Student Name:________________________________ Date:______ Student Number:____________

Address, Local Telephone, email:

City & State: Zip

Note: Print this form for planning progression through the program, for academic advising, and for application to the CYT program. Bring an updated copy of the form with you when meeting with your advisor.

Enter grades and credit hours for all courses taken. Put "NOW" if you are currently enrolled.

*Minimum ACT score or course prerequisites/ corequisites apply. Check the schedule of classes.

NOTE: Marshall plan requirements must be included in all degrees (writing intensive 3 CH, international 6 CH, multicultural 3 CH, computer literacy, capstone experience).

Applying for CYT Clinical Year:

1. Submit this completed form, two letters of reference, and a letter of application  to the Department Chair Jennifer Perry at the MU CLS Dept. between Jan. 1 and Feb. 15.

2. Transcript review and recommendation by CLS Department; competitive, priority selection process.

3. Personal interviews: March.

4. Selection committee meets and notifies applicants: late March.

5. Upon acceptance to the CHH or CAMC School of Cytotechnology, the student applies for MU tuition waiver (form available from CLS Dept).

6. Student pays program tuition to CHH or CAMC ($5000).

7. Upon acceptance, the student registers for the appropriate section of the following courses as they are offered in succeeding semesters:

8. Upon completion of the program, course grades are transferred from the cytology school and posted on the MU transcript.

Hospital-based Professional Sequence: