Jefferson College Physical Therapist Assistant Program Admission Checklist 2014 Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Complete an application to Jefferson College. There is a $25 non-refundable application fee. Request all transcripts be sent to: Jefferson College Admissions Office 1000 Viking Drive Hillsboro, MO 63050 Note: Transcripts must be official, which means they must be sent from the schools directly to Admissions; they cannot be delivered by students. Take the COMPASS placement test if necessary. Depending on test results, some additional developmental coursework may be required before acceptance into the program. Minimum COMPASS scores of 70 in Writing, 81 in Reading, and 42 in Algebra or a minimum ACT composite score of 18 with no subscore less than 18; all test scores must be from within the past two years. If testing below minimum scores, do your transcripts reflect successful completion of the appropriate equivalent coursework? Declare pre-pta as your major. You can contact Stacey Wilson (636-481- 3211) or Kim Flora (636-481-3285) in Enrollment Services. They can review your transcripts and help you determine course enrollment needs. Complete these general education courses with a minimum grade of a B or better: Anatomy and Physiology I BIO211 or PTA100 English Composition I ENG101 Students need to have a minimum overall GPA of 2.5 to apply. Take the Health Care Work Keys test between May 19 and July 31, 2014. Pay the $25.00 fee at the Cashier s Window. Take your receipt and the attached Referral Form to the Testing Center at Hillsboro or Arnold campus. A minimum score of 4 is required on each of the three sections: Applied Mathematics, Locating Information, and Reading for Information. Call the Health Occupations office at 636-481-3466 to schedule your onsite essay for one of the following dates and times: Thursday, June 26 th, 7:30 9:00 a.m. OR 2:30 4:00 p.m. Tuesday, July 15 th, 7:30 9:00 a.m. OR 2:30 4:00 p.m. Wednesday, July 30 th, anytime between 7:30 a.m. 4:30 p.m. 1 of 3
Jefferson College Physical Therapist Assistant Program Admission Checklist 2014 Step 7 Complete a total of sixteen (16) observation hours with a physical therapist or physical therapist assistant in at least two different types of clinical settings. Types of clinical settings include hospitals, home care agencies, nursing homes, and outpatient clinics. Applicants need to complete eight hours in two different settings, not just two different clinics. If, for example, an applicant completes his/her observation hours at two different locations, but the same type of setting, additional observation hours will be required prior to acceptance into the PTA Program. Applicants must contact the site in advance and schedule a time for observation while a Physical Therapist or Physical Therapist Assistant is working. Applicants should realize that many physical therapy education programs require observation hours prior to admission, and clinics are only able to accommodate a limited number of prospective students at one time. Therefore, plan accordingly. Step 8 Please include all Observation Forms with the application. The form is attached to this document. One Letter of Recommendation is required for application. The recommendation should be completed by a non-family member who is in a position of authority: a teacher, coach, your group leader, employer, etc. The person completing the recommendation should mail the form in enough time that it is received by the application due date in August. Be sure you complete the Waiver before asking for the recommendation. Step 9 The Recommendation Form and Waiver are attached to this document. Make an appointment with Enrollment Services, located in the Student Center, to obtain an Application Packet for the Physical Therapist Assistant Program. Note: Walk-ins cannot be guaranteed that an advisor will be readily and immediately available to review PTA Program requirements and distribute an application. Call 636-481-3209 to schedule an appointment. 2 of 3
Jefferson College Physical Therapist Assistant Program Admission Checklist 2014 Step 10 Complete the Application to the Physical Therapist Assistant Program. Be sure to sign the following documents found in the packet and return them with the completed application. Background Check Release form Drug Test form Step 11 Demands Acknowledgement form Pay the $150 Application Fee at the Cashier s Window located on the 1 st floor of the Student Center in Hillsboro, or at any of the other campus locations (Arnold, Imperial or Northwest). Retain your receipt and attach it to your Application. Contact the Cashier s Office at 636-481-3123 to inquire about acceptable forms of payment options. If paying by check, make checks payable to Jefferson College. The fee covers your background check, drug screening and immunization tracking. Step 12 Complete the required steps listed above. Submit the entire application packet, including this checklist, in one of the following manners: Drop off at the Health Occupations office (CTE166D) on the Hillsboro Campus. Have the Arnold, Imperial or Northwest Campus inter-campus mail to the Health Occupations office. Mail to: Jefferson College; Attn: Health Occupations Office; 1000 Viking Drive; Hillsboro, MO 63050 APPLICATIONS ARE DUE AUGUST 4, 2014. The Physical Therapist Assistant Program at Jefferson College is accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE), 1111 North Fairfax Street, Alexandria, Virginia 22314; telephone: 703-706-3245; email: accreditation@apta.org; website: www.capteonline.org. 3 of 3
Testing Center Referral Form Health Care Work Keys Assessment: Entry Level Exit Exam Student Name: Student V#: Pay your $25 fee at the Cashier s Window. Take your paid receipt and this form to the Testing Center.
