Medical Laboratory Science Program Application

Thank you for your interest in the Medical Laboratory Science program at Penn State Health Milton S. Hershey Medical Center.

In addition to completing this online application:

Mail a $30 application fee (check made payable to Penn State Health with "MLS App Fee" written in the memo line) to the address listed below.
Request an official transcript be sent from your undergraduate institution to the address listed below.
Alternatively, if your undergraduate institution's registrar uses a digital credentialing service that offers a secure download option, a link to the secure download can be sent to mmiele@pennstatehealth.psu.edu.

Mail to:

Dr. Mary Beth Miele, MLS Program Director
Penn State Health Milton S. Hershey Medical Center
500 University Dr.
Mailcode H160
Hershey, PA 17033-0850

Penn State Health Milton S. Hershey Medical Center is an equal-opportunity employer. Applicants are selected without regard to age, sex, race, color, creed or national origin.

General Information

First Name

Last Name

Cell Phone Number

Preferred Contact Location

Home AddressSchool Address

Home Address

Street Address

City

State

ZIP Code

School Address

Street Address

City

State

ZIP Code

Education Information

High School Name

High School City

State

College Name

College City

State

Date you received your bachelor's degree or anticipated date when you will receive your bachelor's degree

Enter Month and Year (i.e., June 2022)

Employment/Volunteer Work

Employer/Organization Name

Hours per Week

Dates of Employment

Type of Work Performed

Other Information

In compliance with the Family Education Rights and Privacy Act (FERPA), I approve the release of the information requested from potential references and:

Waive my right to view any evaluation submittedDo not waive my right to view any evaluation submitted

Name of Person Serving as First Reference

Email of Person Serving as First Reference

Name of Person Serving as Second Reference

Email of Person Serving as Second Reference

Please note: Each person you list as a reference will receive an email with a copy of your application information and a link to submit your reference. Please ensure that you contact potential references before listing them, as your application cannot be processed without their completion of the reference process.

Activities, Honors or Scholarships Awarded

Each applicant must submit an essay (200 to 500 words) that addresses any or all of the following topics: (1) why you have chosen the study of Medical Laboratory Science as a career and what you see as your ultimate career goal; or (2) how you found out about the MLS profession and why you want to pursue a career in MLS; or (3) a real-life story involving you or a loved one that demonstrates how medical laboratory professionals (by generating timely and accurate laboratory results/actionable data) impacted you or your loved one’s care as a patient (diagnosis, treatment or monitoring health condition). With any option, you must also discuss why you have chosen to apply to the Medical Laboratory Science (MLS) Program at Penn State Health Milton S. Hershey Medical Center.

All applicants must have read and understood the Medical Laboratory Science Program's functional expectations found here. If you have questions or concerns, contact the program for clarification before submitting your application.

Confirmation

I have read and understood the functional expectations

My submission of this form attests to the following:

The facts set forth in my application for admission to the Medical Laboratory Science Program at Penn State Health Milton S. Hershey Medical Center are true and complete. I understand that false statements on this application may be cause for rejection of this applcation or for dismissal from the program at any time. I hereby authorize the Medical Laboratory Science Program at Penn State Health Milton S. Hershey Medical Center to verify the information provided on the application as being current and accurate.

Background check: In order to comply with medical center regulations, all accepted students must undergo a background check and drug screening. This will take place before orientation.

Contact Information