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Medical Laboratory Science B.S.

Math, Science and Technology
Academic Affairs
  • Program Type: Baccalaureate
  • Requirements for this program are current for Spring 2023
  • Required credits to graduate with this degree: 126
  • Required credits within the major: 100 to 104
  • This program requires summer terms.
  • University of North Dakota in Grand Forks, ND. The spring and summer semesters of students' junior year and their final year of the program will be taught through an agreement with the University of North Dakota School of Medicine. The final year is in a clinical setting.
  • Degree: Bachelor of Science
The BS in medical laboratory science will give students a degree that will provide life-long mobility, flexibility and opportunity. Individuals who enjoy science, solving problems, and working as part of a team may find medical laboratory science to be a rewarding career. A medical lab scientist is part of a healthcare team that performs a variety of fact-finding tests that are used by physicians in making 70 to 80 percent of medical decisions. In addition, this degree provides a great background for individuals interested in entering fields of forensic science or medicine (medical doctors, dentists, pharmacists, etc.). Modern medicine would be impossible without the problem solving skills of medical lab scientists. MLS scientists run tests that encompass areas of clinical chemistry, clinical microbiology, hematology, clinical urology, immunology, immunohematology, and molecular diagnostics. Each test run will find an additional clue in the final patient diagnosis, which will assist the physicians in determining the best treatment for the patients. Due to the national shortage of medical lab scientists, MLS graduates will have excellent opportunities in nearly all areas of the United States. Program outcomes for graduates: Demonstrate competencies in the following areas: collection, safe handling and analysis of biological specimens; principles of continuous assessment of data collection and analysis; compliance with laboratory safety regulations; and ethical behavior and professionalism. Demonstrate oral and written communications skills. Effectively work with others in groups and be able to take on leadership roles when appropriate. Demonstrate a disposition for an entry-level, professional position in the medical laboratory sciences for the 21st century. Learn to think critically to solve problems. Evaluate published scientific studies through a context of research design. Demonstrate an understanding of the significance of cultural sensitivity and awareness as it applies to the profession.
Program Delivery
This program is available:
  • via classroom (the majority of instruction is face-to-face)
Admission Requirements
Admission to year four of the program requires a minimum GPA of 2.8, no more than one "D" in any math or science course, and recommendation by the student's academic advisor.
For information about University of Minnesota admission requirements, visit the Office of Admissions website.
General Requirements
All students are required to complete general University and college requirements. For more information, see the graduation requirements.
Program Requirements
Students must complete 40 upper-division credits. A maximum of two D grades are allowed for courses required under math, biology, chemistry, ethics and writing, MLS and technology requirements. This includes grades earned at UMC or transferred in from another institution.
Math
Take exactly 2 course(s) totaling 6 - 7 credit(s) from the following:
