Department of Physical Therapy Doctor of Physical Therapy Program. Fall 2017 Supplemental Application Packet

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University of South Alabama Pat Capps Covey College of Allied Health Professions Department of Physical Therapy Doctor of Physical Therapy Program Fall 2017 Supplemental Application Packet Mailing Address: University of South Alabama Department of Physical Therapy HAHN 2011 5721 USA Drive North Mobile, AL 36688-0002 Phone: (251) 445-9330 Fax: (251) 445-9238 Email: ptdept@southalabama.edu

Supplemental Application for: Admission to Doctor of Physical Therapy Program (DPT) / University of South Alabama INFORMATION AND INSTRUCTIONS FOR THE APPLICANT YOU ARE ENCOURAGED TO COMPLETE THE APPLICATION PROCESS EARLY! Notice: All the information needed to apply to the Doctor of Physical Therapy program in the Department of Physical Therapy at the University of South Alabama is listed below. Applicants must adhere to the guidelines set forth in this packet. Please read the material carefully and make sure you have completed or will be able to complete the prerequisite requirements for the appropriate category prior to the beginning of the Fall Semester for which you are applying. The application period is July 1 December 1, 2017 All applicants must complete PTCAS and Supplemental Applications Application Deadline: December 1, 2017 All applicants (International students must apply by October 15) must complete and/or submit the following items by December 1 st of the year prior to admission: A. PTCAS application (www.ptcas.org) show completed by Dec. 1 st B. Supplemental Application, postmarked and/or received by Dec. 1 st (www.southalabama.edu/colleges/alliedhealth/pt/apply.html) C. $75.00 non-refundable application fee, (check or money order) payable to University of South Alabama, enclosed with Supplemental Application, postmarked by Dec. 1 st D. Physical Therapy Experience 50 hours completed and must be verified and submitted electronically to PTCAS by Dec. 1 st (www.southalabama.edu/colleges/alliedhealth/pt/apply.html) E. Graduate Record Examination (GRE) official scores sent electronically to Institution code 7799 F. A recent 2 ½ x 3 ½ in. photograph (requested with supplemental application but not required) International Students: International applicants must have a TOEFL (internet) score 100, or IELTS 7.5 and must submit the following to the Department of Physical Therapy by October 15 of the year prior to admission. A. PTCAS application (www.ptcas.org) show completed by Oct. 15. B. Supplemental Application, postmarked and/or received by Oct. 15 (www.southalabama.edu/colleges/alliedhealth/pt/apply.html C. $75.00 non-refundable application fee, (check or money order) payable to University of South Alabama, enclosed with Supplemental Application, postmarked by Oct. 15 D. Physical Therapy Experience 50 hours completed and must be verified and submitted electronically to PTCAS by Oct. 15 E. Graduate Record Examination (GRE) official scores sent electronically to Institution code 7799 F. Official transcripts with certified translations of transcripts (Applicants accepted into the program will have to provide official transcripts and certified translations to the USAPT program prior to entering the program) G. A recent 2 ½ x 3 ½ in. photograph (requested with supplemental application but not required) GRE scores: All applicants must submit official report of GRE scores by December 1 st directly from the testing service to the PT Department Code: 7799. Verbal, Quantitative, and Analytical Writing sections are utilized. A minimum score of 290 on the V & Q is required. You may not mix/match scores from different exam attempts to achieve the minimum total score of 290 on the V & Q. GRE scores must have been taken within the past 5 years. Supplemental Application and $75.00 non-refundable application fee mailed directly to USA PT Department at: University of South Alabama Department of Physical Therapy HAHN 2011 5721 USA Dr. North Mobile, AL 36688-0002 Deadline: December 1 st To contact International Services: University of South Alabama Office of International Services Meisler Hall, Suite 2200 390 Alumni Circle Mobile, Alabama 36688-002 USA Telephone (251) 460-6050 Email: internationalservices@southalabama.edu Have official GRE reports sent to: Institution Code: 7799 More Information: If you have further questions about the application process, please contact the PT Department: (251) 445-9330 E-mail: ptdept@southalabama.edu Website: http://www.southalabama.edu/colleges/alliedhealth/pt/

