Medical Laboratory Technology Program Application for Admission

Now accepting applications for Fall 2025.
The application deadline is May 1, 2025.

"*" indicates required fields

Your Information

Class year applying for:*

VCCS student ID number*

Your seven-digit VCCS Student ID Number.

Name*

First Middle Last

Date of birth*

Email*

Enter Email Confirm Email

Primary phone number*

Secondary phone number

Home address*

Street Address Address Line 2 City State ZIP Code

Have you ever attended any other clinical/medical laboratory program?*

Yes

Please list the school and dates of attendance:*

What was your reason for leaving?*

Employment History

Employment history allows faculty to assess your professional experience and will not affect acceptance into the program.

Have you ever been employed?*

Yes

Your Employment History*

Click the plus sign to add another employer. Maximum of three allowed.

Company Name

Dates of Empolyment

Position Title

Reason for Leaving

Briefly Describe Your Job Duties

Personal Statement Essay

In the space below in approximately 300-600 words, please provide your answer to this question: “What interests you in becoming a Medical Laboratory Technician?”*

Checklist for Completing This Application

Please read each statement below and initial each one to agree to these terms for your application to be considered.

I am enrolled as a student at Laurel Ridge Community College OR have submitted my online application to become a student.*

Pre-requisite course: I have completed SDV 100 or SDV 101 College Success Skills (1cr.) with a grade of "C" or better.*

Students currently enrolled in pre-requisite courses may apply. Acceptance into the program will be contingent upon passing the course with a “C” or better prior to first MLT semester start.

Pre-requisite course: I have completed BIO 141 Human Anatomy and Physiology I (4cr.) with a grade of "C" or better.*

Students currently enrolled in pre-requisite courses may apply. Acceptance into the program will be contingent upon passing the course with a “C” or better prior to first MLT semester start.

Pre-requisite course: I have completed BIO 142 Human Anatomy and Physiology II (4cr.) with a grade of "C" or better.*

Students currently enrolled in pre-requisite courses may apply. Acceptance into the program will be contingent upon passing the course with a “C” or better prior to first MLT semester start.

Pre-requisite course: I have completed ENG 111 College Composition I (3cr.) with a grade of "C" or better.*

Students currently enrolled in pre-requisite courses may apply. Acceptance into the program will be contingent upon passing the course with a “C” or better prior to first MLT semester start.

I certify that I am eligible to enroll in MTH 161.*

Unsure? View the course requirements here (opens in a new tab).

I certify that I have a GPA of 2.5 or higher based on the twelve most recent college credits completed prior to the August MLT program start date.*

A GPA lower than 2.5 will be considered on a case-by-case basis.

Essential Functions

Essential functions are a set of requirements that students must meet for admission, retention and graduation from the program. Prior to admission each student must agree that they can, and are prepared to, meet these requirements with or without reasonable accommodation. It is the responsibility of the student with disabilities to request accommodations that he/she feels are reasonable and are needed to execute the essential function requirements described below.

Observation: I can distinguish objects macroscopically and microscopically (including color, shade, and hue); read text, charts, graphs, and instrument printouts, and enter computer data; inspect specimens for suitability.*

Movement: I can obtain, manipulate, measure specimens reagents, materials, instruments, and analytical equipment according to established procedures and standards safely and with precision, speed, and accuracy; reach laboratory bench tops and shelves, patients lying in hospital beds or patients seated in specimen collection furniture, perform moderately taxing continuous physical and mental work, often requiring prolonged sitting/or standing, in an eight to twelve hour period.*

Communication: I can communicate effectively in English, comprehending oral and written information; follow verbal and written instructions in English in order to correctly and independently perform laboratory test procedures; effectively, confidentially and sensitively communicate with patients regarding laboratory tests or instruction for specimen collection; communicate appropriately and in a timely manner with faculty, students, staff and other health care professionals.*

Intellect: I can receive, process and utilize information in order to achieve satisfactory performance in all tasks; demonstrate judgment and critical thinking skills.*

Behavior: I will refrain from alcohol use and substance abuse for the duration of the program. Students will be required to submit to a background check and drug screen before being approved for clinical rotations.*

Behavior: I am honest, ethical, compassionate, confidential and responsible; manage the use of time, and systematize actions to complete tasks within realistic constraints; possess the emotional health necessary to effectively employ intellect and exercise appropriate judgment; exercise good judgment in responding to emergency situations with patients or peers; be flexible and creative in adapting to professional and technical change; recognize potentially hazardous materials, equipment, and situations, proceeding safely to minimize risk of injury to self and nearby personnel; adapt to working with unpleasant biological specimens or reagents; support and promote the activities of colleagues, adopting a team approach to learning, task completion, problem solving, and patient care.*

Attestation

Please read and agree to the following terms:*

I certify that the information given by me in this application is true in all respects. I agree that if accepted into Laurel Ridge Community College’s Medical Laboratory Technology Program, and the information is found to be false in any way, that I may be subject to dismissal without notice. I authorize the use of information in this application to verify my statements. I acknowledge that I am required to complete a drug-screening test and criminal background check prior to acceptance to the final semester of clinical rotations. By signing below you acknowledge that you have read and agree to the above statement.

I have read and agree to the above statement.

I certify under penalty of disciplinary action up to and including withdrawal from the Medical Laboratory Technology Program, that all of the information is complete and accurate. I agree to supply the Medical Laboratory Technology Program with supporting documentation related to my application, if I am requested to do so.*

Typing your full name below is considered your signature.

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