Applicant Observation Form To the applicant: Generally, those considering a career in any healthcare field can make a more informed choice based on personal experience or observation. Therefore, prospective students are required to perform a minimum of 16 hours of clinical observation at two different Physical Therapy clinical settings. Types of clinical settings include hospitals, home care agencies, nursing homes, and outpatient clinics. Applicants need to complete eight hours in two different settings, not just two different clinics. If, for example, an applicant completes his/her observation hours at two different locations, but the same type of setting, additional observation hours will be required prior to acceptance into the PTA Program. Applicants must contact the site in advance and schedule a time for observation while a Physical Therapist or Physical Therapist Assistant is working. Applicants should realize that many physical therapy education programs require observation hours prior to admission, and clinics are only able to accommodate a limited number of prospective students at one time. Therefore, please plan accordingly. Things to remember: take this form with you to the observation experience and obtain the clinician s signature to confirm your observation hours, use a new form for each site, and return the completed forms with your application packet. While at any clinical site, applicants must maintain the highest level of professional behaviors. Specifically, please do not wear jeans, t-shirts, sweatshirts, or open-toed sandals. Tattoos should not be visible and jewelry should be limited to one earring per ear lobe. Your overall look must be neat and clean to inspire confidence in the patient-provider interaction. As a professional courtesy, you are expected to arrive early and to contact the therapist immediately should a need to reschedule occur. ~~~ I authorize the Physical Therapist Assistant Program to contact the PT/PTA, named on the reverse side, if questions arise regarding this observation experience. Applicant s Name: Applicant s Signature: Date: Page 1 of 2 4/22/2014
Applicant Observation Form To the clinician: As an admission requirement to the PTA Program offered at Jefferson College, applicants are required to observe a PT or a PTA for a minimum of 16 hours in two different clinical settings. If the information for the prospective student is correct for today s observation, then please complete and sign the form below and return it to the applicant. Facility/Clinical Site: Total Hours Observed: Date Observed Time Observed Therapist Initials Printed Name of Observed PT or PTA: PT or PTA s Signature and Credentials: PT or PTA s Phone: Did the applicant observe treatment? Yes No Did the applicant present himself/herself in a professional manner? Yes No Did the applicant arrive on time? Yes No Did the applicant demonstrate interest in the patients and their treatments? Yes No Did the applicant show enthusiasm toward the profession? Yes No Are you interested in serving as a clinical fieldwork educator? Yes No If yes, please list your e-mail address: Thank you for sharing your time and expertise. We appreciate the support. Please contact PTA Program Director, Bridget Webb, at 636-481-3414, if you have comments regarding this applicant or if you would like information about our program. Page 2 of 2 4/22/2014
Applicant Observation Form To the applicant: Generally, those considering a career in any healthcare field can make a more informed choice based on personal experience or observation. Therefore, prospective students are required to perform a minimum of 16 hours of clinical observation at two different Physical Therapy clinical settings. Types of clinical settings include hospitals, home care agencies, nursing homes, and outpatient clinics. Applicants need to complete eight hours in two different settings, not just two different clinics. If, for example, an applicant completes his/her observation hours at two different locations, but the same type of setting, additional observation hours will be required prior to acceptance into the PTA Program. Applicants must contact the site in advance and schedule a time for observation while a Physical Therapist or Physical Therapist Assistant is working. Applicants should realize that many physical therapy education programs require observation hours prior to admission, and clinics are only able to accommodate a limited number of prospective students at one time. Therefore, please plan accordingly. Things to remember: take this form with you to the observation experience and obtain the clinician s signature to confirm your observation hours, use a new form for each site, and return the completed forms with your application packet. While at any clinical site, applicants must maintain the highest level of professional behaviors. Specifically, please do not wear jeans, t-shirts, sweatshirts, or open-toed sandals. Tattoos should not be visible and jewelry should be limited to one earring per ear lobe. Your overall look must be neat and clean to inspire confidence in the patient-provider interaction. As a professional courtesy, you are expected to arrive early and to contact the therapist immediately should a need to reschedule occur. ~~~ I authorize the Physical Therapist Assistant Program to contact the PT/PTA, named on the reverse side, if questions arise regarding this observation experience. Applicant s Name: Applicant s Signature: Date: Page 1 of 2 4/22/2014