· MATH 1150 - Introduction to Statistics [MATH THINK] (3.0 cr)
· Take 1 or more course(s) from the following:
· MATH 1031 - College Algebra [MATH THINK] (3.0 cr)
· MATH 1250 - Precalculus [MATH THINK] (4.0 cr)
· MATH 1271 - Calculus I [MATH THINK] (4.0 cr)
Biology
Take exactly 6 course(s) totaling 22 - 23 credit(s) from the following:
· BIOL 2103 - Human Anatomy and Physiology I (4.0 cr)
· BIOL 2104 - Human Anatomy and Physiology II (4.0 cr)
· BIOL 3027 - Cell Biology (3.0 cr)
· Take exactly 1 course(s) from the following:
· BIOL 1009 - General Biology [BIOL SCI, PEOPLE/ENV] (4.0 cr)
· BIOL 1009H - Honors: General Biology [BIOL SCI, PEOPLE/ENV] (4.0 cr)
· Take exactly 2 course(s) from the following:
· BIOL 2012 - General Zoology (4.0 cr)
· BIOL 2032 - General Microbiology (4.0 cr)
· BIOL 3022 - Principles of Genetics (3.0 cr)
Chemistry
Take 5 - 6 course(s) totaling 12 - 14 credit(s) from the following:
· CHEM 1061 - Chemical Principles I [PHYS SCI, PEOPLE/ENV] (3.0 cr)
· CHEM 1062 - Chemical Principles II (3.0 cr)
· CHEM 1065 - Chemical Principles I Laboratory [PHYS SCI, PEOPLE/ENV] (1.0 cr)
· CHEM 1066 - Chemical Principles II Laboratory (1.0 cr)
· Choose from the following:
· CHEM 1401 - Elementary Bioorganic Chemistry [PHYS SCI] (4.0 cr)
or CHEM 3021 - Biochemistry I (3.0 cr)
CHEM 2301 - Organic Chemistry I (3.0 cr)
Ethics and Writing
Take exactly 2 course(s) totaling exactly 6 credit(s) from the following:
· PHIL 2002 - Introduction to Ethics [HUMANITIES, ETH/CIV RE] (3.0 cr)
· WRIT 3303 - Writing in Your Profession (3.0 cr)
Medical Laboratory Science
Take exactly 23 course(s) totaling exactly 54 credit(s) from the following:
MLS 2220 - Introduction to Clinical Laboratory Operations (UND) (3.0 cr)
MLS 2226 - Introduction to Clinical Immunology and Molecular Diagnostics (UND) (3.0 cr)
MLS 3332 - Introduction to Clinical Hematology (UND) (3.0 cr)
MLS 3334 - Introduction to Clinical Microbiology (UND) (3.0 cr)
MLS 3339 - Introduction to Evidence Based Practice (UND) (3.0 cr)
MLS 4411 - Clinical Chemistry I (UND) (2.0 cr)
MLS 4412 - Clinical Hematology & Hemostasis I (UND) (3.0 cr)
MLS 4413 - Clinical Immunohematology I (UND) (2.0 cr)
MLS 4414 - Clinical Microbiology I (UND) (3.0 cr)
MLS 4415 - Clinical Urinalysis & Body Fluids I (UND) (2.0 cr)
MLS 4416 - Clinical Immunology & Molecular Diagnostics (UND) (1.0 cr)
MLS 4420 - Clinical Laboratory Operations (UND) (2.0 cr)
MLS 4421 - Clinical Chemistry II (UND) (2.0 cr)
MLS 4422 - Clinical Hematology & Hemostasis II (UND) (3.0 cr)
MLS 4423 - Clinical Immunohematology II (UND) (2.0 cr)
MLS 4424 - Clinical Microbiology II (UND) (3.0 cr)
MLS 4425 - Clinical Urinalysis & Body Fluids II (UND) (2.0 cr)
MLS 4431 - Clinical Chemistry & Urinalysis III (UND) (2.0 cr)
MLS 4432 - Clinical Hematology & Hemostasis III (UND) (2.0 cr)
MLS 4433 - Clinical Immunohematology III (UND) (2.0 cr)
MLS 4434 - Clinical Microbiology III (UND) (2.0 cr)
MLS 4449 - Capstone in Medical Laboratory Science (UND) (3.0 cr)
MLS 4450 - Advanced Clinical Applications in Medical Laboratory Science (UND) (1.0 cr)
Liberal Education
This program requires a minimum of 40 credits of liberal education and completion of the ten goal areas of the Minnesota Transfer Curriculum. The following are specific required liberal education courses.
Take exactly 3 course(s) totaling exactly 9 credit(s) from the following:
· COMP 1011 - Composition I [COMMUNICAT] (3.0 cr)
· COMP 1013 - Composition II [COMMUNICAT] (3.0 cr)
· COMM 1101 - Public Speaking [COMMUNICAT] (3.0 cr)
Technology
If applicable, the course chosen to fulfill the technology requirement may also satisfy a major requirement.
