Physical Therapist Assistant Program Checklist

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1 Physical Therapist Assistant Program Checklist Application to the Community College- College of Southern Idaho College of Western Idaho North Idaho College You must submit an application to the community college as well as to the program if you are not currently enrolled in classes at one of the 3 community colleges. Also, if you plan to attend the PTA program at a location different from the one in which you are currently enrolled, you must submit an application to that college. There is a $25 application fee for CWI and NIC. Students who plan to attend the PTA program at the Lewis-Clark State College campus will need to complete an application to North Idaho College. Application to the PTA program- This application must be completed and submitted by the time the application is due to be considered for the PTA program. Hardcopy applications and all supporting materials mailed in a single packet are to be submitted to the addresses below by closing on the deadline date: College of Southern Idaho College of Western Idaho North Idaho College Health Sciences and Human Services One Stop Student Services MS2500 Admissions Office P.O. Box 1238 P.O. Box W. Idaho Garden Ave. Twin Falls, ID Nampa, ID Coeur d Alene, ID Official High School Transcript/ GED- Official High School transcripts or GED scores must be submitted as part of the application process for the college you are planning to attend. Unofficial high school transcripts must be submitted with the PTA application. College Transcripts- Official college and military transcripts must be submitted as part of the application process for the college you are planning to attend. Only courses that appear on official transcripts will be used to determine points for admission. Applicants using test scores (AP or CLEP) to meet course requirements must submit a paper copy of the scores if the course does not appear on the transcript. Unofficial college and military transcripts must be submitted with the PTA application. Applicants with prerequisite courses in progress must include documentation with the PTA application from the instructor concerning satisfactory progress. Proof of 50 hours of observation time- Please submit proof of completion of observation or experience in physical therapy hours. You will need a minimum of 50 hours of observation/experience time. Observation time sheets can be found on the website for the program. Observation must be performed with a licensed physical therapist or assistant. If you have been employed in a physical therapy setting, please submit some form of documentation of hours worked. Also document any previous relevant education you may have had in EMT, CNA, athletic training or massage therapy. Letters of Recommendation- 3 letters of recommendation are required for application to the PTA program. These letters will be used as character reference. Must be submitted either in a sealed envelope with the application packet or submitted directly to the program director by the author of the letter. Application Letter- Please submit a one-page letter explaining your interest and knowledge concerning the Physical Therapist Assistant profession.

2 Demographic Information: Physical Therapist Assistant Program Application To which campus are you applying? College of Southern Idaho College of Western Idaho North Idaho College LCSC campus Name: Current Stud. ID #: Inst.: Preferred name: Address: Apt. No: City: State: Zip: Cell: College Education 1. Have you completed a high school diploma or equivalent? Diploma GED Please submit a transcript from each institution in which you received college credit. Name of College, Trade School, Etc. City & State From (mm/yy) To (mm/yy Degree/ # credits earned The Office of Admissions must receive official transcripts by the application deadline Course Bold = prerequisite English 101 Math 123 or higher Medical terminology Anatomy and Physiology 1 Pre-requisite coursework Institution (abbreviations OK) Course number Completed Grade Enrolled Grade Anatomy and Physiology 2 Psychology (101, 205, 211) Communications 101 Professional licenses or certifications

3 Physical Therapy Experience I have worked as a physical therapy aide for I have worked as a massage therapist for months. months. I have completed hours observing with a physical therapist. See the below hour form/s. I have other relevant experience. Explain. Please submit documentation for each location in which you performed observation experience. Location of PT experience Total hours Supervisor Type of setting outpatient inpatient long-term care Location of PT experience Total hours Supervisor Type of setting outpatient inpatient long-term care Location of PT experience Total hours Supervisor Type of setting outpatient inpatient long-term care TOTAL: hours

4 Clinical Observation form (can be duplicated) Facility: Date Hours TOTAL: Signature of Clinician Date

5 Program requirements Criminal Background Check Upon acceptance into the PTA program, a criminal background check will be required for participation in clinical rotations. Violations which appear on the background check may result in denied access to clinical sites, therefore, inability to complete the PTA program. Violations may also preclude licensing. Immunizations You will be required to submit documentation of immunizations in order to complete the clinical portion of the program. Below you will find the immunizations that must be submitted prior to beginning clinical affiliations. TB (Tuberculosis) skin test Hepatitis B MMR (Measles, Mumps, Rubella) vaccine Varicella (Chicken Pox) vaccine Tdap (Tetanus, Diptheria, Pertussis) vaccine

6 Physical Therapist Assistant Program Application procedures The PTA program admits students based on a point system, with points gained from previous coursework and other criteria as indicated below. A greater number of points increases the likelihood of admission. The admissions process will also contain an interview component for the top-ranked applicants. These components will allow the admissions committee to select applicants which have a high probability of success both in the program and in the profession. A grade of C or better in all general and pre-requisite coursework is required to be considered for application. An overall GPA of 2.5 is needed for acceptance and progression in the program. High School Diploma/GED GPA- Grades in previous courses: A-4 pts, B-3 pts, C-2pts **ENGLISH 101 **MATH (from the AAS degree) **MEDICAL TERMINOLOGY (within last 7 years unless working in healthcare) **ANATOMY & PHYSIOLOGY 1 (227) (within last 7 years unless working in healthcare) ANATOMY & PHYSIOLOGY 2 (228) (within last 7 years unless working in healthcare) COMMUNICATIONS 101 PSYCHOLOGY (101, 205, 211) Courses in progress: 2 pts **ENGLISH 101 **MATH (from the AAS degree) **MEDICAL TERMINOLOGY **ANATOMY & PHYSIOLOGY 1(227) ANATOMY & PHYSIOLOGY 2 (228) COMMUNICATIONS 101 PSYCHOLOGY (101, 205, 211) Application Letter 4 points Physical Therapy experience/observation: (50 hours minimum) 4 points Letter of Recommendation 2 points Letter of Recommendation 2 points Letter of Recommendation 2 points Related education in EMT, CNA, athletic training or massage therapy 2 points ** Pre-requisites to the PTA program. These courses must be completed prior to beginning PTAE 101. Upon acceptance into the PTA program, a criminal background check will be required for participation in clinical rotations. Violations which appear on the background check may result in denied access to clinical sites, and therefore, inability to complete the PTA program. From the above qualifications, applicants will be selected for an interview. From those interviewed, there will be 10 selected at NIC, 10 selected at CSI, 14 selected at CWI and 6 selected at LCSC. If those spots are not filled by those applying locally, spots will be offered to applicants from outside the local area.

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