Which high school/college subjects have you liked the most?

Which high school/college subjects have you liked the least?

Why do you want to be a Medical Laboratory Technician?

Evaluate yourself on the following qualities:

Willingness to accept responsibility:

Carefulness:

Honesty:

Emotional maturity:

Adaptability:

Knowledge:

Skill with hands:

Health:

What are your long term career goals?

Identify your personal strengths and weaknesses:

Have you or any of your relatives or close friends been employed in the health care field? If so, please explain:

Do you plan to work while in the MLT Program? If so, please explain:

Is there any additional information that might be helpful to us?