Medical Laboratory Assistant Application - Non SSO

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Medical Laboratory Assistant
Application for Admission

Please CHECK ONE option below:

Application Submitted by June 1st for Fall Entry (traditional face-to-face path).

Application Submitted by November 1st for Spring Entry (Online and optional daytime or evening/weekend labs)

Student Information

Date:

Last Name:

First Name:

Student G#:

Other Names (Maiden):

Phone Number (Home):

Phone Number (Cell):

Address:

City:

State:

Zip:

Personal Email:

SJC Student Email:

Have you made formal application to San Jacinto College?

Have you had official transcripts for ALL colleges you have attended sent to Admissions and requested a transcript evaluation?

Grade Point Average at San Jacinto College:

* Cumulative GPA must be 2.0 or higher.

GPA at other college/university:

To apply for admission to the MLA program please upload the following documents.

A copy of your official or unofficial transcript(s).

A brief statement letter indicating why you want to become a Medical Laboratory Assistant.

If you are a veteran or have at least one year of experience working in a healthcare-related field, please also attach documentation to support that.

Optional: Upload Verification of Healthcare Related Experience Form.

Optional: Upload Verification of Healthcare Related Experience Job Description.

I acknowledge that I have read and understand the information contained in the Student Program Handbook.

Please wait for files to finish uploading

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