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2020 Spring CLS Phlebotomy Program Application


Fields marked with an asterisk * are Required

Please click here for the Phlebotomy Program admissions requirements and Program details.
  1. Complete the online application form.
  2. Submit the $25.00 non-refundable application fee - online payment via credit card.
  3. E-mail required application documents. A copy of ONE of the following:
    • High School diploma/transcript or GED
    • Proof of higher degree i.e. transcript
If High School diploma or higher degree is from a non US institution, you must submit WES evaluation AND TOEFL Report with score.

E-mail the documents to : with subject titled as Phlebotomy Application Documents. Due date for Application Documents: November 13, 2019.

* Last Name
* First Name
* Address (Street)
* City
* State
* Zip
* Day Phone Number
* Cell Phone Number
* Email