Medical Assistant Program Application

Medical Assistant Program Application

Application Deadline is May 1 (annually) with a fall start.
Applicant Information

Please make sure the information provided is accurate. Letters of acceptance or denial are emailed to the email address you provide below.
Name*

First NameLast Name
Student ID*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Email *
Please note that your acceptance/denial letter will be sent to this email

Transfer Students
For transfer students, all official transcripts have been sent to the Mid Michigan College Registrar by May 30.

YesNo
For transfer students, list all Institutions where you are transferring prerequisite coursework from.
Example: Central Michigan University, Lansing Community College

Mid Michigan College Credits
Number of credits successfully completed at Mid Michigan College.
This only includes successful course work taken at Mid, not transfer credits. You can view your total Mid credits on MidWeb.

Previous Earned Degrees
I have a previous earned degree.

Yes - Complete next questionNo - Click to Next page
Degree Earned and Institution Degree Received (If Applicable)
Example: Associate Degree in General Studies from Mid Michigan College.

Health Care Work or Health Care Volunteer Experience
Previous Health Care Work or Volunteering Experience?

Yes - Health Care Work Experience- see next QuestionYes - Volunteer Experience - see next questionNo - Click to Next page
Upload proof of Health Care Work or Health Care Volunteer Experience

Upload a File
If applicant has prior health care work or volunteer experience, the applicant MUST upload documentation of job description/or volunteer experience, length of service, and hours per week from supervisor on agency letterhead. Applicant must be working for a minimum of four (4) months in the past five years. Volunteer experience must be for a minimum of 40 hours in the past two years. In home care of family/friends is not accepted as volunteering. Cancelof

Personal Statement

A brief account of:
1. Significant experiences, activities, and employment.
2. Your reasons for considering a career in Health Sciences.
3. How your medical office observation (recommended) related to you reasons for selecting a career in Health Sciences.
4. Your plans and aspirations for the future.
The personal statement is to by typed on a seperate document, should be a maxiumum of one page in length, and uploaded below.
Upload Personal Statement

Upload a File
The personal statement is part of the selective admission criteria, and therefore, does affect your prospects for admission. Please refer to the Personal Statement Evaluation Rubric found on the Medical Assistant website and in the information packet. Cancelof

Additional Requirements/Statements
By checking this box I certify that my answers are true and complete to the best of my knowledge. I am responsible for assuring all documents are received and all required are completed to apply. Late documents are NOT accepted for consideration.

I agree to and understand this statement
Final acceptance into the Medical Assistant program is pending a clear criminal background check and drug screening. These tests are completed at the students expense.

I agree to and understand this statement
By checking this box, I understand immunizations are required for the Medical Assistant program.

I agree to and understand this statement
If selected for admission, I would prefer to have my classes and labs for the Medical Assistant Program at the following location. (Please note that this cannot be guaranteed.)

Harrison CampusMt. Pleasant CampusEither Campus
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Medical Assistant Program Application

Applicant Information

Transfer Students

Mid Michigan College Credits

Previous Earned Degrees

Health Care Work or Health Care Volunteer Experience

Personal Statement

Additional Requirements/Statements