Applicant's certification:
To the best of my knowledge, the information reported in this application is complete and accurate. My sincere intention at this time is to complete training in a CAHEA-approved school and to take the ASCP certification examination. In the event I leave the field of clinical laboratory science before passing one of the above exams, I understand the scholarship will become a loan subject to repayment to the American Society for Clinical Laboratory Science-WA.