Histotechnology Program Application


In compliance with federal law, including the provisions of Title IX of the Education Amendment of 1972, Sections 503 and 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, Vanderbilt University Medical Center and its Center for Programs in Allied Health do not discriminate on the basis of race, sex, religion, color, national or ethnic origin, age, disability, or military service in its administration of educational policies, programs, or activities; its admissions policies; scholarship or loan programs; or employment. In addition, the Vanderbilt University Medical Center and its Center for Programs Allied Health do not discriminate on the basis of sexual orientation consistent with the Medical Center nondiscrimination policy.

APPLICANT INFORMATION

EMERGENCY CONTACT INFORMATION

MILITARY STATUS

CITIZENSHIP/RESIDENCY INFORMATION

NOTE: US Citizenship, permanent residency (i.e., green card), or legal eligibility to study in the country (i.e., student visa) is required for all applicants.

Enclose a copy of your permanent resident card or student visa documentation with this application.

At VUMC, all instruction occurs in English. VUMC does not offer English as a Second Language (ESL) instruction. Applicants whose native language is not English may be required to submit scores on the Test of English as a Foreign Language (TOEFL) or International English Language Testing Service (IELTS) as part of the admission process.

EDUCATION INFORMATION

POSTSECONDARY EDUCATION


List all higher education institutions attended.

*If you have attended more than 4 Colleges/Universities, please upload the Unofficial Transcript in the fields below*

REFERENCES

ADDITIONAL DOCUMENT UPLOADS

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PERSONAL STATEMENT

Please submit a personal statement that addresses your goals in pursuing a career as a Histotechnologist/Histotechnicians. Include the courses and/or experiences you have had that will allow you to succeed in the program and in the profession. Also include any additional information you feel is helpful to the program advisory committee to understand about your application. Your personal statement should be no more than two pages single-spaced and typed at 11 point font in Calibri.


RESUME

Provide a personal resume to include the following information with dates:

  • ALL academic institutions attended
  • Academic honors, awards and achievements
  • Employment Information: dates, employer name, city/state, phone number, position/responsibilities, may we contact the employer, if no state reason
  • ALL licensures/credentials, including agency/organization and license/credential number(s)
  • Professional organization membership(s)
  • Professional development activities (additional professional training)
  • Extra-curricular activities, leadership opportunities and volunteer experiences

Passport or state issued photo ID.


ACTIVITY STANDARDS

A histotechnologist/histotechnicians must be able to perform a variety of physical movements. To ensure they are able to perform essential job functions, candidates for admission must also possess the following:

The physical capability and manual dexterity required to perform phlebotomy and routine laboratory procedures. These include, but are not limited to, repetitive hand motions, differentiation of colors for interpretation of color reactions and cellular morphology. The physical ability to work with laboratory computers and communicate effectively with histotechnologist, patients, physicians and other health care professionals. This ability is assessed from references in the interview process.

IMMUNIZATION REQUIREMENTS
Upon acceptance, students must provide written documentation of the following:

  • Two (2) negative TB skin tests within the past 12 months with the most recent being within the past three (3) months. If history of a positive skin test is present, a chest x-ray within the past 6 months will be necessary.
  • If born on or after January 1, 1957: two (2) live measles vaccinations after the 1st birthday at least one month apart OR MMR vaccination since 1989 OR laboratory evidence of immunity to measles, mumps and rubella
  • Laboratory evidence of immunity to varicella (chickenpox) or immunization series
  • Hepatitis B immunization (series of 3 injections), immunization series in progress or informed refusal of immunization
  • Tetanus/Diphtheria booster within the past 10 years (Routine adult Td boosters and the childhood DTP/DTaP vaccines do not satisfy this requirement)
  • Annual influenza vaccine

APPLICANT SIGNATURE


I certify that the information given on this application is complete and correct to the best of my knowledge. I understand that willfully withholding information or making false statements in this application may be used as the basis for dismissal or denial of consideration. I understand that an offer of admission will require compliance with the Activity Standards and Immunization Requirements outlined in this application. I understand that if selected for admission to this program, my acceptance is conditional on successfully completing a background check and drug screen conducted by Vanderbilt University Medical Center. I understand that my acceptance to the program is contingent upon the successful completion of any outstanding prerequisites (if applicable) and that verification must be provided to the Program prior to matriculation. I understand that all documents submitted to Vanderbilt University Medical Center will be retained permanently by the Program regardless of my admission status.

NOTE: TITLE IV FEDERAL FINANCIAL AID (FAFSA) IS NOT AVAILABLE THROUGH THE VUMC CENTER FOR PROGRAMS IN ALLIED HEALTH (CPiAH). THIS INCLUDES LOAN DEFERMENT OPTIONS FOR ANY EXISTING LOANS. PLEASE CONTACT US WITH QUESTIONS IF YOU NEED ADDITIONAL CLARIFICATION AT CPiAHadministration@vumc.org.
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