Physical Therapist Assistant Program 2020 Application
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Division of Health
Physical Therapist Assistant Program
2020 Application
The Physical Therapist Assistant Program at Calhoun Community 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.
1Physical Therapist Assistant Program
Minimal 2020 PTA program application requirements:
Unconditional admission to Calhoun Community College
Submission of a PTA Program Application no later than 3:00 PM, April 14, 2020, which includes:
1. A Calhoun Community College transcript documenting all previously completed general
education coursework taken at CCC or accepted in transfer
2. A reading score from an ACT or ACCUPLACER test taken in the past three years which
meets the minimum requirement of:
PTA Program Admission
Minimum Reading Score Requirement
ACT Reading Test Score 18 or >
-OR-
ACCUPLACER Reading Comprehension 70 or >
-OR-
ACCUPLACER NEXT GENERATION Reading 250 or >
3. Documentation of 24 hours of physical therapy observation signed by licensed personnel
Meeting minimal requirements does not guarantee acceptance. The number of students selected
for admission to the PTA program each year is limited and therefore the application process is
competitive. Applications are evaluated by the PTA Admissions Committee and assigned a score
based on a point system. Points are awarded on the basis of submitted information. Top scoring
applicants are offered an opportunity to enroll.
PTA Application Points System
CATEGORY POINTS POSSIBLE
Completed General Education Coursework = 80
Reading Score = 5
Attendance at a PTA Information Session = 5
Physical Therapy Observation Hours = 10
TOTAL = 100
2Physical Therapist Assistant Program
Application Instructions
PTA Information Sessions are held three times a year. Additional information
about the program can be found on the PTA website at
https://calhoun.edu/health-sciences/physical-therapist-assistant/
Applicants are strongly advised to read and follow instructions.
APPLICATION INSTRUCTIONS
1. Apply for Admission to Calhoun Community College
It is recommended this be completed at least 6-8 weeks prior to the PTA application
deadline and that all PTA applicants meet with an advisor.
2. Obtain a Calhoun Community College transcript
PTA applications must include an unofficial copy of a Calhoun Community College
transcript. The CCC transcript should include all coursework applicable to the PTA degree
requirements taken at Calhoun &/or other colleges and accepted in transfer.
Transcripts from all colleges attended should be sent to the CCC Office of Admissions and
Records. It is recommended this is completed at least one month prior to the PTA
application deadline.
Coursework taken at other educational institutions must be evaluated and accepted by
CCC to be considered for PTA application points. It is the applicant’s responsibility to
make certain all relevant coursework is listed on the CCC transcript. Applicants should
contact the Admissions Office with questions regarding the transfer of credit.
Submit an unofficial copy of the CCC transcript printed from MYCALHOUN with the PTA
application. Do not include transcripts from other colleges with the PTA application. Do
not have transcripts from other colleges sent to the PTA program.
PTA application points are earned for completion of the general education courses
required for the AAS degree in PTA. The number of points is determined by the grade
earned. Complete the General Education Worksheet (page 8) by circling the grade and
corresponding points attained for each class. If a course has not been taken or is in
progress, leave space blank. Total the points earned for grades in the white box.
On the CCC transcript, highlight the general education courses and grades earned for PTA
application points.
a. The following mathematics courses may be used for application points:
MTH 100, MTH 110, MTH 112, MTH 113, MTH 120, MTH 125, MTH 126, MTH 227,
MTH 237, MTH 238. These are the only mathematic credits which earn application
points.
3b. English Composition I (ENG 101) is the only course and grade which may be
used for English points.
c. The CCC Catalog lists courses that qualify for the HUM course requirement.
Applicants select the course to be used for points.
Points for general education courses taken spring semester 2020 will be added to the
application score if an unofficial transcript of course completion with the grade earned is
submitted to the PTA program once the course is completed.
This is the responsibility of the applicant. A paper copy of spring grades must be received
by the PTA program no later than 3:00 PM on Tuesday, May 19, 2020.
Spring grades may not be emailed or faxed. If attending another college, an unofficial
transcript from that college will be accepted for application points FOR SPRING GRADES
(ONLY), if a CCC transcript was received in the original application envelope.