Take exactly 1 course(s) totaling 3 or more credit(s) from the following:
· CA 1xxx
or CA 2xxx
or CHEM 3022 - Chemical Analysis in the Biological and Environmental Sciences (4.0 cr)
or MATH 1150 - Introduction to Statistics [MATH THINK] (3.0 cr)
 
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MATH 1150 - Introduction to Statistics (MATH THINK)
Credits: 3.0 [max 3.0]
Typically offered: Every Fall, Spring & Summer
Descriptive statistics, elementary probability, normal distribution, binomial distribution, confidence intervals, tests of hypotheses, correlation, regression, chi-square, ANOVA. prereq: 0991 or ACT math score of 20 or higher
MATH 1031 - College Algebra (MATH THINK)
Credits: 3.0 [max 3.0]
Typically offered: Every Fall, Spring & Summer
Basic algebraic operations, linear/quadratic equations/inequalities, variation. Functions/graphs. Theory of equations. Exponential/logarithmic functions. Systems of equations. Mathmatical modeling/applications. prereq: 0991 or ACT math score of 20 or higher
MATH 1250 - Precalculus (MATH THINK)
Credits: 4.0 [max 4.0]
Typically offered: Every Fall
Review of algebra, functions, polynomial, rational, exponential, logarithmic, trigonometric functions, trigonometric identities/equations, systems of equations, determinants/matrices, sequences/series, topics from analytic geometry. prereq: 1031 or ACT math score of 24 or higher
MATH 1271 - Calculus I (MATH THINK)
Credits: 4.0 [max 4.0]
Typically offered: Every Spring
Limits, differential calculus of functions of single variable, applications. Introduction to integral calculus of single variable. prereq: 1250 or ACT math score of 28 or higher
BIOL 2103 - Human Anatomy and Physiology I
Credits: 4.0 [max 4.0]
Typically offered: Every Fall
Systems approach to anatomical structures and physiological functions of human body. Key concepts at chemical, cellular, tissue, and organ levels. Emphasizes spacial relationships of structures and their related functions within integumentary, skeletal, muscular, nervous and endocrine systems. Lab. prereq: 1009
BIOL 2104 - Human Anatomy and Physiology II
Credits: 4.0 [max 4.0]
Typically offered: Every Spring
Systems approach to anatomical structures and physiological functions of human body. Emphasizes spacial relationships of structures and their related functions within circulatory, lymphatic, respiratory, and digestive systems. Metabolism, nutrition, urinary/reproductive systems, human development. Genetics concepts. Lab. prereq: 1009
BIOL 3027 - Cell Biology
Credits: 3.0 [max 3.0]
Typically offered: Every Fall
Structure/function of prokaryotic/eukaryotic cells, including cell surface, membranes, organelles, cytoskeleton, cell growth, cell physiology, experimental methods used in cell studies. prereq: BIOL 1009, CHEM 1061
BIOL 1009 - General Biology (BIOL SCI, PEOPLE/ENV)
Credits: 4.0 [max 4.0]
Typically offered: Every Fall, Spring & Summer
Major concepts of modern biology. Molecular structure of living things. Energy recruitment/utilization. Flow of genetic information through organisms/populations. Principles of inheritance, ecology, and evolution. Lab. prereq: High school science courses
BIOL 1009H - Honors: General Biology (BIOL SCI, PEOPLE/ENV)
Credits: 4.0 [max 4.0]
Typically offered: Every Fall & Spring
Quantitative methods used to emphasize the dynamic nature of biology. Modern biology. Molecular structure of living things, energy recruitment/utilization, flow of genetic information through organisms/populations. Principles of inheritance, ecology, and evolution. Includes lab. prereq: High school chemistry or consent of instructor
