MLS Online

Application for Admission

Sentara RMH Medical Center does not discriminate on the grounds of race, color, religion, national origin, sex, age, marital status, sexual orientation, family responsibilities or political affiliation.

The Sentara RMH School of Medical Laboratory Science - Online is certified to operate by the State Council of Higher Education for Virginia.

Date

What class are you applying to Full Time or Part Time

Full-Time (1yr)Part-Time (2yrs)

Name

First name

Initial

Last name

Address Line 1

Address Line 2

City

State

Zip code

Phone

Please list other names that you have used which may appear on requested documents such as transcripts

How did you hear about the school?

NOTE: If an applicant is accepted into the Sentara RMH School of Medical Laboratory Science, a physical examination and drug screen, and background checks are also required.

Education

What is your present Grade Point Average?

THE BACCALAURATE DEGREE MUST BE FROM A REGIONALLY ACCREDITED COLLEGE/UNIVERSITY.

NOTE: We will prepare you for the lab portion of the ASCP exam or any certification exam. We cannot change the non-lab (experience and/or undergraduate accreditation) requirement for any certification exam. We cannot guarantee that you will be able to sit for any exam.

Provide the names and addresses of the schools you have attended, the dates of attendance, and any degree(s) received.

References

Contact a minimum of three references and have them send letters of recommendation to the Sentara RMH School of Histotechnology. At least two of the references must be from college professors.

Work Experience

In the space below, list your work experience with the most recent employment first.

1. Date of employment

Supervisor's name

First Name

Last Name

Employer's Address

Address Line 1

Address Line 2

City

State

Zip code

Job Title

Reason for leaving

2. Date of employment

Supervisor's name

First Name

Last Name

Employer's Address

Address Line 1

Address Line 2

City

State

Zip code

Job Title

Reason for leaving

Interview

Acceptance into the Sentara RMH School of Medical Laboratory Science depends upon your references, analysis of academic courses and performance, and your personal interview. After all of your references and transcripts have been received and evaluated, an interview may be scheduled. The Program Director for the school will contact you regarding the date and time.

However, to assist in this process, please indicate the two best days and times to schedule the interview (for example, “Monday, any time after 1:00 pm”). Interviews will be scheduled Monday through Friday only. - MLS

Applicants without United States citizenship only. What is your current Visa staus?

Signature

If I am accepted by the Sentara RMH School of Medical Laboratory Science, I agree to abide by the code of ethics and the general rules and policies of the school and the hospital, and I am responsible for my conduct at all times. In signing below, I also affirm that to the best of my knowledge, the previous information is correct and accurate.

Signature

Use your mouse or finger to draw your signature above