CSN Phlebotomy Skills Certificate Application Form
This application form is for the Phlebotomy Skills Certificate at College of Southern Nevada. Complete and submit this form along with required documents to apply for the Medical Laboratory Program. Ensure all information is accurate to avoid application delays.
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How do I fill this out?
To fill out this form, start by providing accurate personal information in the designated fields. Ensure you check the appropriate semester for your application. Lastly, gather and attach all necessary documents before submission.

How to fill out the CSN Phlebotomy Skills Certificate Application Form?
1
Read the instructions carefully.
2
Fill in your personal information accurately.
3
Select the semester you are applying for.
4
Attach all required supporting documents.
5
Review and submit your application.
Who needs the CSN Phlebotomy Skills Certificate Application Form?
1
Prospective students seeking certification in phlebotomy.
2
Individuals looking to transfer previously earned credits.
3
Those fulfilling prerequisites for the Medical Laboratory Program.
4
Students needing to verify their educational background.
5
Anyone ensuring compliance with CSN's application policies.
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What are the instructions for submitting this form?
Submit your completed application form electronically to CLSAPPLICATIONS@CSN.EDU. Alternatively, you may fax it to (702) 651-5871. Ensure all documents are submitted as one electronic file before the application deadline.
What are the important dates for this form in 2024 and 2025?
For 2024, the application deadlines are as follows: Spring semester by November 15, Summer semester by March 15, and Fall semester by June 15. In 2025, these deadlines will likely follow a similar schedule.

What is the purpose of this form?
The purpose of this form is to facilitate the application process for the Phlebotomy Skills Certificate program at the College of Southern Nevada. It collects essential personal information and verifies readiness for the medical laboratory field. Completing this form accurately is crucial for admissions consideration.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Full name including last, first, and middle.
- 2. NSHE Number: Your unique student identification number.
- 3. Address: Your current residential address.
- 4. Email Address: Your primary email for communication.
- 5. Semester Application: Select the semester for which you are applying.
- 6. Transfer Credits: Indicate if you are transferring credits from another institution.
What happens if I fail to submit this form?
Failing to submit this form may result in your application being incomplete. Consequently, you will not be able to enroll in your desired semester. It is crucial to ensure all sections are filled and required documents are attached to prevent delays.
- Incomplete Information: Providing insufficient information may lead to rejection.
- Missing Documents: Not attaching necessary transcripts can hinder application processing.
- Deadline Issues: Late submissions may be considered for future semesters only.
How do I know when to use this form?

- 1. Applying for Certification: Use this form to initiate your application for the phlebotomy program.
- 2. Transferring Credits: Essential for students wanting to transfer prior coursework to CSN.
- 3. Documenting Qualifications: Helps verify your eligibility and background for program admission.
Frequently Asked Questions
What is the purpose of this application form?
The application form is designed for prospective students applying for the Phlebotomy Skills Certificate.
How can I edit this PDF?
You can edit this PDF by clicking on the text fields to make necessary changes.
What documents need to be submitted with the application?
You must submit an application form, supporting documents, and unofficial transcripts.
Can I save my progress while filling out the form?
While you cannot save progress on PrintFriendly, you can edit and download the completed PDF.
How will I know if my application is complete?
Ensure all required fields are filled, and all necessary documents are attached before submission.
What happens if I miss the application deadline?
Missing the deadline may result in your application being considered for the next available semester.
How can I share this PDF with others?
You can share by using the PDF's sharing options to send it via email or social media.
Is there support available if I have questions?
For inquiries, you can contact the Medical Laboratory Program office directly.
What if I made a mistake on my application?
You can go back and edit your information before submitting the final version.
How long does it take to process my application?
Processing times may vary, so it’s best to submit well before the deadline.
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