PHLEBOTOMY PROGRAM
ONLINE ORIENTATION
COMPLETION
PLEASE TYPE YOUR NAME BELOW:
The student attests to viewing the Phlebotomy Program Orientation online in its entirety
and understands the content therein. The above named student also attests that if they
have any questions they are to email the program manager.
This certificate is to be signed and dated and returned to the program manager with the
completed written interview.
Student Signature
Today’s Date
Fall, 2019
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signature
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