Applicants: (Completed BS or BA degree by matriculation) Applicants must hold or have completed a bachelor s degree in any major from an accredited college or university, complete all prerequisites for regular graduate admission as listed below with a GPA 3.00 as calculated by PTCAS, and a minimum V & Q of 290 on the GRE. Admissions rankings are determined using the same criteria. Acceptance is based on the student s academic ability and aptitude for a career as a PT including cumulative and Science prerequisite GPA, GRE scores (V, Q, and writing), and interview score. Minimum Requirements for All Applicants: 1. The applicant must meet all applicable requirements including prerequisites. 2. Graduate Record Exam (GRE) scores must be officially submitted to PTCAS by December 1 st (Institution Code 7799). GRE must have been taken within the last 5 years. A minimum total score of 290 on the Verbal and Quantitative portion is required. Verbal, Quantitative, and Analytical Writing sections will be utilized. You may not mix/match scores from different exam attempts to achieve the minimum total score of 290 on the V & Q. 3. Applicants must have a minimum 3.0 (A=4.0) overall grade point average (GPA). 4. Applicants must have a minimum grade of "C" in each of the prerequisite courses. 5. Observation or work experience in Physical Therapy (50 hours minimum) under the supervision of a licensed Physical Therapist must be verified and submitted electronically to PTCAS by December 1 st. International Students: International applicants must have a TOEFL (internet) score 100, or IELTS 7.5 and must submit the following to the Department of Physical Therapy by October 15 of the year prior to admission. 1. PTCAS application (www.ptcas.org) show completed by Oct. 15 2. Supplemental Application, postmarked and/or received by Oct. 15 www.southalabama.edu/colleges/alliedhealth/pt/apply.html 3. $75.00 non-refundable application fee, (check or money order) payable to University of South Alabama, enclosed with Supplemental Application, postmarked by Oct. 15 4. Physical Therapy Experience 50 hours completed and must be verified and submitted electronically to PTCAS by Oct. 15 5. Graduate Record Examination (GRE) official scores sent electronically to Institution code 7799 6. Official transcripts with certified translations of transcripts (Applicants accepted into the program will have to provide official transcripts and certified translations to the USAPT program prior to entering the program) 7. A recent 2 ½ x 3 ½ in. photograph (requested with supplemental application but not required) University of South Alabama Doctor of Physical Therapy PREREQUISITES: EH 101 - English Comp I - 3 cr and EH 102 - English Comp II - 3 cr. (3 Social Science courses, in which 2 of them must be Psychology electives) Psychology Elective - 3 cr., Psychology Elective - 3 cr., Social Science Elective - 3 cr. MA 112 - Pre-Calculus Algebra - 2 cr. and MA 113 - Pre-Calculus Trigonometry - 2 cr. or MA 115 - Pre-Calculus Algebra and Trigonometry - 4 cr. ST 210 - Statistical Reasoning - 3 cr. or BUS 245 - Applied Business Statistics - 3 cr. or ST 305 Health Statistics All Science prerequisites must have labs and must be courses a Science major would take toward degree requirements. BLY 121 - General Biology I - 3 cr., BLY 121L - General Biology I Lab - 1 cr. BLY 122 - General Biology II - 3 cr., BLY 122L - General Biology II Lab - 1 cr. CH 131 - General Chemistry I - 3 cr., CH 131L - General Chemistry I Lab - 1 cr. CH 132 - General Chemistry II - 3 cr., CH 132 L - General Chemistry II Lab - 1 cr. PH 114 - Physics w/ Alg/Trig I - 5 cr., PH 115 - Physics w/ Alg/Trig II - 5 cr. BMD 334 - Human Physiology I - 3 cr., BMD 335 - Human Physiology II - 3 cr. or BMD 114 - Human Anatomy and Physiology I - 2 cr., BMD 115 - Human Anatomy and Physiology II - 2 cr. NOTE: For all prerequisite courses, credits older than ten years from the application deadline must be repeated or validated by examination.

