionnaire" tab to continue with the application. 

Please download and complete the word document below and submit it in the "Education & Experience" upload section on the bottom of the form below (as it is required for the program application) 

Please confirm that your form was submitted without an error following instructions found on this page.

Essential functions and technical standards represent the essential non-academic requirements that students must master to successfully participate in and complete the program. 

Please complete the demographic information form below and proceed to the "essential functions & questions" to continue with the application.

Please download and complete the the "MLS Questionnaire" word document below and submit it in the "Questionnaire" upload section on the bottom of the form below (as it is required for the program application)

Please confirm that your form was submitted without an error following instructions found on this page.

If you are the applicant: please complete the "Reference Agreement" form below to allow permission for your references to submit in evaluation forms.

  • You must indicate your consent for your three references to complete the reference form and to waive your right of access to the information.

After completion, click on the "Reference Evaluation Form" and send the web address to your three references to submit on your behalf. 

  • Advise each of your references how to confirm their submission: 
    • After you submit your form, you will see a blank page. You must scroll up to the top of the page to see the submission message. UCIT has been unable to remedy this inconvenient glitch.   
    • The message states 1 of 2 things: that the form was successfully submitted ("completed form") or that there was an error. Errors tend to be caused by a missing field, so check for anything you might have missed. By design, the form takes a wide variety of formats - phone numbers, capitalization, so errors are almost always the result of missing items. To resolve them, search your form for any blank fields and fill them in and then resubmit. If you cannot resolve your errors, email MLS-Campus-Based@uc.edu

If you are providing a reference: Please complete the "Reference Evaluation Form" below. 

  • You must confirm that your submission was received: 
    • After you submit your form, you will see a blank page. You must scroll up to the top of the page to see the submission message. UCIT has been unable to remedy this inconvenient glitch.   
    • The message states 1 of 2 things: the form was successfully submitted ("completed form") or there was an error. Errors tend to be caused by a missing field, so check for anything you might have missed. By design, the form takes a wide variety of formats - phone numbers, capitalization, so errors are almost always the result of missing items. To resolve them, search your form for any blank fields and fill them in and then resubmit. If you cannot resolve your errors, email MLS-Campus-Based@uc.edu

In order to apply for the program, we will need a "Statement of General Health" form to be completed and signed by a health care provider. 

We do not require a physical for admission; however, your health care provider may require one before they will sign the form. Health care providers can be physicians, physician assistants or nurse practitioners. They can be your regular primary care provider or a provider in a walk-in clinic. The form is good for one year; if you are re-applying, you will likely need to obtain another form. 

Please download the document below and once it is completed you or your physician's office can: