Required Forms

Some of these documents are in Adobe Acrobat Reader format.  You can download the Acrobat Reader from Adobe HERE.

Program Specific Requirements 

Below are important admissions forms that must be submitted as part of the completed application packet.  Failure to submit this document will delay the processing of your application.  Applicants will be notified by letter or email of any missing items.  It is the applicant’s responsibility to submit missing items by the program’s application deadline.  Application packets received or postmarked after the program's deadline are considered late.  Incomplete or late applications are only considered if all completed and on-time applications have been reviewed and a seat remains open in the program.  Please call (317) 491-6311 or send a message to demwood@iupui.edu to find out if a specific program is still accepting applications after the stated deadline.

Important Update: The Histotechnology Program's Admissions Committee is encourage the submission of applications after the stated deadline (May 1st). Those received after that date will be given the same priority.

• Prerequisite Course Verification Form

• Clinical Education Supervisor (CES) Information Form

• Clinical Facility Fact Sheet

• Instrumentation in Use in Student Training Laboratory

• Laboratory Media Resources

• Participant Responsibilities for Laboratory and Student

• Clinical Affiliate Agreement Information Form

For information purposes, here is list of the required text used by the Certificate Program.

Documents Sent With Offer of Admission 

Below are important admissions forms that are provided for your information.  If offered admission into The Indiana University School of Medicine Certificate in Histotechnology Program, you will be required to submit a completed technical standards certification form.

Technical Standards for Admission and Retention

• Technical Standards for Laboratory Science Programs
• Technical Standards Certification Form