BIOL 2012 - General Zoology
Credits: 4.0 [max 4.0]
Typically offered: Every Spring
Major animal groups (phyla). Applications of morphological, physiological, and developmental characteristics to define evolutionary relationships. Parasitic forms affecting human welfare. Lab requires dissection, including mammals. prereq: 1009
BIOL 2032 - General Microbiology
Credits: 4.0 [max 4.0]
Typically offered: Every Fall
Fundamental principles of microbiology. Bacterial metabolism, growth, and genetics. Biology of viruses/fungi. Microorganisms and disease. Applied microbiology. Lab. prereq: Biol 1009 or 1009H or 2103, Chem 1001 or 1021
BIOL 3022 - Principles of Genetics
Credits: 3.0 [max 3.0]
Typically offered: Every Spring
Basic principles of Mendelian, molecular, and population genetics. Computer simulations/models used to study aberrations and their implications. Lab. prereq: Biol 1009, Chem 1021 or 1401, Math 1031 or 1131 or 1150
CHEM 1061 - Chemical Principles I (PHYS SCI, PEOPLE/ENV)
Credits: 3.0 [max 3.0]
Typically offered: Every Fall
Concepts of inorganic chemistry, atomic theory/structure, periodicity of elements. Basic rules of oxidation/chemical combination. Molecular structure (hybridization, molecular orbitals). Thermochemistry, gases, solution process, colligative properties. prereq: 1001
CHEM 1062 - Chemical Principles II
Credits: 3.0 [max 3.0]
Typically offered: Every Spring
Behavior of gases, thermodynamics, properties of solutions, solution equilibria, oxidation/reduction reactions. Rigorous course. Develops chemical foundations required in some agriculture, environmental, preprofessional programs. prereq: 1061 minimum C- grade, 1065
CHEM 1065 - Chemical Principles I Laboratory (PHYS SCI, PEOPLE/ENV)
Credits: 1.0 [max 1.0]
Typically offered: Every Fall
Basic laboratory skills. Investigating physical/chemical phenomena associated with lecture material. Experimental design, data collection/treatment, discussion of errors, proper treatment of hazardous wastes. prereq: 1001
CHEM 1066 - Chemical Principles II Laboratory
Credits: 1.0 [max 1.0]
Typically offered: Every Spring
Basic laboratory skills. Investigating physical/chemical phenomena associated with lecture material. Experimental design, data collection/treatment, discussion of errors, proper treatment of hazardous wastes. prereq: 1061 minimum C- grade, 1065
CHEM 1401 - Elementary Bioorganic Chemistry (PHYS SCI)
Credits: 4.0 [max 4.0]
Typically offered: Every Fall
Organic chemistry as applied to important biochemical molecules.
CHEM 3021 - Biochemistry I
Credits: 3.0 [max 3.0]
Typically offered: Every Spring
Fundamentals of biochemistry. Structure/function of proteins, nucleic acids, lipids, and carbohydrates. Metabolism, regulation of metabolism. Quantitative treatments of chemistry equilibria, enzyme catalysis, and bioenergetics. Chemistry basis of genetic information. prereq: Grade of at least C- in [2301 or consent of instructor], BIOL 1009
CHEM 2301 - Organic Chemistry I
Credits: 3.0 [max 3.0]
Typically offered: Every Fall
Important classes of organic compounds, their structures/reactions. Relation between structure, reactivity, and properties. Spectroscopic characterization of organic molecules. prereq: 1062, 1066, concurrent enrollment in 2310
PHIL 2002 - Introduction to Ethics (HUMANITIES, ETH/CIV RE)
Credits: 3.0 [max 3.0]
Typically offered: Every Fall & Spring
Foundational concepts of ethics. Applications in various contexts.
