Clinical Genetic Mlecular Bilgist Scientist Training Prgram Applicatin Prcedure Step 1 Fill ut, print, and sign the CGMBS applicatin (see belw). Mail it directly t: Julie Fley, Educatin Crdinatr CGMBS Training Prgram Califrnia State University, Ls Angeles Department f Bilgical Sciences 5151 State University Drive Ls Angeles, CA 90032-8201 Step 2 Request that three letters f recmmendatin be submitted directly t: Julie Fley, Educatin Crdinatr CGMBS Training Prgram Califrnia State University, Ls Angeles Department f Bilgical Sciences 5151 State University Drive Ls Angeles, CA 90032-8201 The CGMBS Letter f Recmmendatin can be fund at Letter f Recmmendatin Frm fr CGMBS under Apply t the Prgram. Fill ut and sign the tp part and then mail r hand carry the frm t each f yur recmmenders. A minimum f tw f the three letters f recmmendatin shuld be frm faculty wh are familiar with yur mst recent academic perfrmance, particularly in life sciences. The third recmmendatin may be frm an individual wh is familiar with yur perfrmance as an emplyee. Recmmendatins frm friends and family are nt acceptable. Step 3 Apply fr a CGMBS Trainee License: 1. Obtain a cpy f the applicatin fr a Califrnia CGMBS Trainee License frm Labratry Field Services: https://secure.cpshr.us/cltreg/cls_trainee_inf.asp select Clinical Genetic Mlecular Bilgist Scientist frm the drpdwn bx at the bttm f the page) 2. Fill ut the applicatin and send it t Labratry Field Services alng with any required fees. 3. Send all transcripts that cntain classes required as prerequisites fr the CGMBS Trainee License t: Califrnia Department f Public Health Labratry Field Services (LFS) Attn: Persnnel Licensing Sectin 850 Marina Bay Parkway, Bldg. P. Richmnd, CA. 94804 4. Fr applicants wh earned a degree utside the United States send a transcript evaluatin frm AACRAO (http://www.aacra.rg/) t Labratry Field Services (abve address) (Refer t step 5 fr additinal infrmatin n AACRAO) NOTE: Transcripts must cme directly frm the University. Cpies that yu have btained fr yur wn use will nt be accepted!
Step 4 Request that the registrar f each cllege r university yu have attended send ne hard cpy f yur fficial transcript(s) directly t: Julie Fley, Educatin Crdinatr CGMBS Training Prgram Califrnia State University, Ls Angeles Department f Bilgical Sciences 5151 State University Drive Ls Angeles, CA 90032 Curses recrded n ne transcript as transfer credit frm anther institutin are nt cnsidered fficial dcumentatin f that cursewrk. Official transcripts must be sent frm every institutin f higher educatin yu have attended. An fficial transcript that is signed and sealed by the registrar must be sent directly t the address abve. If yu are currently enrlled in a cllege r university, please frward yur final transcript t the address abve and t Labratry Field Services befre yur matriculatin in the prgram. Please nte that all required curses must be taken fr a letter grade rather than a credit/n credit ptin. Step 5 (Fr applicants wh earned a degree utside the United States nly) Applicants with freign degrees whse language f instructin fr their higher educatin was nt English are required t take the Test f English as a Freign Language. A 90 IBT, 7 IELTS, r 575 PBT TOEFL scre is required. A scanned cpy f the fficial scre ntificatin must be included with yur applicatin. IN ADDITION, yur transcripts shuld shw prf f an upper divisin curse in genetics, mlecular bilgy r cell bilgy taken in the USA with a grade f B r better. Applicants whse language f instructin was English must prvide prf frm their degree granting institutin. All freign-educated applicants must prvide a detailed transcript evaluatin frm: American Assciatin f Cllege Registrars and Admissins Officers (AACRAO) Office f Internatinal Educatin Services 1 DuPnt Circle, NW; Suite #370 Washingtn, D.C. 20036-1110 Telephne: 202.296.3359 http://www.aacra.rg/ All, trainees must have US citizenship r permanent residency in the US. Step 6 Tp applicants will be selected t cmplete a face-t-face interview. The interviews will be scheduled after receipt f all academic dcuments and preliminary review f all applicatin materials. All applicatin materials must be received by April 30 th. General Infrmatin The Clinical Sciences Educatin Crdinatr, Julie Fley, is available t advise applicants: Email: jfley@calstatela.edu Telephne: 323.343.6065