3. Obtain a Reading Score
ALL PTA applicants must submit a copy of a reading score from an ACT or ACCUPLACER
test taken within the past three (3) years, regardless of applicant age, score, or prior
educational accomplishment. Do not contact the program requesting an exception.
The reading test for 2020 applicants must be from 2017, 2018, 2019, 2020
Application points are earned according to the grid on page 10. Circle your score.
See the PTA FAQ for more information about taking the ACCUPLACER.
If a reading score is not submitted, the applicant will be considered ineligible for
enrollment in the PTA program.
4. Attend a PTA Program Information Session
Points are earned for attending one PTA Program Information Session held in the fall of
2019 or the spring of 2020.
Dates, times, and locations of information sessions are posted on the PTA website
Legibly print and sign your name on the attendance roster at the session
Be punctual
If you live out of the CCC area or have other hindrances to attending a PTA Info Session,
contact the program by email or telephone 256/260-2491.
5. Acquire PTA Observation Hours
Points are earned for completing 24 hours of physical therapy observation; 12 hours at
an in-patient facility and 12 hours at an out-patient facility. Home health hours are not
accepted.
Experiences should occur at a minimum of 2 different facilities.
Hours must be signed by licensed physical therapy personnel.
Submit evidence of experiences using the Observation Hours Documentation Form
(page 11).
Observation hours on other forms will not be accepted.
Observation hours should have been completed in the past 3 years.
Experiences as a patient receiving PT or as an employee in a PT facility may be used; see
PTA Observation Hours Directions (page 10).
Additional observation hours may be personally beneficial but will not accrue
additional points.
46. Submit the PTA Application Packet before April 14, 2020 at 3:00 PM
All application requirements should be received in one envelope
Application packets may be mailed or delivered in person but must be received by the
above deadline date and time. Information cannot be accepted via fax or
email.
Address: Calhoun Community College
Health Sciences Center - 3rd floor
ATTN: PTA Program
P.O. Box 2216
Decatur, AL 35609
Hours: Monday-Thursday 8:00 AM – 4:30 PM, Friday 8:00 – 11:30 AM
Documentation must be complete and legible.
Please print application single-sided and do not use staples on transcripts or forms.
Each time an individual applies to the PTA program an application packet must be
completed in its entirety; copies of items submitted should be retained as information
will not be released from previous application packets.
7. If taking coursework spring semester, remember to submit an unofficial transcript highlighting
the courses completed spring semester with the grade earned
To accrue points, spring semester grades must be received by 3:00 PM May 19, 2020
If spring courses were taken at another college, it is acceptable to submit an unofficial
transcript from that college for the purpose of showing spring course completion and the
grade earned. However, the original application packet must contain a CCC transcript.
Spring grades should be submitted to address above (6).
8. The PTA Admissions Committee meets in late May.
All applicants will be notified of admission status in early June.
Letters will be mailed to the address provided by the applicant.
Admission status cannot be released by telephone.
5Physical Therapist Assistant Program
Application Checklist
□ Unconditional admission to Calhoun Community College
□ A completed Personal Information Sheet, page 7.
□ An unofficial Calhoun Community College transcript which includes all coursework
taken at CCC and coursework taken at other colleges and accepted in transfer.
Completed general education courses being used for application points should be
highlighted with the grade earned. If a CCC transcript is not included in the
application packet, the applicant will receive zero (0) general education points.
□ A copy of an ACT Reading Score or an ACCUPLACER Reading test score report
from the past three years. If a reading score from a test taken within the past 3
years is not included in the application packet, the applicant will be ineligible for
enrollment in the PTA program.
□ A completed General Education Worksheet, page 8, noting required coursework
already taken and the grade received.
□ A Points Worksheet, page 9, noting your general education coursework points
total, your ACT or ACCUPLACER reading score, and month of attendance at a PTA
Information Session in the past year.
□ Physical Therapy Observation Documentation Forms page 11, validating a
minimum of 24 hours of physical therapy observation at two different facilities;
twelve (12) hours observation in an inpatient setting and twelve (12) hours in an
outpatient setting.
□ Statements of Understanding pages 12-17, dated and signed.
6Physical Therapist Assistant Program
Personal Information Sheet
Applications to begin PTA Fall 2020 must be received by 3:00 PM on April 14, 2020. An application packet
may be mailed or delivered in person to the PTA program on the third floor of the Health Sciences Center,
Decatur campus. All applicants receive notification by mail regarding selection for the program at the
address provided below.
