AMT is excited to partner with HOSA for the competitive Phlebotomy event. The competition will test students on their knowledge and essential skills of blood drawing and much more.

About AMT

AMT is a not-for-profit certification agency and professional membership association for 12 allied healthcare certifications in the medical, dental, and laboratory fields. Since 1939 AMT has been nationally recognized for the credentialing reputation and diverse membership affiliation benefits it provides. Today, AMT is the membership society of choice to more than 100,000 allied healthcare professionals.

Event Summary

Visit the HOSA site for guidelines, sample questions, and rubrics

Round One: Written Test

50 Multiple Choice Items Topics Include:


  • Obtaining blood samples
  • Specimen Collection and Processing
  • Time Management and Assignment Organization
  • Professional Communications
  • Clerical Skills and Duties
  • Safety Standards and Procedures
  • Legal, Ethical, and Professional Considerations
  • Terminology, Anatomy, and Physiology

Round Two: Hands-On Skills Assessment


  • Handwashing
  • Tourniquet Application
  • Routine ETS Venipuncture, Including Order of Draw
  • Routine ETS Venipuncture Using a Butterfly & Evacuated Tube Adaptor, Including Order of Draw
  • Steps to Follow If a Patient Starts to Faint During Venipuncture
  • Heelstick Procedure
  • Donning and Removing Gloves
  • Accidental Arterial Stick
  • 24-hour Urine Collection Procedure

Prepare for HOSA Competition

Why Phlebotomy?

A Solid Foundation for a Healthcare Career

Phlebotomy is a valuable skill in the delivery of healthcare. Certified phlebotomists can make a career on this skill alone, or they can use it to ladder up to a variety of other medical careers, such as patient care technician (PCT) medial assistant, nurse or even physician.

More to Explore for Competitors

AMT Supports Your Phlebotomy Career.

More to Explore for Competitors

AMT Supports Your Phlebotomy Career.

Certify as Job-Ready

Phlebotomy allows you to work in multiple settings. Most employers want to know you have what it takes to work as a phlebotomist with a diploma and certification by a respected third-party, like AMT. See what it takes to obtain AMT certification.

Check Eligibility

Get a RPT Scholarship

Certification as a phlebotomist through AMT comes with many benefits, including the opportunity to apply for the Dorothy "Mimi" Roush Phlebotomy Endowment, a scholarship that offers free exams to aspiring phlebotomists.

Learn More

AMT Supports Students

AMT supports students every step of the way toward certification. From study tools to the Edge Student Readiness Program, there are multiple resources available at no cost to help you achieve your goals of becoming a certified phlebotomist.

Explore Resources

Success Story

From HOSA to AMT RPT: Advancing Your Healthcare Career

See how HOSA competitors like Stephen leveraged their experience to earn AMT’s RPT certification and unlock new career opportunities!

Turn competition into certification

Resources for HOSA Advisors

AMT Supports Your School and Students.

Educator Guides

AMT helps educators support students. The AMT website is full of student study aids and easy-to-follow instructions for guiding students through the certification process.

Browse Educator Resources

AMT Lab Certifications

Phlebotomy can be the first step in a rewarding career in the medical laboratory. Learn all the pathways to success students can take with a foundation in phlebotomy.

Explore Lab Certifications

Get Your School Affiliated

Interested in affiliating your phlebotomy program with AMT or getting your students certified? Learn how to set your program and your students up for success.

Consult an AMT Expert

Advance your school

Increase your school & students' success.

Frequently Asked Questions

What is the difference between the HOSA Phlebotomy Competition and the AMT Registered Phlebotomy Technician (RPT) Certification?

These are indeed two different things. The HOSA Phlebotomy Competition (an individual, not a group event), is sponsored by AMT and like HOSA’s other skill competitions, it has 2 parts: Round 1 includes a written test, which consists of 50 multiple choice questions in 60 minutes, and Round 2 is a hands-on skills assessment. Each state decides how they will implement the guidelines. Secondary (high school) and postsecondary/collegiate students start by participating at the HOSA local/regional level, and top winners advance to State, and then to the International Leadership Conference to compete. Local/regional competitions start as early as Fall, State competitions can last into Spring, and the International Leadership Conference culminates during the Summer.