Please nte: All students selected fr the Prgram must prvide the fllwing additinal dcumentatin. Statement f General Health Befre a student is allwed t begin the Prgram, (s)he must have n file a Statement f General Health signed by his/her primary health care prvider. Dcumentatin f Hepatitis Virus Vaccinatin Befre a student is allwed t begin the Prgram, (s)he must have n file dcumentatin that (s)he has either begun r has finished the curse f inculatins fr the hepatitis B virus vaccine. This dcumentatin shuld be sent t the Clinical Genetic Mlecular Bilgist Sciences Educatin Crdinatr (Julie Fley) at the address abve. If the student has just begun, but nt yet finished, the series f inculatins at the start f the Prgram, (s)he must prvide dcumentatin that (s)he has finished the curse f inculatins as sn as pssible in rder t remain in the Prgram. Dcumentatin f Tuberculsis Testing All students must prvide the results frm tuberculsis tests in rder t begin the Prgram. Admissin Criteria fr the Clinical Genetic Mlecular Bilgist Scientist Training Prgram at Cal State LA A minimum f a bachelr s degree in bilgy r related science (apprved by the prgram directr and accepted by the State f Califrnia fr purpses f licensure) Prf f enrllment in r cmpletin f all required curses must be received n later than April 30. A minimum f 10 semester (15 quarter) units f chemistry that must include an upper divisin curse in bichemistry 18 semester (27 quarter) units f bilgy including 3 semester (4 quarter) units f genetics 3 semester (4 quarter) units f mlecular bilgy r cell bilgy The remaining 12 semester (19 quarter) units in bilgy must be in advanced genetics r upper divisin cell bilgy, mlecular bilgy, r micrbilgy. At least tw f these curses must have labratry cmpnents that include mlecular techniques. 3 semester (4 quarter) units f cllege level statistics A minimum GPA f 2.75 n a 4-pint scale in the required curses listed abve. Genetics and Mlecular r Cell Bilgy curses must have been cmpleted in last 7 years. Fr trainees with freign degrees whse language f instructin was nt English, a minimum f 90 (IBT), 7 (IELTS), r 575 (PBT) TOEFL is required. IN ADDITION, an upper divisin curse in genetics, mlecular bilgy r cell bilgy taken in the USA with a grade f B r better Submissin f a cmpleted applicatin including all supprting dcuments Pending applicatin t Labratry Field Services (https://secure.cpshr.us/cltreg/cls_trainee_inf.asp) fr a Clinical Genetic Mlecular Bilgist Scientist Trainee License. Final acceptance fr admissin t the prgram is cntingent upn receiving this license. And acceptance fr training by a clinical affiliate. A signed Statement f General Health frm frm the student s primary healthcare prvider. Trainees must have US citizenship r permanent residency in the U.S.
Clinical Genetic Mlecular Bilgist Scientist Training Prgram! Cmpleted applicatin Applicatin Checklist! Pre-requisite curses cmpleted: (dcumented prf f enrllment/cmpletin f these curses must be received by April 30)! Resume/CV! Chemistry (at least 10 semester (15 quarter) units, including bichemistry)! Bichemistry (at least ne curse)! Bilgy (ttal f 18 semester r 27 quarter units), cmprising a curse in genetics, a curse in mlecular and/r cell bilgy, and remaining units in advanced genetics r upper divisin cell bilgy, mlecular bilgy, r micrbilgy. At least tw f these curses must have labratry cmpnents that include mlecular techniques.! Genetics (3 semester (4 quarter) units)! Mlecular and/r Cell Bilgy (3 semester (4 quarter) units)! Statistics! Applicatin essay! Three letters f recmmendatin! Official cpies f cllege transcripts All applicatin materials must be received by April 30, 2016. All items shuld be sent directly t: Julie Fley, Educatin Crdinatr CGMBS Training Prgram Califrnia State University, Ls Angeles Department f Bilgical Sciences 5151 State University Drive Ls Angeles, CA 90032-8201