Calhoun Student ID (A#):___________________________
Name _________________________________________ _________________________________________________
Last First MI
Mailing
Address__________________________________________ City_____________________________________________
Home Phone____________________________________ State_______________________ Zip__________________
Cell Phone______________________________________ Email___________________________________________
Work Phone_____________________________________
Emergency Contact:
Name__________________________________________ Relationship:______________________________________
Phone_________________________________________
List all colleges and/or universities you have attended and any degrees received:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Mailing address: Calhoun Community College Hours: Monday – Thursday 8:00 AM – 4:30 PM
Health Sciences Center Friday 8:00 – 11:30 AM
ATTN: PTA Program
P.O. Box 2216 Closed for Spring Break: March 26-27, 2020
Decatur, AL 35609
7Physical Therapist Assistant Program
Name: _________________________________________________________________ General Education Worksheet
Application points are awarded when the course & grade is HIGHLIGHTED on an enclosed CCC transcript. If currently enrolled in a general education
course spring semester 2020, do not circle a grade / points. Spring semester points will be added to the application score if a copy of an unofficial
transcript with the grade earned is submitted to the PTA program at the end of the semester. This is the responsibility of the applicant and the spring
transcript must be received by 3:00 PM May 19, 2020.
For office use:
Course Name and Number Circle earned grade course & grade
and points verified / highlighted?
*BIO 201 Human Anatomy & Physiology I (within last 10 years) A= 14 B = 12 C = 7
*BIO 202 Human Anatomy & Physiology II (within last 10 years) A= 14 B = 12 C=7
ENG 101 English Composition I A=8 B=5 C=3
Mathematics Elective - MTH 100, MTH 110, MTH 112, MTH 113, MTH 120, A=8 B=5 C=3
Course: MTH ________
MTH 125, MTH 126, MTH 227, MRH 237, or MTH 238
PSY 200 General Psychology A=8 B=5 C=3
PSY 210 Human Growth & Development A=8 B=5 C=3
Speech Elective – SPH 106, SPH 107, SPH 116 Course: SPH ________ A=8 B=5 C=3
Humanities Elective: Art, Music, Foreign Language, Literature, Course: A=8 B=5 C=3
Philosophy, Religion, Theatre ________ ________
EMS 106 Medical Terminology for Health Professions A=4 B=3 C=3
TOTAL=
MAXIMUM GENERAL EDUCATION POINTS = 80
8Physical Therapist Assistant Program
Name: __________________________________________________________________________ Points Worksheet
To be considered for enrollment, all PTA applicants must submit a copy of a reading score from a test taken in the past 3 years.
Circle your reading score and corresponding points.
ACT Reading ACCUPLACER Reading ACCUPLACER NEXT GENERATION PTA Application
Score Comprehension Score Reading Score Points
NO READING SCORE IN APPLICATION PACKET = INELIGIBLE FOR PTA
< 18 < 70 < 250 Ineligible for PTA
18 19 70 71 72 73 74 75 76 250 251 252 253 254 255 256 0
20 21 22 23 77 78 79 80 81 82 83 84 85 86 257 258 259 260 261 262 263 264 265 266 1
24 25 26 87 88 89 90 91 92 93 94 95 96 267 268 269 270 271 272 273 274 275 276 2
27 28 29 30 97 98 99 100 101 102 103 104 105 277 278 279 280 281 282 283 284 285 3
31 32 33 106 107 108 109 110 111 112 113 286 287 288 289 290 291 292 293 4
34 35 36 114 115 116 117 118 119 120 294 295 296 297 298 299 300 5
Determine your Academic Score by adding General Education Points to Reading Points. The maximum possible score is 85 points.
General Education Points (from page 8) = ___________ (max. = 80)
Reading Score Points (from above grid) = ___________ (max. = 5)
Total ACADEMIC Score = ___________ (max. = 85)
Did you attend a PTA program Information Session? Yes No
If yes, please check which session attended: October 2019 February 2020 March 2020
PROGRAM USE:
Attendance verified by CCC PTA Admissions Committee member: ____________ (initials)
9PTA Program Application
Observation Hours Directions
Applicants to the PTA program are required to submit documentation of twenty-four (24) quality hours of physical
therapy observation accomplished in the past three (3) years. Quality hours are defined as time spent observing patient
care and do not include breaks, viewing secretarial duties or videos. Twelve (12) hours should be completed at an
inpatient facility and twelve (12) hours at an outpatient facility. Two different facilities should be used to complete the
24 hours of observation. Use a separate form for each facility. All hours must be signed by a licensed PT or PTA.
