# PHYSICAL THERAPIST ASSISTANT APPLICATION PACKET

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3 hours in 2 different settings. Please refer to the Job Shadowing/ Recommendation form in the packet. You should also have every therapist that you observe evaluate you, and return the evaluation to the admission office. There should be a minimum of 2 evaluations since you are observing in at least 2 different settings. (It is recommended that you provide the PT or PTA with a self- addressed stamped envelope to mail the form.) * If the applicant has 24+ College Semester Hours, the GPA that is calculated in the ranking will be the college GPA. ** SAT exam will be accepted as long as it has been within 10 years, and the equivalence of 18 on the ACT is met. (The Remainder of This Page Intentionally Left Blank) Page 3

5 IV. High School Science/ Math GPA Worksheet (Only fill this section out if you will have less than 24 semester hours completed by June of the application year) Applicant s Name Student ID Name of High School Address of High School Current High School GPA Please Record the courses and Letter Grade or percentage for each of the following courses: (Please see below for an example of how to calculate the Quality Points and GPA. A B C D E F Name of Course Quality *Calculated Grade Earned Year Points for Quality points (letter or Credit Hours Completed Letter Grade (Column D x percentage) (See BELOW) Column E) EXAMPLE CALC B+ (Yearly Average) Algebra I Biology Chemistry Third Science Additional Math Additional Math Additional Science Additional Science Total = Total= Total Science/ Math GPA (Take the total # of Column F / total # of Column E) NOTE: A= 4.0 points A- = 3.67 points B+= 3.33 points B= 3.0 points B- = 2.67 points C+= 2.33 points C= 2.0 points C- = 1.67 points D+= 1.33 points D= 1.0 points Page 5

6 *To calculate Quality Points use the conversion table above and multiply the number by the number of credit hours. To Calculate Science/Math GPA take the total quality points and divide by the total credit hours. Some Schools will use a weighted GPA scale for college preparatory courses. If your high school is on a weighted scale for your coursework, modify your worksheet to that scale. Additionally, many schools will differ in the percentage equivalent to letter grade score. Please use the letter grade whenever possible. YOU MUST ALSO TURN IN AN UNOFFICIAL TRANSCRIPT WITH THE COURSES HIGHLIGHTED WITH THE WORKSHEET (The Remainder of This Page Intentionally Left Blank) Page 6

7 V. College Science/ Math GPA Worksheet (Use this worksheet ONLY if you will have more than 23 Semester credit hours by June of the application year)88 Applicant s Name Student ID A B C D E Number of Number of Overall GPA at Year(s) Name of College/ University Credit Hours Quality Points Institution Attended Earned on Transcript (D / C) Note: Quarter hours should be converted to semester hours by using a 2/3 conversion factor. Please use the following chart to fill in the requested information for the course requirements. Please include ONLY additional Math or Science courses taken at the College level. If additional room is needed please attach a separate typed page using this table format. A B C D E F G H Course Number EXAMPLE 101 AHNR 1104 BIOL 1130 BIOL 3630 PSYC 1130 MATH 1500 Course Name Example Course Phys. Principles for HS Majors Prin. Of Anatomy and Physiology Kinesiology Lifespan Dev. For HS Majors Prin. Of Statistics Semester taken F 09 University taken Shawnee State University Letter Grade Quality Points Credit Hours Calculated Quality Points (F x G) B Page 7

8 Total= Total= Total Science/ Math GPA (Total of Column H / Total of Column G) NOTE: A= 4.0 points A- = 3.67 points B+= 3.33 points B= 3.0 points B- = 2.67 points C+= 2.33 points C= 2.0 points C- = 1.67 points D+= 1.33 points D= 1.0 points Quarter credit hours should be converted to semester credit hours by using a 2/3 conversion factor. To calculate Quality Points (column H) use the conversion table above and multiply the number by the number of credit hours. To Calculate Science/Math GPA take the total quality points and divide by the total credit hours. All applicants MUST also include an unofficial transcript from each college or university attended and MUST highlight the courses that are included in the science and math GPA calculation. (The Remainder of This Page Intentionally Left Blank) Page 8

10 (Page 2 of 2) Student Applicant Name Student ID: Date Hours Spent Observing Clinical Site Name Total Hours Signatures: A signature and review are required with each PT/ PTA shadowed for full points towards admission. Clinician #1 Clinician #2 Clinician #3 Clinician #4 Clinical Site Clinical Site Clinical Site Clinical Site Area/ Skill Outstanding Good Average Below Average Not able to Access Commitment to Learning Interpersonal Skills Communication Skills Professionalism Responsibility Problem Solving Critical Thinking Use of Constructive Feedback Stress Management Effective use of resources or time Strongly Recommend Recommend Recommend with Reservations Do not recommend at this time Comments Page 10

11 VII. Suggested Course Sequence First Year FALL Course No. Course Description Credit Hours. Contact Hours AHNR 1104 Phys. Prin. for HS Students 2 BIOL 1130 Prin. Of Anatomy & Phys. I 4 PSYC 1101 Introduction to Psychology 3 ENGL 1101/1102 Discourse and Composition 3-5 hrs. MATH 1500 Principles of Statistics 3 PTAT 1111 Introduction to PT 2 2 hrs/wk SPRING BIOL 3630 Kinesiology 4 PSYC 1130 Life Span Dev. For Health Sciences 3 PTAT 1115 PT in Physical Dysfunction 3 3 hrs/wk PTAT 1231 PTA Procedures 1 & 2 concepts 3 3 hrs/wk PTAT 1230 PTA procedures 1 &2 Laboratory 2 6 hrs/wk 15 SUMMER PTAT 1114 Regnl. Studies in Movement & Sci hrs/wk PTAT 1113 Reg. Studies in Movt. & Sci. Laboratory 3 9 hrs/wk PTAT 1155 PTA Seminar 1 1 hr/wk EMTP 1010 First Aid and CPR 2 ENGL 1105 Composition & Argument 3 12 Page 11

12 Second Year FALL Intersession PTAT 2190 Clinical Practicum I 1 60 hrs. off campus FALL PTAT 2235 PT Administration 1-3 online/wk; 2 (Online/Hybrid) 14 hrs/semester PTAT 2231 Rehab Procedures I Concepts 3 3 hrs/wk PTAT 2230 Rehab Procedures I Laboratory 2 6 hrs/wk PTAT 2241 Neurology & Rehab Procedures Concepts 3 3 hrs/wk PTAT 2240 Neurology & Rehab Procedures Laboratory 2 6 hrs/wk 13 SPRING PTAT 2255 PTA Seminar II (Weekend and Capstone) PTAT 2290 Clinical Practicum 2 3 PTAT 2390 Clinical Practicum 3 3 PTAT 2490 Clinical Practicum hrs/semester 10 TOTAL CREDITS for DEGREE= hour/week off campus 40 hour/week off campus 40 hour/week off campus The above schedule is a sample for an incoming freshman. Please see a PTA faculty or program leader once accepted into the PTA program for academic advising to develop an individualized plan. Page 12

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