AMT Registered Phlebotomy Technician (RPT) Certification is different and separate from the HOSA Phlebotomy Competition. RPT certification from AMT requires that you complete an approved phlebotomy program including the required instruction hours, as well as completing 50 successful venipunctures from human sources, and 10 capillary sticks. The national certification exam consists of approximately 200 questions. Instructors, program directors, and students may contact AMT to see if your program meets the AMT RPT certification requirements. AMT encourages certification, but it is separate from HOSA and is not required in any way to participate in the HOSA Phlebotomy competition.

Learn more about the RPT certification from AMT to see if you’re eligible to apply.

HOSA Competition FAQs

How do you sign up for HOSA?

Reach out to your local chapter HOSA Advisor. You can also look for your state’s Chartered Association HOSA Advisor to find out how/when/where you could compete in your local area.

HOSA Chartered Associations

Is there an age requirement to compete in the HOSA Phlebotomy competition?

The HOSA competition is open to ALL secondary (high school) and postsecondary/collegiate HOSA members. However, the competition is NOT open to middle school HOSA members.

Would being a phlebotomist help if you wanted to attend nursing school or break into another healthcare field?

YES, absolutely. Working as a phlebotomist allows you to earn a competitive wage and gain experience while you work with other healthcare providers within your organization. You may interact with nurses, physicians, medical assistants, patient care technicians, and other healthcare roles for a first-hand perspective to determine

Is there funding to pay for books and supplies?

Contact your local HOSA advisor/instructors, as they may have local opportunities for funding. Local providers such as schools, community colleges, employers, or libraries may also have resources they are willing to share at no cost. Consider taking advantage of used copies of textbooks on Amazon or other online book sellers, and some publishers may offer digital resources at a reduced rate. Your school’s library program may also be able to obtain the textbooks you need.

What is the dress code for the HOSA competition?

Competitors should follow the dress code listed in the event guidelines or in Appendix D of the HOSA website. For the Round 2 skill portion, wear attire appropriate to the occupational area, like scrubs

How can I study and practice for the phlebotomy competition? What practice resources are available?

Study resources and preparation for the phlebotomy competition include reviewing the recommended textbooks and practice questions, learning all skills assessments, and practicing skills on simulated practice resources.

Click here to access study resources, including two textbooks, supply options for the clinical hands-on segment, a list of topics on both the written exam and the skills assessment, and the HOSA Event Guidelines where you will find the skills assessment sheets:

AMT also offers some additional resources that may be helpful as study resources:

I teach a phlebotomy program, and my students take another certification exam. Will they still be able to compete?

Yes, all secondary and postsecondary/collegiate HOSA members can compete in the HOSA competition, regardless of what certification exam your students take. Certification is separate from the HOSA competition. However, given the extensive study and preparation for the HOSA competition, students may be prepared to become certified. If you’d like to consider AMT certification for yourself, or your students, please reach out to partnerteam@americanmedtech.org for more information. AMT is a nonprofit organization founded in 1939. Its certification exams are NCCA accredited and widely recognized by employers across the country as a sign of quality and rigor.

Does my school need to have a phlebotomy program, or can I study on my own to be part of the competition?

Your school does not need to have a phlebotomy program in order to compete. You can study on your own and register with HOSA to compete. You are encouraged to reach out to your local chapter HOSA Advisor. You can also look for your state’s Chartered Association HOSA Advisor to find out how/when/where you could compete in your local area.

HOSA Chartered Associations

How can I practice needle sticks without supplies?

You can use rolled up towels to simulate an arm. You can use an orange on which to practice an injection in place of a simulated arm. Consider using your hands/arms to practice skills listed on the assessment sheets even if you do not have the supplies.

Is the phlebotomy competition test the same as last year?

Per HOSA’s General Rules and Regulations #57, tests are provided for state and regional competition in a resource rotation process. Chartered associations have the option for their use. Tests are randomized and new questions are added to the test bank each year.

