Physical Therapy Program Junior Early Admission Pathway Application Summer 2016 DPT Admission

Transcription

1 Physical Therapy Program Junior Early Admission Pathway Application Summer 2016 DPT Admission Please take the time to read the entire Doctor of Physical Therapy Junior Early Admission Pathway (JEAP) informational brochure carefully before filing out the Physical Therapy application. The Physical Therapy informational brochure contains updated information concerning degree and program requirements. Read the instructions on the online Physical Therapy Application Form carefully and fill in all of the necessary information. Please note you can only apply to the PT program by downloading the application, completing it, and ing it back as an attachment to the Department of Rehabilitation Sciences at Applications should be completed using Adobe Acrobat Reader or Adobe Professional. Transcripts, Recommendation Forms and Observation should be sent by mail to: PT Admissions Committee JEAP Department of Rehabilitation Sciences University of Cincinnati PO Box Cincinnati, OH Recommendation Forms are available at and can also be ed directly to the department by the person completing the form (not the applicant!). Forms should be ed to All applicants must submit their completed electronic application March 2, All supporting documentation mailed to the department office must be postmarked no later than March 2, Applications will not be reviewed until all documents have been submitted to the admissions committee. Students will receive a letter from the Department of Rehabilitation Sciences Admissions Committee informing them of admission status. Please note that once your application has been submitted, no additions or changes can be made. If you have any questions, please review the DPT program brochure or the department at rehabsci@ucmail.uc.edu. Revised: 01/05/2015 i

2 Physical Therapy Program Junior Early Admission Pathway Application Summer 2016 DPT Admission In order to be considered for admission you must complete this application and it to the department at: PERSONAL INFORMATION First Name: First Name Middle Name: Last Name: Suffix: Maiden or Former Last Name: UC ID Number (if applicable): Applicant s E mail Address: PERMANENT ADDRESS Street Address: City: State/Province: Zip/Postal Code: Country: Home Phone: Cell Phone: CURRENT ADDRESS (if different than Permanent Address) Street Address: City: State/Province: Zip/Postal Code: Country: Home Phone: Cell Phone: 2

3 University College/Department Major Example: Univ. of Cincinnati College of Allied Health Sciences Health Sciences Year(s) Attended 2011 Present Year Graduated GPA Total # of Credit Expected LETTER OF RECOMMENDATION You are required to submit one (1) letter of recommendation from a Physical Therapist who supervised your observation/work hours to the Admission Committee. Please indicate below the individual from whom we can expect to receive those letters: Name: Address, City, State, Zip: Phone: Relationship: OBSERVATION HOURS You are required to submit verification of that your observation/work hours in an Inpatient Acute facility and Outpatient/Other facility have been completed. Please indicate below the sites from whom we can expect to receive that verification: Name: Address, City, State, Zip: Phone: Facility Type: (Inpatient, Outpatient, etc.) Name: Address, City, State, Zip: Phone: Facility Type: (Inpatient, Outpatient, etc.) Name: Address, City, State, Zip: Phone: Facility Type: (Inpatient, Outpatient, etc.) 3

4 SIGNATURE I have read and understood the contents of the 2016 JEAP informational brochure and the instruction pages preceding this application. By typing my name below, I certify that the information contained in this application is true, complete, and correct. I understand that misrepresentation of this information will disqualify me from admission to the Physical Therapy Program. I also understand that the admissions process involves review of my application and college records by several committee members and give my permission for the information in this application and all supporting documentation to be copied and distributed as needed. I acknowledge that the decision of the Physical Therapy Admissions Committee is final. Electronic Signature: Date: PREREQUISITE COURSEWORK Indicate below the name of the course you have taken or will take to meet the admissions requirements listed below. Be sure the name written is the same as indicated on the college transcript. Also indicate the college at which the course was completed or will be completed, the grade received and the credit hours. Please note if the credit hours are quarter hours or semester hours. If you have not yet completed the required prerequisite coursework, you must indicate below when you will complete it (e.g. Spring, 2015). All science prerequisites listed below are required and must be completed by September 1, 2014, and all non science prerequisites must be completed by January 1, For courses taken external to the University of Cincinnati, you may be required to submit a course syllabus and/or course description. All core courses must have been taken during the past ten years. Certain exceptions may apply. Please do not include anticipated grades for courses in progress and do not leave any blank spaces under the heading Date of Completion. Also, calculate your pre requisite GPA and the number of credit hours for calculated pre requisite GPA. Steps to calculate pre requisite GPA based on transcript information: 1. Determine the letter course grade and the weight of each grade (see chart below). 2. Determine the course credit hours; if it is quarter hours, divide by 1.5 (ex. 6 quarter hours divide by 1.5 = 4 semester credits) 3. Multiply the course credit hours by the grade weight to determine quality points earned (ex. 6.0 credits x 3.67 = points) 4. Add together the quality points of all classes from step # 3 and divide by the sum of all credit hours (semester hours and adjusted semester hours) (ex. 425 points / 128 credits = GPA) Grade Weight Grade Weight Grade Weight Grade Weight A+, A 4.0 B 3.0 C 2.0 D 1.0 A B C D B C D F 0 Please refer to list of the prerequisite courses offered by the University of Cincinnati in the JEAP Brochure page 8 or click this link 4

5 Name: Science Pre Requisite Coursework Example: English I Course Name & Code (as it appears on transcripts) ENGL 1001 English I University University of Example Date or Scheduled Date of Completion Grade Received Indicate or Credit Adjusted hours Weight x number of Credits A 4 quarter Anatomy & Physiology I Anatomy & Physiology II Biology I Biology I Lab Biology II Biology II Lab Chemistry I Chemistry I Lab Chemistry II Chemistry II Lab 5

6 Name: Course Name & Code (as it appears on transcripts) University Date or Scheduled Date of Completion Grade Received Indicate or Credit Adjusted hours Weight x number of Credits Physics I Physics I Lab Physics II Physics II Lab Totals Science Pre Requisite GPA (Total Quality Points / Total Credits) 6

7 Name: Non Science Prerequisite Coursework Course Name & Code (as it appears on transcripts) University Date or Scheduled Date of Completion Grade Received Indicate or Credit Adjusted hours Weight x number of Credits English Composition I Advanced First Year Composition Musculoskeletal Anatomy Exercise Physiology I Medical Terminology Introductory to Psychology Abnormal Psychology Introduction to Statistics Totals Non Science Pre Requisite GPA (Total Quality Points / Total Credits) 7