Inpatient therapy is provided in a medical facility where the patient spends the night, such as a hospital,
rehabilitation center, or skilled nursing facility.
Outpatient therapy is provided to patients who travel to a facility for a scheduled appointment.
Home health care physical therapy is not accepted for the purpose of observation hours.
Personal experience as a patient receiving physical therapy may be used as observation hours if it was within
the past three (3) years.
Applicants employed in a PT department may use work hours from the past three (3) years to fulfill observation
hours.
Additional time spent observing the working environment, job duties, and special skills of therapists may be personally
beneficial in deciding if physical therapy is the right vocation for you, but will not add to the strength of your application.
PT and PTA students are commonly required to obtain observation hours and therefore physical therapy facilities are
accustomed to such requests. It is the responsibility of the applicant to contact facilities that offer physical therapy
services to request observation hours. Health care organizations and physical therapy clinics are not obligated to allow
visitors for the purpose of observation. Their willingness to offer opportunities demonstrates a commitment to the
physical therapy profession and an investment in future clinicians. Clinics are only able to accommodate a limited
number of prospective students at one time, so plan accordingly.
During observation experiences students are a guest of the facility and expected to demonstrate professionalism in
attire, behavior, and demeanor at all times.
Dress in “business casual” wear – slacks, a collared shirt, closed toe shoes, and limited jewelry. Jeans, shorts,
t-shirts, immodest clothing, and cologne are not permissible.
Be punctual.
Stay engaged; cell phones may not be in sight and may not emit audible tones.
The health care environment is governed by rules and policies in the interest of safety and serve to ensure that patient
information is held in trust.
Some facilities may require observers to sign confidentiality statements.
Patients have the right to deny permission for observation of their care.
During observation you will learn personal medical information. This is permissible and you may ask questions
of the PT/PTA about procedures. However, you are obliged to understand this is privileged information
protected by federal privacy acts and cannot be shared with any party outside the facility.
10PTA Program
Observation Hours Documentation Form
Copy this page and use a separate form for each facility where observation hours were completed. Use only this form for
documentation of observation hours for the CCC PTA Program Application. All documentation should be recorded in ink
and experiences should have taken place in the past three (3) years.
PLEASE PRINT
Applicant Name:
LAST FIRST
Calhoun Student ID (A#):
Facility Name:
Street Address:
City: State: Zip:
Telephone:
Observation hours completed: As a student, for the PTA application,
As an employee of the facility,
As a patient, receiving physical therapy treatment
PLEASE PRINT
Supervising Therapist Name(s):
and License Number(s)
Inpatient or
Date Time In Time Out Hours Outpatient Signature of Licensed PT/PTA
EX: 8/12/19 8:00 AM 11:30 PM 3.5 IP John Doe, LPTA
Total on this page =
I certify that the hours noted above were completed by me. I understand that the CCC PTA Admissions Committee may verify this document for authenticity
and that falsification of information will result in my PTA application being withdrawn from consideration.
___________________________________________________________________________ _______________________________________
Applicant Signature Date
11Physical Therapist Assistant Program
Statements of Understanding
1. Liability Release
I, _________________________, hereby acknowledge that I am eighteen years of age or older, or that if I am under the age
of eighteen I am signing this release with the written consent of my parent(s) or legal guardian(s). I further acknowledge
that I fully understand the contents of this release and that I am signing it voluntarily.
As a student or a prospective student of the Physical Therapist Assistant program at Calhoun Community College, I am
aware of the risk of personal illness and/or injury which are inherent in my participating in the PTA educational activities.
Upon full awareness and consideration of the risks which I assume in participating in hospital or other clinical rotation
activities, I hereby agree to release Calhoun Community College and its instructors, officials, agents, representatives,
preceptors, and employees from any liability for any type of illness or injury which is incurred during a period in which I am
participating in clinical or laboratory activities.