Recommended Courses: A number of courses are determined to be good preparation for certain components of the PT graduate program and therefore are recommended if they fit into the applicant s preparation: Microbiology or Infectious Disease (required for Advanced Undergraduate applicants), Medical Terminology, Kinesiology, Exercise Physiology, Basic Motor Learning, upper level Anatomy, Neuroscience, Pathophysiology, Abnormal Psychology, Physiological Psychology, Developmental Psychology. Selection Process Admissions rankings are determined using a calculation that includes identical components for both groups of applicants. A limited number of applicants are invited for interview with the PT faculty and PT clinicians from the community based upon academic ability including cumulative GPA, GPA emphasizing Science prerequisites, and GRE scores and aptitude for a career as a physical therapist. Final admission decisions are based upon GPA, GRE and Interview score. Students accepted into the program must submit completed health and physical exam forms to include required immunizations and background checks. Accepted students must also read, sign, and submit the Core Performance Standards document outlining fundamental tasks which applicants should be capable of performing upon entering the PT program. Admissions Timeline A typical admissions timeline is included on the department website. Doctor of Physical Therapy Curriculum 121 semester hours in eight consecutive semesters (32 months) Includes 26 semester credits for 33 weeks of full-time clinical internship FALL-I Human Anatomy-I (3)* Human Anatomy-II (3)* Principles of Research (2) Introductory PT Skills (4)* Exercise Physiology (4)* Professional PT Practice (2) Total 18 Credits FALL-II Life Span Human Development (2) Neuroscience (3)* Pharmacology (2) Research Proposal (2) Musculoskeletal PT-IV (3)* PT Integumentary (4)* Clinical Case Studies I (1) Total 17 Credits FALL-III SPRING-I Pathophysiology - I (2) Clinical Kinesiology (3)* Therapeutic Intervention (4)* Musculoskeletal PT-I (4)* Musculoskeletal PT-II (3)* Clinical Practice Issues (2) Total 18 Credits SPRING-II Research Project (2) Mobility, Orthotics, Prosthetics (2) Neuromuscular PT Adult (4)* Neuromuscular PT Pediatric (2)* PT Cardiovascular/ Pulmonary (4)* Clinical Case Studies II (1) Professional Behaviors (1) Total 16 Credits SPRING-III SUMMER-I Courses (mid-may - June): Pathophysiology-II (2) Musculoskeletal PT-III (4)* 8 wk Internship (July Aug): PT Internship I (6) Total 12 Credits SUMMER-II Medical Screening (2) Musculoskeletal PT-V (2)* Neuromuscular PT Intervention (4)* Clinical Case Studies III (1) Total 9 Credits 5 wk Courses (mid-aug Sept): Human Learning (1) Health Promotion & Prevention in PT (2) Clinical Synthesis & Pt Management (1) Advanced Topics in PT (1) Management of PT Practice (3) 10 wk Internship (Sept -Dec) PT Internship II (8) 16 wk Internship (Jan Apr): PT Internship III (6) 8 wks PT Internship IV (6) 8 wks Critical Analysis (2) Comprehensive Capstone (1) Total 16 Credits Total 15 Credits Graduation in early May! Dates are approximate. ( ) = Semester credit hours; * = course with lab Total Credits for program completion = 121

