The University of Maine at Augusta
A Member of the University of Maine System
Associate of Science - MEDICAL LABORATORY TECHNOLOGY
( 70 credit hours)


Name: Name Soc Sec #: Social security number Date: Today's date


This checksheet is intended to be informational only.
Students must consult with an academic advisor prior to registration.

In effect for students admitted to Fall 2006

BOXES THAT ARE CHECKED ARE COMPLETED REQUIREMENTS.




ADMISSION REQUIREMENTS:
All required placement examinations must be completed prior to any course registration. 
Prerequisite courses required to be completed prior to admission to the nursing program are:
Check this box if these class requirement is complete.  High School Diploma or General Equivalency Diploma (GED)
Check this box if these class requirement is complete.  High School Biology with Lab, (grade of C or higher)  Or BIO 110:  Introduction to Biology (grade of C or hgiher)
Check this box if these class requirement is complete.  High School Chemistry with Lab (grade of  C or higher) Or CHY 105 & CHY 106:  Fundamentals of Chemistry with Lab (grade of  C or higher) 
Check this box if these class requirement is complete.  ENG 005:  Developmental Writing or course waiver
Check this box if these class requirement is complete.  REA 008:  Reading for Understanding, or course waiver
Check this box if these class requirement is complete.  MAT 111: Algebra II or a higher level algebra course or pass through MAT111 on placement exam
Applicants who do not met these requirements may qualify for admission by completing comparable course work at UMA and will be admitted into the Pre-Medical Laboratory Science track of the Liberal Studies Program.  Enrollment in the Pre-Medical Laboratory Technology track does not guarantee admission to the Associate of Science, Medical Laboratory Technology degree program.

You must complete the following as requirements for your degree: All UMA students are required to take at least one writing intensive course. Writing intensive courses are marked with picture of pencil. Additional courses may also meet this requirement. Check with your academic advisor. 
GENERAL EDUCATION REQUIREMENTS
Check this box if these class requirement is complete.  COMMUNICATIONS (3 credit hours) Choose one of the following:
       Place check here if the following course is completed  COM 101: Public Speaking
       Place check here if the following course is completed  COM 102: Interpersonal Communication
       Place check here if the following course is completed  COM 104: Communication in Groups and Organizations
       Place check here if the following course is completed  COM 106: Oral Communication of Literature
Check this box if these class requirement is complete.  ENGLISH (3 credit hours)
       Place check here if the following course is completed  ENG 101: College Writing
Check this box if these class requirement is complete.  FINE ARTS or HUMANITIES (3 credit hours) Choose one of the following:
       Place check here if the following course is completed  ARH 105: History of Art and Architecture I
       Place check here if the following course is completed  ARH 106: History of Art and Architecture II
       Place check here if the following course is completed  ART 211: Art Theory
       Place check here if the following course is completed  DRA 101: Introduction to Theatre
       Place check here if the following course is completed  DRA 265: The American Movie
       Place check here if the following course is completed  DRA 280: Introduction to Films
       Place check here if the following course is completed  ENG xxx: any literature coursepicture of pencil
       Place check here if the following course is completed  HTY xxx: any history course
       Place check here if the following course is completed  HUM xxx: any humanities course
       Place check here if the following course is completed  INT 129: Introduction to the Arts
       Place check here if the following course is completed  MUS 123: Understanding Music
       Place check here if the following course is completed  MUS 160: World Music
       Place check here if the following course is completed  MUS 180: Women and Music
       Place check here if the following course is completed  MUS 333: History and Literature of Music I
       Place check here if the following course is completed  MUS 334: History and Literature of Music II
       Place check here if the following course is completed  PHI xxx: any philosophy course
       Place check here if the following course is completed  POS 390: Survey of Political Theory 
       Place check here if the following course is completed  WST 101W: Introduction to Women's Studiespicture of pencil
Check this box if these class requirement is complete.  MATHEMATICS (3 credit hours) 
       Place check here if the following course is completed  MAT 115: Elementary Statistics I
Check this box if these class requirement is complete.  NATURAL SCIENCE (20 credit hours) 
       Place check here if the following course is completed  BIO 110: Introduction to Biology
       Place check here if the following course is completed  BIO 210: Anatomy and Physiology
       Place check here if the following course is completed  BIO 321: Microbiology
       Place check here if the following course is completed  CHY 115: General Chemistry I
       Place check here if the following course is completed  CHY 116: General Chemistry II
Check this box if these class requirement is complete.  SOCIAL SCIENCE (3 credit hours)
        Place check here if the following course is completed XXX  xxx: any social science course  (PSY 100 Preferred)
PROGRAM MAJOR REQUIREMENTS
Check this box if these class requirement is complete.  MEDICAL LABORATORY TECHNOLOGY (35 credit hours) All courses below must be completed with a grade of "C" or better.
       Place check here if the following course is completed  MLT 101: Orientation/Urinalysis
       Place check here if the following course is completed  MLT 102: Instrumentation/Clinical Chemistry
       Place check here if the following course is completed  MLT 103: Phlebotomy
       Place check here if the following course is completed  MLT 203: Clinical Chemistry
       Place check here if the following course is completed  MLT 204: Clinical Microbiology
       Place check here if the following course is completed  MLT 205: Blood Banking/Serology
       Place check here if the following course is completed  MLT 206: Hematology
       Place check here if the following course is completed  MLT 395: Hospital Practicum

Students must complete the program in three years once they begin MLT courses.


 
APPROVED TO RECEIVE DEGREE:
 
 
 
 
Enter name for records office and date  Enter college dean's signature and date here
Records Office Date College Dean Date
 
 
Students are encouraged to contact their faculty advisor and the Advising Center
for academic advising and support services throughout their stay at UMA.
 

 
In effect for students admitted to Fall 2005.