_________________________________________
Student signature Date
_________________________________________
Parent or guardian signature Date
If < 19 years of age
2. Statement of Understanding of Policy
I, _________________________, agree to abide by rules and policy set forth by the PTA program, the State of Alabama
Board of Physical Therapy, and my clinical affiliates that I visit during the course of my studies. I realize that I have access to
and a personal obligation to become aware of these rules. I have also been advised and hereby indicate my understanding
that PTA program policy requires a 75% or better average in all coursework in any primary PTA course.
________________________________________
Student signature Date
123. Physical Therapist Assistant Program Admission, Progression, and Graduation Contract
1. I understand that falsification and/or omission of information on the College and/or PTA application shall be grounds for
dismissal from the program in accordance with College procedures.
2. I understand that enrolled students in healthcare programs are required to submit to a background check and drug
screening by a vendor designated by the College to comply with clinical affiliate contracts. I understand that the background
check &/or a confirmed positive drug screen may render me ineligible to participate in required learning experiences at
clinical affiliates because I will be denied access. In this event, I understand that I will be dismissed from the program and a
grade of “F” will be recorded for course(s) if I do not officially withdraw.
3. I understand that enrolled students in healthcare programs are required to submit to a preclinical health examination by a
licensed physician or CRNP and to provide documentation of immunization to certain communicable diseases and to
undergo tuberculosis screening.
4. I understand that I will be required to submit evidence of current CPR certification, a liability release, and must purchase
malpractice insurance by a deadline provided by faculty prior to clinical education experiences.
5. In the clinical portion of the PTA program, I understand that I must attend my scheduled clinical rotations according to the
program’s clinical rules and regulations. Failure to comply fully with these rules will result in my receiving a lower grade or
being ineligible to complete my clinical training due to my non-compliance. I agree to read and know the program’s Clinical
Practice Policies and Procedures outlined in my student handbook before entering any clinical area.
6. I understand that I am required to abide by the rules and regulations of the clinical agency in which the clinical component
of each course is performed. Failure to do so will result in dismissal from the program and a grade of “F” for the course
assigned in accordance with College procedures.
7. I understand that the clinical agency with which the program is affiliated has the right to request that a student be removed
from their facility, as well as the right to refuse a student admission to their facility for clinical education.
8. I understand that evaluation materials, i.e., clinical evaluations with instructor notations and counseling forms, will be
maintained in my student folder. I understand that upon my request, I have the right to see any information that is
retained in my student folder.
9. Due to the nature of the training received in the PTA program, I understand that there are risks in demonstrating or
receiving return demonstration in practical application of skills in the classroom segment. I also understand that there are
certain risks involved in completing clinical rotations with clinical affiliates of the PTA program at Calhoun Community
College. I fully understand that I am not required to involve myself in any activity that, in my opinion, would be potentially
dangerous to me. I will not hold Calhoun Community College, any of its’ employees, or other PTA students, any clinical
instructor, or any PTA program Clinical Affiliate responsible for any injury occurred as a result of 1) any classroom practical
application or 2) performing clinical rotations.
10. I understand that during my PTA education that I will come in contact with infectious diseases. I further understand that
my health and accident insurance and/or related expenses are my responsibility.
11. I understand that I am responsible for transportation, meals, health care expenses and any liability incurred during and
while traveling to and/or from educational experiences.
1312. I understand the application for licensure as a PTA will include a list of questions which ask, “Have you ever been convicted
of a felony or of a crime involving moral turpitude?” and “Have you ever been convicted of violating any state or federal
narcotic law?” and that my application may be denied on the basis of this review.
13. I certify that I am of good moral character and that I have no known physical or mental difficulties that would prevent me
from completing this training program.
14. I understand that failure to comply with legal, moral, and legislative standards which determine unacceptable behavior of
the PTA and/or behavior which may be cause for denial of license to practice as a licensed PTA constitute grounds for
dismissal from the program, regardless of course standing. A grade of “F” will be assigned for any PTA course from which
the student is dismissed for unacceptable behavior.
15. I understand that the rules above apply to me in any PTA course I should take in the Physical Therapist Assistant program
through Calhoun Community College, at the present or in the future.