WRIT 3303 - Writing in Your Profession
Credits: 3.0 [max 3.0]
Grading Basis: A-F or Aud
Typically offered: Every Fall, Spring & Summer
Writing about subjects related to students' academic disciplines and future professions. Developing persuasive writing skills for academic, personal, and professional purposes. Effective communication principles, audiences, formats, and technologies. prereq: Comp 1011 and 1013 or 6 credits of writing
MLS 2220 - Introduction to Clinical Laboratory Operations (UND)
Credits: 3.0 [max 3.0]
Grading Basis: A-F only
Typically offered: Periodic Spring
Foundational principles and practice of clinical laboratory operations. prereq: acceptance to UND MLS program
MLS 2226 - Introduction to Clinical Immunology and Molecular Diagnostics (UND)
Credits: 3.0 [max 3.0]
Grading Basis: A-F only
Typically offered: Periodic Fall & Spring
Foundational principles and practice in clinical immunology and molecular diagnostics. prereq: acceptance to UND MLS program
MLS 3332 - Introduction to Clinical Hematology (UND)
Credits: 3.0 [max 3.0]
Typically offered: Periodic Fall & Spring
Foundational principles and practice in clinical hematology and hemostasis. prereq: acceptance to the UND MLS program
MLS 3334 - Introduction to Clinical Microbiology (UND)
Credits: 3.0 [max 3.0]
Grading Basis: A-F only
Typically offered: Periodic Fall & Spring
Foundational principles and practice in clinical microbiology (including mycology, parasitology, and virology). prereq: acceptance to the UND MLS program
MLS 3339 - Introduction to Evidence Based Practice (UND)
Credits: 3.0 [max 3.0]
Typically offered: Periodic Fall
Foundational principles of evidence-based practice in the health sciences. The course focuses on identifying and evaluating common discipline-related evidence sources, as well as utilization of appropriate evidence to support relevant practice-related decisions. prereq: Acceptance to the UND MLS program
MLS 4411 - Clinical Chemistry I (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Summer
Theory in clinical chemistry focused on physiologic mechanisms, preanalytic testing considerations, analytical testing principles/procedures, and general clinical correlations. Summer semester at UND. prereq: acceptance to the UND MLS program
MLS 4412 - Clinical Hematology & Hemostasis I (UND)
Credits: 3.0 [max 3.0]
Typically offered: Periodic Summer
Theory in clinical hematology and hemostasis focused on physiologic mechanisms, preanalytic testing considerations, analytical testing principles/procedures, and general clinical correlations. Prerequisite: Certificate or Bachelor's in MLS students only. Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4413 - Clinical Immunohematology I (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Summer
Theory in clinical immunohematology focused on physiologic mechanisms, preanalytic testing considerations, analytical testing principles/procedures, and general clinical correlations. Summer semester at UND. prereq: Acceptance to the UND MLS program
MLS 4414 - Clinical Microbiology I (UND)
Credits: 3.0 [max 3.0]
Typically offered: Every Summer
Theory in clinical microbiology (including mycology, parasitology, and virology) focused on physiologic mechanisms, preanalytic testing considerations, analytical testing principles/ procedures, and general clinical correlations. Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4415 - Clinical Urinalysis & Body Fluids I (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Summer
Theory in clinical urinalysis and body fluids focus ed on physiologic mechanisms, preanalytic testing considerations, analytical testing principles/procedures, and general clinical correlations. Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4416 - Clinical Immunology & Molecular Diagnostics (UND)
Credits: 1.0 [max 1.0]
Typically offered: Periodic Summer
Theory in clinical immunology and molecular diagnostics focused on physiologic mechanisms, preanalytic testing considerations, analytical testing principles/procedures, and general clinical correlations. Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4420 - Clinical Laboratory Operations (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Fall, Spring & Summer
Theory and practice related to clinical laboratory operations. Prerequisite: Certificate or Bachelor's in MLS students only. Fall/Spring/Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4421 - Clinical Chemistry II (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Fall, Spring & Summer
Advanced theory and practice in clinical chemistry focused on analytical testing, relevant pathophysiology, clinical correlations, and post-analytic considerations. Fall/Spring/Summer semester at UND. prereq: acceptance to the UND MLS program
MLS 4422 - Clinical Hematology & Hemostasis II (UND)
Credits: 3.0 [max 3.0]
Typically offered: Periodic Fall, Spring & Summer
Advanced theory and practice in clinical hematology and hemostasis focused on analytical testing, relevant pathophysiology, clinical correlations, and post-analytic considerations. Fall/Spring/Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4423 - Clinical Immunohematology II (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Fall, Spring & Summer
