Present or School Address (if different from home)
NOTE: If an applicant is accepted into the Sentara RMH School of Histotechnology, a physical examination and drug screen are required by the hospital employee health services department. Background checks are also required.
NOTE: If an applicant is accepted into the Sentara RMH School of Medical Laboratory Science, a physical examination and drug screen are required by the hospital employee health services department. Background checks are also required.
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.
Work Experience
In the space below, list your work experience with the most recent employment first.
Signature
If I am accepted by the Sentara RMH School of Histotechnology, 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
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.
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