MLS Program Application "*" indicates required fields Name* First Middle Last Email* (if current UConn student, please use your UConn email)Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What Program are you interested in ?* Diagnostic Genetic Sciences Medical Laboratory Sciences Academic HistoryWhich of the following best describes your student status?* Current UConn Undergraduate Student Prospective UConn Transfer Student Note: If applying to the MLS program as a transfer student, you must also apply as a transfer student through UConn's Undergraduate Admissions Office. Admission to the university does not guarantee admission to the program.Current Major* Unofficial UConn Transcript*Accepted file types: pdf, Max. file size: 100 MB.Please upload your unofficial UConn transcript as a PDF. You can retrieve your unofficial transcript via StudentAdmin.Have you attended any post-high school academic institutions other than UConn?* Yes No Post High School InstitutionsAdd rows for more institutions (up to 3)*Name of InstitutionLocation (City + State)Start DateEnd Date Add Remove***Please request that all institutions send a copy of your official transcript directly to the Department of Allied Health Sciences either by mail or by e-mail.***Post High School InstitutionsAdd rows for more institutions (up to 3)*Name of InstitutionLocation (City + State)Start DateEnd Date Add Remove***Please request that all institutions send a copy of your official transcript directly to the Department of Allied Health Sciences either by mail or by e-mail.***Required Application DocumentsPersonal Statement*Please type your personal statement (maximum 500 words). Need some help? Check out our Personal Statement Helpful Hints page!You are required to submit two letters of recommendation with your application, and the letters must be completed using our supplied form. You may submit your letters to the Department of Allied Health Sciences in person or ask your recommenders to submit their letters to the Department of Allied Health Sciences by mail or e-mail.Recommender #1* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Recommender #2* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Review & AttestationSignature* By typing your full name in the signature box, you certify that the personal and academic information given on this application is complete and accurate. You further certify that you understand that failure to disclose fully and accurately all facts relating to this application may be grounds for revocation of admission.Demographic DataThese questions are for statistical purposes only and will not be considered in the evaluation of your application.Year of Birth*Please enter a number from 1900 to 2100.Gender* How would you describe your race/ethnicity?* CommentsThis field is for validation purposes and should be left unchanged.