Applicant Observation Form To the clinician: As an admission requirement to the PTA Program offered at Jefferson College, applicants are required to observe a PT or a PTA for a minimum of 16 hours in two different clinical settings. If the information for the prospective student is correct for today s observation, then please complete and sign the form below and return it to the applicant. Facility/Clinical Site: Total Hours Observed: Date Observed Time Observed Therapist Initials Printed Name of Observed PT or PTA: PT or PTA s Signature and Credentials: PT or PTA s Phone: Did the applicant observe treatment? Yes No Did the applicant present himself/herself in a professional manner? Yes No Did the applicant arrive on time? Yes No Did the applicant demonstrate interest in the patients and their treatments? Yes No Did the applicant show enthusiasm toward the profession? Yes No Are you interested in serving as a clinical fieldwork educator? Yes No If yes, please list your e-mail address: Thank you for sharing your time and expertise. We appreciate the support. Please contact PTA Program Director, Bridget Webb, at 636-481-3414, if you have comments regarding this applicant or if you would like information about our program. Page 2 of 2 4/22/2014
Letter of Recommendation REQUEST FOR A LETTER OF RECOMMENDATION I am applying to the Physical Therapist Assistant Program at Jefferson College in Hillsboro, MO, and am asking if you would be willing to complete the letter of recommendation form to support my application. Should you decide to recommend me, I am willing to provide you with any information you may need to help you in this evaluative process. Please note the signed waiver below and include this page in the sealed envelope with the other recommendation forms. Thank you for your time and consideration as I embark upon this new journey. APPLICANT WAIVER OF ACCESS TO LETTER OF RECOMMENDATION Applicants: Please indicate whether or not you waive your right to review this letter of recommendation by signing the correct line at the bottom of this page. NOTE: Waivers of access to letters of recommendation are optional and voluntary. Departments or programs at Jefferson College may request waivers, but do not deny admission, awards, employment, or any service or other benefit to students who fail to supply waivers. However, individual recommenders may choose to make the recommendation conditional on a signed waiver of access. Printed Name of Applicant By signing below, I agree to waive my right to access and examine, now or at any time in the future, the letter of recommendation (or copies) written by the above named recommender. Applicant Signature Date I do not waive my right to access and examine the letter of recommendation (or copies) written by the above named recommender. Applicant Signature Date Name of Recommender Page 1 of 3 4/28/2014
Letter of Recommendation CONFIDENTIALITY EVALUATION OF APPLICANT Applicant: Date: The above named applicant has given you this recommendation form as needed for application to the Physical Therapist Assistant (PTA) Program at Jefferson College. How long have you known this applicant? In what capacity have you been associated with this applicant? Please indicate your impression of this applicant with regard to each of the following factors by checking the appropriate rating. Characteristic Motivation Punctuality Reliability Integrity Initiative Ability to Perform Under Pressure Critical Thinking Resourcefulness Quality of Work/Thoroughness Communication Skills Interpersonal Skills Maturity Emotional Control Empathy Appearance Perseverance Excellent Above Average Average Below Average Unknown Page 2 of 3 4/28/2014
Letter of Recommendation Please discuss the applicant s characteristics you feel will make him/her a competitive candidate for this professional program. I recommend this applicant with confidence. I recommend this applicant. I recommend this applicant with some reservations. I would not recommend this applicant for admission. Evaluator s Name: Evaluator s Signature: Contact Information: Thank you, If you have any questions, please feel free to call the PTA Program Director, Bridget Webb, at 636-481-3414. Return this 3-page form in an envelope with your signature across the flap, to: Jefferson College Attn: Bridget Webb 1000 Viking Drive Hillsboro, MO 63050 This recommendation needs to be received by August 4, 2014. Page 3 of 3 4/28/2014