16. I understand that it is my responsibility to read the College Catalog, each course syllabus, clinical evaluation forms and
other materials that are provided to the class which outline my responsibilities as a PTA student. I understand that failure
to abide by these published materials will be grounds for dismissal from the program.
I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THAT THE CRITERIA STATED HEREIN AND IN THE COLLEGE
CATALOG APPLY TO ME AND THAT FAILURE TO ABIDE BY ANY STATED CRITERIA IS GROUNDS FOR DISMISSAL.
_____________________________________________
Printed student name
_____________________________________________ __________________________
Student signature Date
144. Statement of Understanding of Clinical Studies Component
As a student enrolling in a clinical studies component of the Physical Therapist Assistant program at Calhoun Community
College, I am aware that:
1. I will be enrolled in a clinical course that requires my presence at one or more health care facilities;
2. I am not an employee of the College or of the health care facility and if I am an employee of the College or of the health
care facility I must notify the PTA Program Director at the beginning of my PTA education coursework at Calhoun
Community College;
3. I do not expect and will not receive compensation from the College or health care facility for participation in the clinical
course; and
4. I have not been promised and do not expect to be offered a job at the health care facility as a result of participation in
the clinical course.
5. I may be required by the hospital/clinical site to undergo drug and/or alcohol testing at any time as a precondition to
beginning a clinical rotation or to continue a clinical rotation at the hospital/clinical site.
6. I will be required to purchase medical malpractice insurance at an approximate cost of $20.00. This fee will be added to
my class tuition the semester of my first clinical experience. If I am attending classes on loans or grants, which do not
pay this fee, the fee will be added to MYCalhoun tuition balance.
7. I understand that transportation to and from class and clinical experiences is the responsibility of the student. I understand
clinical rotations are scheduled Monday through Friday, generally between the hours of 7:00AM and 5:00PM, full time.
Health care facility assignments are based on the learning needs of the student, not geographical proximity to the home.
Students are expected to have reliable transportation, flexibility in their personal schedules, and the willingness to
commute to clinical sites in the north Alabama region.
____________________________________________
Student signature Date
5. Information for PTA Student Applicants:
I understand that completion of this application is a component of the student profile and does not in itself grant admission
to the Physical Therapist Assistant program. I understand I must submit a new application if I am not selected and choose
to apply in the future. I certify that the information given in this application is true and correct. I understand that providing
false information may be deemed sufficient reason to dismiss a student and/or refuse admission.
Minimum admission standards include:
1. Unconditional admission to the college
2. Receipt of a completed PTA Application packet
3. An unofficial CCC transcript documenting all courses and grades taken at Calhoun &/or accepted in transfer
4. An ACT reading score of 18 or > or an ACCUPLACER reading comprehension score of 70 or > or an ACCUPLACER NEXT
GENERATION reading score of 250 or > from a reading assessment test taken in the past three years
5. Twenty-four hours of documented physical therapy observation
Admission to the Physical Therapist Assistant program is competitive, and the number of students enrolled is limited by the
number of faculty and clinical facilities available. Meeting minimal requirements does not guarantee acceptance.
______________________________________________
Student signature Date
156. PTA Program Eligibility Criteria
Title II of the 1990 American with Disabilities Act provides comprehensive civil rights protection for qualified individuals with
disabilities. The Alabama Community College System endorses the Americans’ with Disabilities Act. If you have a disability that might
require special materials, services, or assistance, please contact the CCC Disability Services Office located in the Chasteen Student
Center, Room 220 (Decatur Campus) or call (256) 306-2630 or (256) 890-4756.
Based on its mission, the intent of the Physical Therapist Assistant program is to educate a competent entry-level physical therapist
assistant who can treat the general population of acute and rehabilitation patients in current health care settings. Enrolled students
are required to successfully complete both the academic and clinical requirements of the program to receive the AAS degree. The
purpose of the Eligibility Criteria is to delineate the cognitive, affective and psychomotor skills deemed minimally necessary for
admission, progression, and graduation, and for the provision of safe and effective patient care.
Cognitive learning skills: the student must be able to demonstrate the following abilities:
1. Retain and use information in the cognitive, psychomotor, and affective domain in order to treat patients.
2. Perform a physical therapy assessment of a patient’s posture and movement including analysis of physical, biomechanical,
and environmental factors in a timely manner, consistent with the acceptable norms of all clinical settings.