Advanced theory and practice in clinical immunohematology focused on analytical testing, relevant pathophysiology, clinical correlations, and post-analytic considerations. Fall/Spring/Summer semester at UND. prereq: acceptance to the UND MLS program
MLS 4424 - Clinical Microbiology II (UND)
Credits: 3.0 [max 3.0]
Typically offered: Periodic Fall, Spring & Summer
Advanced theory and practice in clinical microbiology (including mycology, parasitology, and virology) focused on analytical testing, relevant pathophysiology, clinical correlations, and post-analytic considerations. Fall/Spring/Summer semester at UND. prereq: acceptance to the UND MLS program
MLS 4425 - Clinical Urinalysis & Body Fluids II (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Fall, Spring & Summer
Advanced theory and practice in clinical urinalysis and body fluids focused on analytical testing, relevant pathophysiology, clinical correlations, and post-analytic considerations. Fall/Spring/Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4431 - Clinical Chemistry & Urinalysis III (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Fall & Spring
Supervised clinical experience at an affiliated laboratory site. Focused on advanced clinical, professional, and theory-application skills required for entry-level competency in clinical chemistry & urinalysis. Fall/Spring/Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4432 - Clinical Hematology & Hemostasis III (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Fall & Spring
Supervised clinical experience at an affiliated laboratory site. Focused on advanced clinical, professional, and theory-application skills required for entry-level competency in clinical hematology & hemostasis. Fall/Spring/Summer semester at UND. prereq: acceptance to UND MLS program
MLS 4433 - Clinical Immunohematology III (UND)
Credits: 2.0 [max 2.0]
Typically offered: Periodic Fall, Spring & Summer
Supervised clinical experience at an affiliated laboratory site. Focused on advanced clinical, professional, and theory-application skills required for entry-level competency in clinical immunohematology. Fall/Spring/Summer semester at UND. prereq: acceptance to the UND MLS program
MLS 4434 - Clinical Microbiology III (UND)
Credits: 2.0 [max 2.0]
Typically offered: Every Spring
Supervised clinical experience at an affiliated laboratory site. Focused on advanced clinical, professional, and theory-application skills required for entry-level competency in clinical microbiology. Fall/Spring/Summer semester at UND. prereq: acceptance to the UND MLS program
MLS 4449 - Capstone in Medical Laboratory Science (UND)
Credits: 3.0 [max 3.0]
Typically offered: Periodic Fall, Spring & Summer
A capstone course focused on professional development, laboratory management, evidence-based practice/scholarly writing, and understanding the role of the medical laboratory in healthcare. Fall/Spring/Summer semester at UND. corequisite: enrollment in clinical practicum coursework prereq: acceptance to UND MLS program
MLS 4450 - Advanced Clinical Applications in Medical Laboratory Science (UND)
Credits: 1.0 [max 1.0]
Typically offered: Periodic Fall, Spring & Summer
A culminating course focused on preparation for entry-level professional practice as a laboratory scientist, integration of advanced clinical theory and skills, and interdisciplinary applications. S/U grading. Fall/Spring/Summer semester at UND. prereq: acceptance to UND MLS program
COMP 1011 - Composition I (COMMUNICAT)
Credits: 3.0 [max 3.0]
Grading Basis: A-F or Aud
Typically offered: Every Fall, Spring & Summer
Process of clear, concrete, and convincing writing. Generation and discovery of subjects, revisions, editing.
COMP 1013 - Composition II (COMMUNICAT)
Credits: 3.0 [max 3.0]
Typically offered: Every Fall, Spring & Summer
Writing a research paper/s. Formulating/answering a research question. Developing an organizational/argument strategy for topic/audience. Supporting research question/argument with scholarly sources. prereq: 1011
COMM 1101 - Public Speaking (COMMUNICAT)
Credits: 3.0 [max 3.0]
Grading Basis: A-F or Aud
Typically offered: Every Fall, Spring & Summer
Topic selection, research, organization, rehearsal, and extemporaneous delivery of informative and persuasive speeches.
CHEM 3022 - Chemical Analysis in the Biological and Environmental Sciences
Credits: 4.0 [max 4.0]
Typically offered: Spring Odd Year
Theories/techniques of quantitative chemical analysis. Covers data handling, atomic/molecular spectroscopies, gas/liquid chromatography, and mass spectrometry. Labs focus on application of quantitative chemical methods to problems encourntered in environmental science/biology. prereq: 2301, 2310
MATH 1150 - Introduction to Statistics (MATH THINK)
Credits: 3.0 [max 3.0]
Typically offered: Every Fall, Spring & Summer
Descriptive statistics, elementary probability, normal distribution, binomial distribution, confidence intervals, tests of hypotheses, correlation, regression, chi-square, ANOVA. prereq: 0991 or ACT math score of 20 or higher