UNIVERSITY OF SOUTH ALABAMA PAT CAPPS COVEY COLLEGE OF ALLIED HEALTH PROFESSIONS DEPARTMENT OF PHYSICAL THERAPY Professional Behavior Standards for admission to the Physical Therapy Program 1. Critical Thinking - The ability to question logically; identify, generate, and evaluate elements of logical argument; recognize and differentiate facts, appropriate or faulty inferences and assumptions; and distinguish relevant from irrelevant information. The ability to appropriately utilize, analyze, and critically evaluate scientific evidence to develop a logical argument, and to identify and determine the impact of bias on the decision making process. Raises relevant questions Considers all available information Articulates ideas Understands the scientific method States the results of scientific literature but has not developed the consistent ability to critically appraise findings (i.e. methodology and conclusion) Recognizes holes in knowledge base Demonstrates acceptance of limited knowledge and experience 2. Communication - The ability to communicate effectively (i.e. verbal, non-verbal, reading, writing, and listening) for varied audiences and purposes. Demonstrates understanding of the English language (verbal and written): uses correct grammar, accurate spelling and expression, legible handwriting Recognizes impact of non-verbal communication in self and others Recognizes the verbal and non-verbal characteristics that portray confidence Utilizes electronic communication appropriately 3. Problem Solving The ability to recognize and define problems, analyze data, develop and implement solutions, and evaluate outcomes. Recognizes problems States problems clearly Describes known solutions to problems Identifies resources needed to develop solutions Uses technology to search for and locate resources Identifies possible solutions and probable outcomes 4. Interpersonal Skills The ability to interact effectively with patients, families, colleagues, other health care professionals, and the community in a culturally aware manner. Maintains professional demeanor in all interactions Demonstrates interest in patients as individuals Communicates with others in a respectful and confident manner Respects differences in personality, lifestyle, and learning styles during interactions with all persons Maintains confidentiality in all interactions Recognizes the emotions and bias that one brings to all professional interactions 5. Responsibility The ability to be accountable for the outcomes of personal and professional actions and to follow through on commitments that encompass the profession within the scope of work, community and social responsibilities. Demonstrates punctuality Provides a safe and secure environment for patients Assumes responsibility for actions Follows through on commitments Articulates limitations and readiness to learn Abides by all policies of academic program and clinical facility 6. Professionalism The ability to exhibit appropriate professional conduct and to represent the profession effectively while promoting the growth/development of the Physical Therapy profession. Abides by all aspects of the academic program honor code and the APTA Code of Ethics Demonstrates awareness of state licensure regulations Projects professional image Attends professional meetings Demonstrates cultural/generational awareness, ethical values, respect, and continuous regard for all classmates, academic and clinical faculty/staff, patients, families, and other healthcare providers

7. Use of Constructive Feedback The ability to seek out and identify quality sources of feedback, reflect on and integrate the feedback, and provide meaningful feedback to others. Demonstrates active listening skills Assesses own performance Actively seeks feedback from appropriate sources Demonstrates receptive behavior and positive attitude toward feedback Incorporates specific feedback into behaviors Maintains two-way communication without defensiveness 8. Effective Use of Time and Resources The ability to manage time and resources effectively to obtain the maximum possible benefit. Comes prepared for the day s activities/responsibilities Identifies resource limitations (i.e. information, time, experience) Determines when and how much help/assistance is needed Accesses current evidence in a timely manner Verbalizes productivity standards and identifies barriers to meeting productivity standards Self-identifies and initiates learning opportunities during unscheduled time 9. Stress Management The ability to identify sources of stress and to develop and implement effective coping behaviors; this applies for interactions for: self, patient/clients and their families, members of the health care team and in work/life scenarios. Recognizes own stressors Recognizes distress or problems in others Seeks assistance as needed Maintains professional demeanor in all situations 10. Commitment to Learning The ability to self-direct learning to include the identification of needs and sources of learning; and to continually seek and apply new knowledge, behaviors, and skills. Prioritizes information needs Analyzes and subdivides large questions into components Identifies own learning needs based on previous experiences Welcomes and/or seeks new learning opportunities Seeks out professional literature Plans and presents an in-service, research or cases studies Individuals with disabilities are encouraged to apply to the program. However, it is the responsibility of the student to notify the Chairperson of the Department of Physical Therapy (see below) if there is any reason why the abilities/expectations described above cannot be met. Students who indicate that they cannot meet one or more of these and who request a review in writing will be reviewed by the Departmental Faculty Committee and the Coordinator of Special Student Services to determine what, if any, reasonable accommodations might be possible to facilitate successful completion of the degree requirements.