Where do the phlebotomy competition test questions come from?

All test questions are created from material within the recommended textbooks for the competition. Recommended textbooks can be found here:

Is phlebotomy the same as starting an IV?

Phlebotomy is the art of drawing blood. The way a needle is used to draw blood is similar to the way a needle is used to start an IV. They are two different tasks, but knowing how to use the needle in each situation is somewhat similar.

What charting, if any, is expected in the competition?

The rubrics for each skill in the event will list if documentation is required. For example, if a patient starts to faint during venipuncture, the competitor would document their observation of the patient, intervention, and who they informed. Additional skills do require documentation. READ THE GUIDELINES AND RUBRICS CAREFULLY!

Are there more sample questions available?

HOSA only provides the sample questions in the guidelines.

What needle size will be used to draw blood?

Typically, for the venipuncture skill a 21- or 22-gauge needle is used, and for the butterfly venipuncture skill a 25-gauge needle is used.

AMT Phlebotomy Certification FAQs

Is there an age requirement to become certified as a Registered Phlebotomy Technician (RPT) by AMT?

There is no age requirement for the AMT Registered Phlebotomy Technician (RPT) certification. However, the certification does require completion of 50 successful venipunctures and 10 capillary sticks from human sources. Most states allow those 16 and older to draw blood from human sources. A few states, and some organizations, have laws requiring one to be the age of 18 before they can draw blood from human sources. AMT recently created a provisional certification exactly for these instances, allowing a student to take the certification exam and become provisionally certified until they are 18 and can complete the required human draws and clinical sticks for those few states where this is an issue.

I teach phlebotomy and want to affiliate our school with AMT so that my students can take the RPT certification exam. How do I go about doing that?

Contact our AMT experts at partnerteam@americanmedtech.org and we can get you started.

Is certification needed to work in a hospital?

Many hospitals and healthcare organizations require certification prior to employment, or within the first six months of employment. These organizations value national credentials that convey you are prepared and skilled to perform the job.

While not all organizations may require certification, it often gives you an advantage over someone who is not certified. So, certification is always highly recommended and can help give you an edge in a competitive job market. Some states, such as California, require a license to practice phlebotomy. The AMT certification fulfills the exam requirements to obtain this license. Applicants should check their own state laws.

How do I qualify to take the Registered Phlebotomy Technician Certification?

There are several routes to qualify. You must meet certain didactic program requirements at your school program (120 didactic hours) or elsewhere (40 minimum in hybrid setting), with both routes requiring 50 venipunctures and 10 skin punctures from human sources. Contact us for more information. partnerteam@americanmedtech.org

How do I obtain clinical experience?

You can often set up clinical experience through your school, or by contacting your local hospitals or clinics. Contact us for more information. partnerteam@americanmedtech.org

What is the certification application process like?

You will need to apply online for certification with AMT and submit proof of training or experience. Then, take the exam at a Pearson Vue testing center and obtain the 50 successful venipunctures and 10 capillary sticks on live patients.

Is there an age requirement to take the AMT Registered Phlebotomy Technician certification exam?

There is no age requirement to take the AMT Phlebotomy certification exam. However, you must first qualify and meet the program requirements identified above for certification. Once your didactic requirement has been fulfilled, you can sit for the phlebotomy certification exam. You must then meet the requirement of 50 successful venipunctures and 10 capillary sticks. on human sources to become fully certified. In a few states, they require you to be 18 in order to draw blood. If you are younger than 18, AMT does have a provisional certification that allows you to take the exam and become provisionally certified until you turn 18 when you can complete your 50 draws/10 sticks requirement.

Are there any opportunities for scholarships?

AMT offers a number of scholarships. Click here to learn more:

HOSA Advisors and Program Directors FAQs

For a Program Director of Advisor: How do I start a Phlebotomy program at my school?

Please reach out to AMT and we will be happy to discuss how to get you started. partnerteam@americanmedtech.org

How can I get medical supplies, like needles, for students to practice, without a MD’s code?

For advisors who need assistance in obtaining supplies, please reach out to Jan Mould jan.mould@hosa.org who can guide you in this process.