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MLT Application
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MLT Application
NEO Medical Laboratory Technician Application
Step
1
of
3
33%
DUE BY MARCH 1ST OF EACH YEAR. SUBMISSION AFTER THIS DATE WILL BE CONSIDERED AT THE DIRECTOR'S DISCRETION.
PLEASE INCLUDE A TRANSCRIPT FROM EACH COLLEGE ATTENDED.
Personal Information
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Reference #1
List two sources of reference (preferably an instructor or counselor at your former school/college and a previous employer).
Name
First
Last
Title
Phone
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Reference #2
Name
First
Last
Title
Phone
Email
Please select your choice of course delivery:
Distance Lab Student: Online course delivery / Labs –two days on campus at the beginning of the semester, two days mid-semester, two days end semester + virtual lab work throughout
Campus Lab Student: Online course delivery / Labs three hours a day, four days a week on campus
Clinical Laboratory Work
If you are working in a clinical laboratory, please report it here:
Add
Remove
High School Diploma/GED
GED Certificate may require 2nd history.
High School Graduate/Have Diploma
Have GED Certificate
Prerequisite Courses
Please complete this section of the form with the college/semester/course number/grade for each.
ENGL 1113: English Composition I (3 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
ENGL 1213: English Composition II (3 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
HIST 1483 or 1493: American History (3 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
POLS 1113: American Government (3 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
PSYC 1113: General Psychology (3 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
CHEM 1114: Chemistry for Health Science (4 credits) OR CHEM 1215: Principles of Chemistry (4 credits) OR CHEM 1314: General Chem I (4 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
BIOL 160 Animal Science (4 credits) OR BIOL 2114: Anatomy & Physiology (4 credits) If you have taken an A&P I class you must also take the A&P II class to fill this requirement
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
MCRO 2124 Introduction to Microbiology (4 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
MLAT 1414: Immunology and Serology (4 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
MLAT 1113: Medical Lab Operations (3 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
2nd History if GED certificate (3 credits)
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
Intermediate Algebra or College Algebra
Credit Hours
College/University Semester & Year of Course
Course Prefix & #
Grade
For transfer students or students who have taken courses OTHER than at NEO:
Transcripts (either official or unofficial) a. Unofficial transcripts may be included for the application process. Unofficial transcripts are transcripts not sent sealed from the college or have courses in progress. b. Official transcripts are sealed and stamped by the college and sent directly to the MLT Director by mail: Jessica Mayfield Northeastern Oklahoma A&M College 200 I NE Miami, OK 74339 OR through an official electronic transcript by sending it to jessica.mayfield10@neo.edu.
Unofficial Transcript Upload
Unofficial transcripts may be included for the application process. Unofficial transcripts are transcripts not sent sealed from the college or have courses in progress.
Max. file size: 20 MB.
NON-ACADEMIC TECHNICAL STANDARDS
(Required)
The clinical laboratory environment requires the employee to have reasonable mobility and to lift weighted items. In addition, his/her coordination needs to be such so as to allow for fine manipulations and movements. Because laboratory work requires good visual acuity and color perception, students with severe color perception defects or partial vision defects which cannot be corrected with glasses or contact lens will find laboratory work very difficult, if not impossible. Students with correctable visual defects have in many instances been able to compensate for this problem and work successfully in the laboratory.
Students who are interested in the laboratory profession need to be emotionally, mentally, and physically capable of coping with the eight-hour day, handle work-place relationships, accept supervisory direction and the stress that is a part of the learning environment.
It is strongly recommended that those individuals with physical handicaps should visit a clinical laboratory and shadow a working technologist through activities of the laboratory, then the prospective student can accurately evaluate his/her potential and capabilities for a career in the clinical laboratory. Contact the program office for assistance in making such arrangements.
Criminal background checks and sexual offender checks will be required upon acceptance into the medical laboratory technician program for Oklahoma, Missouri, Kansas, Arkansas and all states of residence. Drug screening will also be required upon acceptance. Costs for all background, drug screens, and sexual offender checks are the responsibility of the student. Based
on a student’s criminal background history or drug confirmation testing, a clinical facility may impose exclusion from clinical experiences. Exclusion from a clinical experience may prohibit a student from completing the required clinical portion of a
course which would result in unsatisfactory progress in the medical laboratory technician program. Students may not hold NEO liable for their inability to complete clinicals due to a negative incident on a background, drug screen or sexual offender check. Clinical facilities may also require students to submit for random drug testing.
The Medical Laboratory Technician Program does not require students to take the national exam because it is not required in Oklahoma however, it may be a requirement for individual laboratories. The program director will encourage students to take the American Society of Clinical Pathologist MLT Board of Certification.
https://www.ascls.org/advocacy-issues/licensure
There are currently 11 states with laboratory personnel licensure (California, Hawaii, Florida, New York, North Dakota, Tennessee, Louisiana, Nevada, West Virginia, Montana, Georgia). Puerto Rico also has licensure. The components of the law
vary state-to-state, but usually includes an annual licensing fee (some are bi-annual), a provision for continuing education, a minimum education and professional competency requirements.
If a Medical Laboratory Scientist (MLS) or Medical Laboratory Technician (MLT) plans to locate in a state with licensure, that state should be contacted for specific information relative to that state’s laboratory practice act. This contact should be made as early as possible after the location decision has been made.
For further information, contact the Medical Laboratory Technician Program Director at Jessica.mayfield10@neo.edu or by phone 918-540-6307.
I hereby certify that the information contained in this application for admission to the MLT program is true and complete to the best of my knowledge. I further understand that any misrepresentation or falsification of information is cause for denial of admission.
Signature
(Required)
Nondiscrimination Notice
Northeastern Oklahoma A&M College does not discriminate on the basis of age, race, color, religion, sex, sexual orientation, genetic information, gender identity or expression, national origin, disability, protected veteran status, or other protected category, in any of its policies, practices or procedures. This provision includes, but is not limited to, admissions, employment, financial aid, and educational services. No person shall be excluded from or be subject to discrimination in the Medical Laboratory Technician Program at Northeastern Oklahoma A&M College on any basis prohibited by applicable law. No regard will be given to race, color, creed, religion, sex, national origin, disability or status as a veteran for admission to or progression through the MLT Program. The Americans with Disabilities Act (ADA) is a Federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the ADA Coordinator Carla Murphy. Carla can be reached by phone: 918-540-6969 or email: carla.murphy@neo.edu. Her office is located in Shipley Hall 309 The Medical Laboratory Technician Program at Northeastern Oklahoma A&M College is accredited by the National Accrediting Agency for Clinical Laboratory Sciences. National Accrediting Agency for Clinical Laboratory Sciences 5600 N. River Rd.., Suite 720 Rosemont, IL 60018-5119 (773) 714-8880 www.naacls.org
Jessica Mayfield
Director of Medical Lab Technician Program
jessica.mayfield10@neo.edu
918-540-6307
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