Application Instructions: Use the attached checklist as a guide to make sure you have completed all the required materials.

ALL FORMS MUST BE TYPED

If you need any assistance contact Nancy Habermann at nhaberma@uwsp.edu or the Health Science

Dept. in Rm. D127 Science Bldg.

1. Complete the Application. Use the Narrative Form provided (last page of the application) for your narrative (200 words or less). Remember, the committee will be reviewing your application and narrative, so be sure to proofread! Double space the narrative and justify the text. To justify text: Use the Formatting toolbar to justify your text quickly. Select the text and click Justify. (To display the Formatting toolbar, point to Toolbars on the View menu, and then click Formatting.). Check your pages and make sure you do not have a signature line or just one sentence as a page. You may have to adjust your pages!

BE SURE TO PROOFREAD ALL THE FORMS BEFORE YOU SUBMIT THEM!

2. Review the list of affiliated hospitals and complete the hospital choice form. Be sure to sign the form (type your name), and return it electronically along with your application.

3. Only list the people you are going to use as a reference. Do not contact them at this time. You will contact them for a reference when you are applying for a clinical site in the fall.

4. Complete the Personal Data Form for award nominations. Be sure to sign the form (type your name), and return it electronically along with your application.

5. Save all forms as Microsoft Word Documents using the following format: Your last name and the abbreviation listed below.

a. Application: Save as Last Name-Appli

b. Hospital Choice Form: Save as Last Name-Hosp

c. Personal Data Form: Save as Last Name-PD

Send the following forms as an attachment in an e-mail to Nancy Habermann at nhaberma@uwsp.edu by 4:00 P.M. Monday, February 11^th to be eligible for the 2009-2010 Clinical Practicum:

1. Application

2. Hospital Choice Form

3. Personal Data Form

6. Print, read, and sign the Essential Functions Form. Return the signed form to the HS Office (D127 Sci Bldg.). Do not send electronically!!

7. Personal interviews with the UWSP Clinical Laboratory Science Executive Committee will be held Tuesday, February 26^th. BE SURE TO SIGN UP FOR AN INTERVIEW TIME. THE SIGN UP SHEET IS POSTED ON THE BULLETIN BOARD OUTSIDE OF D127 SCI BLDG.

8. Upon formal acceptance to the Clinical Laboratory Science Program, the applicant is deemed eligible for his/her Clinical Practicum. This does not, however, guarantee placement for the clinical practicum.

9. Students are required to tour affiliated hospital laboratories in Wisconsin. Schedules of visitation times will be available this spring/summer and will be available again this fall.

10. We will attach a copy of your “unofficial UWSP transcript” to the application. If you have previously attended any other college, university, or post-secondary school, please submit a copy/copies of the transcript/transcripts with your application.

11. You are welcome to utilize the computers in Room D122 of the Science Building (Health Sciences Department Student Resource Room) to complete and/or print your applications.