APPLICATION PROCESS FOR
2017-2018 CLINICAL LABORATORY SCIENCE
MEDICAL TECHNOLOGY PROGRAM
CHECKLIST
Forms to Complete
1.
Application
2.
Hospital Choice Form
3.
Personal Data Form
4.
Essential Functions Form
Schedule Interview Time
5.
References
6.
7.
Hospital Tours
8.
Transcript from UWSP
9.
Transcripts from other
schools previously
attended.
Submission
Save as a Word Document as
Last Name-Appl & send as an
e-mail attachment to:
nhaberma@uwsp.edu
Save as a Word Document as
Last Name-Hosp & send as an
e-mail attachment to:
nhaberma@uwsp.edu
Save as a Word Document as
Last Name-PD & send as an
e-mail attachment to:
nhaberma@uwsp.edu
Date Due
4 P.M., Mon., Feb. 1
4 P.M., Mon., Feb. 1
4 P.M., Mon., Feb. 1
Print, review, sign, submit to SHCP
4 P.M., Mon., Feb. 1
Office (D127 Sci Bldg)
When submitting your Essential
Functions form to the SHCP Office,
4 P.M., Mon., Feb. 1
schedule an interview time for Wed.,
March 2.
List the people you are going to use as
a reference on the application. DO
NOT CONTACT THEM AT THIS
TIME. You will contact them when
you apply for a clinical site in the fall.
Tour affiliated hospital laboratories.
Tour information will be sent from the
SHCP Office.
The SHCP Office will attach a copy of
your unofficial UWSP transcript to the
application.
If you have previously attended any
other college, university, or postsecondary school, request one (1)
official transcript to be sent to: UWStevens Point, School of Health Care
Professions, D127 Science Bldg.,
Stevens Point, WI 54481.