Baptist medical center south school of medical laboratory 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part I by entering your name, ASCP Customer ID, address, email, city, state, zip code, and the last four digits of your Social Security number. Ensure all information is accurate for proper identification.
3. Proceed to Part II where your immediate supervisor or laboratory management must complete and sign the verification section. They will need to provide details about your experience including start and end dates, average hours worked per week, and check off areas of competency.
4. Instruct your supervisor to print their name and credentials clearly, sign the form, and include their contact information. This step is crucial for validation.
5. Finally, ensure that a letter of authenticity from your supervisor is included with the form. This letter should be on official letterhead confirming that the experience documentation is accurate.

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