3. Use information to execute physical therapy treatment in a timely manner appropriate for the problems identified and
consistent with the acceptable norms of all clinical settings.
4. Reassess the treatment plan as needed for effective and efficient management of physical therapy problems in a timely
manner, consistent with the acceptable norms of all clinical settings.
Affective learning skills: the student must be able to demonstrate the following abilities:
1. Demonstrate appropriate affective behaviors and mental attitudes in order to not jeopardize the emotional, physical,
mental, and behavioral safety of patients and other individuals with whom one interacts in the academic and clinical setting
and to be in compliance with the ethical standards of the American Physical Therapy Association.
2. Cope with the mental and emotional rigors of a demanding educational program in physical therapy that includes academic
and clinical components that occur with set time constraints and often concurrently.
3. Acknowledge and respect individual values and opinions in order to foster harmonious working relationships with
colleagues, peers and patients.
Psychomotor skills: the student must be able to demonstrate the following skills:
1. Stand and maintain upright posture, with or without assistive devices.
2. Locomotion:
a. Arrive at lecture, lab, and clinical locations in a timely manner.
b. Move within rooms as needed for changing groups, lab partners and work stations, and perform assigned clinical
tasks.
3. Manual tasks:
a. Safely maneuver self or move another individuals’ body parts to effectively perform evaluation techniques.
b. Safely maneuver or move clinical equipment from side to side, forward and backward or from a lower to a higher
position.
c. Manipulate common tools used for screening tests of the cranial nerves, sensation, range of motion, and muscle
testing procedures (e.g. cotton balls, safety pins, reflex hammer, and goniometer).
d. Safely and effectively guide, facilitate, inhibit, and resist movement and motor patterns through the use of
facilitation and inhibition techniques, including ability to give time urgent verbal and sensory feedback.
e. Safely move another individual’s body in transfers, gait, positioning, exercise and mobilization techniques.
f. Safely manipulate and move equipment and items to aid in the treatment of a patient (i.e. bolsters, pillows,
plinths, mats, gait assistance devices, other supports or chairs, IV’s, monitors, etc.).
g. Competently perform CPR using guidelines issued by the American Heart Association or the American Red Cross.
164. Fine motor/hand skills:
a. Legibly record/document progress notes in standard medical charts in hospital/clinical settings in a timely manner
and consistent with the acceptable norms of clinical settings.
b. Legibly record thoughts for written assessments.
c. Palpate changes in an individual’s muscle tone, soft tissues, skin quality, joint play, kinesthesia, and temperature in
a timely manner and sense that individual’s response to environmental changes and treatment.
d. Apply and adjust therapeutic modalities.
e. Apply and effectively position hands to apply soft tissue and mobilization techniques.
5. Visual Acuity:
a. Obtain visual information from clients (e.g. movement, posture, body mechanics and gait pattern).
b. Obtain visual information from treatment environment (e.g. dials on equipment, assistive devices, furniture
placement, and floor surfaces).
6. Communication skills:
a. Effectively communicate with other students, faculty, patients, peers, staff and families to ask questions, explain
conditions and procedures, teach home programs, and to maintain safety in a timely manner and within the
acceptable norms in both academic and clinical settings.
b. Receive and interpret written communication in both academic and clinical settings in a timely manner.
c. Effectively communicate in life threatening situations in a timely manner within acceptable norms of clinical
settings.
7. Self-care:
a. Maintain general good health, self-care and hygiene in order not to jeopardize the health and safety of self and
individuals with which one interacts in the academic and clinical settings.
b. Arrange transportation and living accommodations for/during off campus clinical assignments to foster timely
reporting to the classroom and clinical site.
8. Auditory:
a. Effectively auscultate lungs, apical pulse, and blood pressure.
Safety is paramount in all health programs. Students shall not pose a direct threat to themselves or others. Direct threat is defined
as a substantial risk of harm based on facts and that cannot be eliminated or reduced to an acceptable level through reasonable
accommodation. A direct threat also includes an individual who knowingly engages in unsafe practices or disregards safety rules or
procedures which results in a substantial risk of harm to themselves or others or in a substantial risk of damage to property.
I have reviewed the Eligibility Criteria for the PTA program.
________________________________________
Student signature Date
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