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Phlebotomy Program Interest Form

Phlebotomy Program Interest Form

Name(Required)
MM slash DD slash YYYY
Address(Required)

Upload of the Following Documents is Required for Admission

Max. file size: 256 MB.
Max. file size: 256 MB.
Certification must be valid through the end of class
Max. file size: 256 MB.
OPTION 1) TABE reading placement test (10.0) | OPTION 2) High school transcript (if less than 10 years since graduation and unweighted GPA of ≥2.8) | OPTION 3) College credit for English (submit unofficial copy of transcript)

Visit https://learningcommons.acuityscheduling.com/schedule.php to schedule an appointment to take the TABE reading test version 9D. See Eusebio Velez, Public Safety Building office #111, for a testing permission form before going to test. Schedule an appointment to take the TABE reading test version 9D