Clinical Genetic Mlecular Bilgist Scientist Training Prgram Applicatin fr Admissin Please type and respnd t all questins Current Address Permanent Address (if different frm the current address) Message Phne Alternate Phne E-mail! New applicatin!reapplicatin Fr training t begin: Fall, (indicate year) Are yu a U.S. citizen?!yes!n Are yu a permanent resident f the U.S?! Yes! N If nt, visa (type) Are yu presently authrized t wrk in the U.S.?! Yes! N Emergency cntact: Name Phne Address Educatinal Histry Type f schl (Cmm. Cllege, Univ) Schl Name Majr Degree 1. Attended frm (m/yr) Attended t (m/yr) 2. 3. 4. Ttal G.P.A. Science G.P.A. G.P.A. (last 60 semester/90 quarter units) Optinal Questins Califrnia State University, Ls Angeles maintains prgrams f nndiscriminatin in all services they prvide. The ptinal questins are intended slely fr the purpse f prviding the Universities with infrmatin that enable them t measure the effectiveness f their cmpliance with the Civil Rights Act f 1964, Title IX f the 1972 Educatinal Amendments and Executive Order 11246 as amended. Yu are nt required t answer these questins since the infrmatin is unnecessary fr the evaluatin f yur applicatin fr admissin. Yu may elect t answer each questin, at yur ptin. Birth date: Birthplace: Mnth/Day/Year City State Cuntry Gender:!Male! Female Racial/Ethnic Infrmatin:!White (nn-hispanic)!black (nn-hispanic)!american Indian/Alaskan Native!Hispanic!Asian/Pacific Islander!Other
Clinical Genetic Mlecular Bilgist Scientist Training Prgram Curse wrk: In the chart belw, list all f the curses that yu have taken in the disciplines f science and mathematics. Other than the required curses (see abve), which are listed first in the table belw, please grup the curses by the schl at which they were taken and list them chrnlgically, starting with the mst recent. Please indicate the institutin in which the curse was taken and if the curse was a semester (Sm) r quarter (Qtr) in length. Indicate the year in which it was taken; if it was lecture (Lec), labratry (Lab) r, seminar (Sem); the units; and grade. If the curse is in prgress (Prg), r planned (Plan), please indicate that. Attach additinal pages, as needed. In additin, an fficial transcript that lists all cmpleted curses frm each university r cllege attended must be sent t Julie Fley at Califrnia State LA. If yur transcripts are frm a freign university r cllege, yu must submit them fr prfessinal evaluatin thrugh the American Assciatin f Cllege Registrars and Admissins Officers (AACRAO). Yur applicatin will nt be prcessed until a prfessinal evaluatin has been perfrmed and submitted t the Prgram. Curse title: Institutin Sm Qtr Year Lec Lab Sem Units Grade In prgress r planned Chemistry: Chemistry: Bichemistry: Genetics: Cell and/r Mlecular Bilgy: Bilgy: Bilgy: Bilgy: Bilgy: Bilgy: Statistics:
Clinical Genetic Mlecular Bilgist Scientist Training Prgram Curse title: Institutin Sm Qtr Year Lec Lab Sem Units Grade In prgress r planned
Clinical Genetic Mlecular Bilgist Scientist Training Prgram Academic Hnrs Applicatin Essay State yur reasns fr pursuing the Califrnia State University, Ls Angeles Clinical Genetic Mlecular Bilgist Scientist Prgram and yur career gals after graduatin. (Please attach a separate, typed, duble-spaced applicatin essay, maximum length tw pages.) Résumé Please attach a separate, typed résumé that includes yur emplyment histry, vlunteer activities, schl activities, and interests.
Clinical Genetic Mlecular Bilgist Scientist Training Prgram Please prvide the names, email addresses, and telephne numbers f the three individuals frm whm letters f recmmendatin will be received. A minimum f tw recmmendatins shuld be frm faculty wh are familiar with yur mst recent academic perfrmance, particularly in life sciences. The third recmmendatin may be frm an individual wh is familiar with yur perfrmance as an emplyee. 1. 2. 3. Have yu ever been cnvicted f a felny r pleaded guilty and been placed n prbatin, curt supervisin, r ther pre-cnvictin prgram? A yes answer des nt autmatically result in yur disqualificatin fr admissin.!yes! N If yes, please explain n a separate piece f paper and attach t this applicatin. By signing this applicatin, I assert the fllwing: All infrmatin prvided is true, t the best f my knwledge I have rdered fficial transcripts frm all universities r clleges I have attended t be sent t Julie Fley, Educatin Crdinatr f the Clinical Genetic Mlecular Bilgist Scientist Training Prgram. Representatives f the Clinical Genetic Mlecular Bilgist Scientist Training Prgram have my permissin t cntact my references and enquire abut my perfrmance as their student r emplyee as applicable. Signed