University of South Alabama Doctor of Physical Therapy Program SUPPLEMENTAL APPLICATION University of South Alabama Department of Physical Therapy HAHN 2011 5721 USA Dr. North Mobile, AL 36688 Phone: (251) 445-9330 Fax: (251) 445-9238 E-mail: ptdept@southalabama.edu TYPE all the information requested. Female Male Full Name Last Name First Name Middle Name Other Name in Which Transcripts May be Listed Current Address Street/PO Box City State Zip Code Home Telephone ( ) Cell Phone ( ) Date of Birth / / Email Address Your email address will be the primary form of communication throughout the application process. Please monitor this email address on a regular basis throughout the application process for important updates regarding your application. Legal State of Residency Legal County of Residency Permanent Address Street/PO Box City State Zip Code Are you a US citizen? Yes No If not, what is your current visa status? Is the Permanent Address located in a rural or other medically underserved area? Yes No Have you ever attended this University? Yes No If yes, please indicate USA Student Number: J Have you ever applied to this DPT program? Yes No Have you applied to other DPT programs for this admission year? Yes No Have you requested GRE scores be sent to PTCAS (Code 7799)? Yes No Have you submitted the PTCAS application? 1 Yes No If no, when do you plan to do so? List Date(s) you took the GRE: If you haven t taken the GRE, when do you plan to do so? Official GRE scores must be submitted directly to PTCAS by December 1 st. (Use Institution Code 7799)

COLLEGE INFORMATION Please note: Include all institutions, including current college/university! Applicants may not disregard any part of their educational history. Failure to report all institutions previously attended will be cause for cancellation of the admissions process or for dismissal from the University. Regular Graduate applicants must list institution and expected completion date for their bachelor s degree. College Name College City & State Dates of Attendance From (Month/Year) To Month/Year) Degree Earned / Major COMPLETED PREREQUISITE COURSES Provide prerequisite course name, number and title, the institution the course was taken, credit hours, grade earned, and year for each requirement you have completed. Courses completed more than ten years prior to application cannot be used. Prerequisite Course Course Name, #/Title (List required labs) Institution Grade Cr Hours Year English Comp I English Comp II Psychology Psychology Social Science Elect. Precal Alg. & Precal Trig. or Precal Alg./Trig. Statistics Gen Biology I Gen. Biology I Lab Gen Biology II Gen. Biology II Lab Gen. Chemistry I Gen. Chemistry I Lab Gen. Chemistry II Gen. Chemistry II Lab Gen. Physics I Gen. Physics I Lab Gen Physics II Gen. Physics II Lab 2

Prerequisite Course Course Name, #/Title (List required labs) Institution Grade Cr Hours Year Human Physiology I Human Physiology II A&P I A&P I Lab A&P II A&P II Lab PREREQUISITE COURSES AND/OR OTHER COURSES IN PROGRESS List any prerequisites and any other courses that you are taking Winter/Spring/Summer or plan to have completed before starting the physical therapy program. Provide all information for each course. Must be able to complete all courses by the August start date. Prerequisite and/ Hours Or/Other Course(s) Course # & Title Institution Grade Cr Date to be Completed PT OBSERVATION EXPERIENCE Please list all physical therapy experience and observation opportunities, indicating whether each was paid or volunteer. List all patient-care related positions held, beginning with the most recent position held first. Completed Physical Therapy Experience 50 hours must be verified and submitted electronically to PTCAS by December 1 st. Physical Therapy Facility, City, State Your position Supervisor Total Hours Volunteer / Paid 3

STATEMENT OF CERTIFICATION I certify that all the statements made in this application are true, complete and correct to the best of my knowledge and belief, and are made in good faith. I know and understand that any or all items contained herein may be subject to verification and I consent to the full release of all information concerning my capacity and fitness for the educational program by employers, educational institutions and other agencies. Furthermore, by submitting this application I agree to abide by the policies and procedures as established by the University. Signature Date Please sign and date your application and submit the $75 one-time, non-refundable fee, payable to University of South Alabama and mail to: University of South Alabama Department of Physical Therapy HAHN 2011 5721 USA Drive North Mobile, AL 36688-0002 NOTIFY US IMMEDIATELY OF ANY CHANGE IN YOUR MAILING ADDRESS! The University of South Alabama provides equal educational opportunities to and is open and accessible to all qualified students without regard to race, color, creed, national origin, sex, or qualified handicap/disability, with respect to all its programs and activities. 4