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edu Toll Free: (800) 637-2994 ext. 3-6715 Web: www.mchs.edu/cls Please complete all information and submit form to admissions mchs.edu. CLS Follow-up Application Applicant Name Social Security Number (Last four digits) Have you previously been enrolled in the clinical year of a CLS/MT program? o Yes o No If yes, name of institution: Honorary and professional organizations, scholarships and honors, college (and post college extra-curricular activities and offices held: (You should not list an.

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