Physical Therapist Assistant Program

The selection process for Vincennes University’s Physical Therapist Assistant Program is based on the premise that student selection is vital to the development and maintenance of a strong program. The standards of selection will also contribute to the quality of care administered by graduates of this program. In order to successfully complete this program, students must be highly motivated and have an academic background sufficient to cope with the curriculum. Due to the high number of applicants for this program, selection is competitive in nature and involves review by the Program’s Admission Committee. Applicants will be notified by letter regarding their status in the program. All applicants will be evaluated on an individual basis. Preference is given to applicants with two or more years of life science courses and who receive a grade of B or higher in Anatomy and Physiology I and II. Compliance with all criteria does not guarantee acceptance. See catalog for complete admission requirements.

*Legal First Name

Legal Middle Name

*Legal Last Name

Former Last Name (if applicable)

*Birthdate

*Phone #

*Email Address

*Please Pick 1 Unique Identification # to Enter

Student ID # (A#)

Social Security Number (SSN)

*Student ID # (A#)

*Social Security # (SSN)

If you completed a GED, please type the code A04202 in the High School Name field
If you attended an International HS, please type the code A00026 in the High School Name field
If you attended a Homeschool, please type the code 970000 in the High School Name field

HS CEEB Code

*High School Name

*Year of HS Graduation

*Have you attended colleges other than VU? Please note this includes colleges/universities you may have received dual credits from while in High School

Yes

No

*If yes, please list all colleges/universities below:

*Please Note: Official Transcripts must be on file at Vincennes University in order for your application to be evaluated*

Do you have any additional comments/information you would like to include?:

*Final Student Checklist (Do Not Submit until all items checked)

HS Transcript or GED sent to Vincennes Univeristy

Send in College/University Transcripts

Completed Accuplacer Test? (or have other alternate test scores on file?)

*Signature

Date

By signing/typing your name above, you affirm that the information on this application is correct. Falsification of your application may result in your denial of admission to the College of Health Science and Human Performance and/or Vincennes University.

Physical Therapist Assistant Program - Application