Fillable AAS Physical Therapist Assistant Program Application (Stark State College)

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AAS Physical Therapist Assistant Program Application (Stark State College)

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1
AAS Physical Therapist Assistant Program Application
Student Information
Student Name: ______________________________________________________________________
Home Address, City, State, Zip: _________________________________________________________
Stark State E-Mail: ___________________________________________________________________
Cell Phone: _____________________________ #S00________________________________
Requirements
For Office
Use Only
Record GPA Here
3.0 GPA Cumulative Minimum – Based upon at least 12 credit hours at the most recent
college or high school cumulative GPA within the last five years. If 12 credit hours have not
been completed in college, GPA’s from two (2) colleges will not be combined. SSC transcript
will take precedence once 12 credit hours have been completed at SSC. Any GPA less than a
3.0 will not be considered.
Record Score/Course
and Grade Here
Math requirement – ACT Math 19 or greater, or Accuplacer QAS 250, or Accuplacer AAF
237.
(MTH105, MTH124, or MTH125 with a grade of ‘C’ or better will be accepted for application.)
(MTH093 with a grade of ‘B’ or better will be accepted for application.)
Record Course and
Grade Here
BIO101 – ‘B’ or better
(BIO123 or BIO121 or BIO122 with a grade of ‘C’ or better will be
accepted for application.) High School Biology with a ‘B’ or better will be accepted for
application if taken within the last five (5) years.
The successful grade must be achieved within three (3) attempts in order to be eligible to
apply.
Initial Here
_________
Core Values and Video Review –
(see pages 2-10 of this application)
I have reviewed and answered all questions on the Core Values and Videos. My answers are
included with this application.
Initial Here
_________
BCI and FBI Background Checks
I have attached a copy of the email verification from Security.
Initial Here
_________
I have reviewed the Program’s information and documents on the Program website.
Initial Here
_________
I have met, or will schedule a meeting with program faculty for academic advising.
Date Submitted
Date Received and
Comments (For Office Use Only)
Notice: Recent changes to Ohio Revised Code mandates that the minimal age of 18 is required for a student to
participate in Clinical Education or to apply for licensure as a physical therapist assistant.
By typing my name below, I agree to submit this application with an electronic signature. By signing this application electronically, I certify that my answers are
correct and complete to the best of my knowledge. I also certify that I understand the questions and statements on this application and that all items are ready for
review.
Required Signature:
_______________________________________________ _________________
Student Date
Please email Application and the following pages to: studentservices@starkstate.edu
**Incomplete Applications will require resubmission of the entire Application. **
2
The following requirements must be completed before submitting the PTA Application.
CORE VALUES
Review the attached document located on page 4 titled:
CORE VALUES for the PHYSICAL THERAPIST and PHYSICAL THERAPIST ASSISTANT and answer the following seven (7)
questions about the Core Values:
1. Do you believe these values are important? Why?
2. Do you believe that you would be able to follow these values during your career? Why?
3. In your own words, describe what Accountability means to you.
3
4. In your own words, describe what Altruism means to you.
5. In your own words, describe what Integrity means to you.
6. Which of the eight (8) Core Values is the most important to you? Why?
7. Which of the eight (8) Core Values do you believe is the most important to patients? Why?
4
Last Updated: 9/20/19
Contact: nationalgovernance@apta.org
CORE VALUES for the PHYSICAL THERAPIST and PHYSICAL THERAPIST ASSISTANT HOD P06‐19‐48‐55
[Amended: HOD P06-18-25-33; Initial HOD P05-07-19-19;] [Previously Titled: Core Values: for the Physical
Therapist] [Position]
The core values guide the behaviors of physical therapists (PTs) and physical therapist assistants (PTAs) to
provide the highest quality of physical therapist services. These values imbue the scope of PT and PTA activities.
The core values retain the PT as the person ultimately responsible for providing safe, accessible, cost-effective,
and evidence-based services; and the PTA as the only individual who assists the PT in practice, working under
the direction and supervision of the PT. The core values are defined as follows:
• Accountability
Accountability is active acceptance of the responsibility for the diverse roles, obligations, and actions of the
physical therapist and physical therapist assistant including self-regulation and other behaviors that
positively influence patient and client outcomes, the profession, and the health needs of society.
• Altruism
Altruism is the primary regard for or devotion to the interest of patients and clients, thus assuming the
responsibility of placing the needs of patients and clients ahead of the physical therapist’s or physical
therapist assistant’s self-interest.
• Collaboration
Collaboration is working together with patients and clients, families, communities, and professionals in
health and other fields to achieve shared goals. Collaboration within the physical therapist-physical therapist
assistant team is working together, within each partner’s respective role, to achieve optimal physical
therapist services and outcomes for patients and clients.
• Compassion and Caring
Compassion is the desire to identify with or sense something of another’s experience; a precursor of caring.
Caring is the concern, empathy, and consideration for the needs and values of others.
• Duty
Duty is the commitment to meeting one’s obligations to provide effective physical therapist services to
patients and clients, to serve the profession, and to positively influence the health of society.
• Excellence
Excellence in the provision of physical therapist services occurs when the physical therapist and physical
therapist assistant consistently use current knowledge and skills while understanding personal limits,
integrate the patient or client perspective, embrace advancement, and challenge mediocrity.
• Integrity
Integrity is steadfast adherence to high ethical principles or standards, being truthful, ensuring fairness,
following through on commitments, and verbalizing to others the rationale for actions.
• Social Responsibility
Social responsibility is the promotion of a mutual trust between the profession and the larger public that
necessitates responding to societal needs for health and wellness.
Explanation of Reference Numbers:
HOD P00-00-00-00 stands for House of Delegates/month/year/page/vote in the House of Delegates minutes; the "P" indicates that it is a position (see below). For example, HOD P06-17-05-04 means that this position
canbe found in the June 2017 House of Delegates minutes on Page 5 and that it was Vote 4.
P: Position | S: Standard | G: Guideline | Y: Policy | R: Procedure
5
PTA CAREER INFORMATION PAGE
View and read the material on this link:
https://www.apta.org/your-career/careers-in-physical-therapy/becoming-a-pta
then answer the following five (5) questions:
1. In your own words, explain what Physical Therapist Assistants do.
2. In your own words, explain where Physical Therapist Assistants work.
3. According to the APTA website, how much is the median income for a Physical Therapist Assistant?
6
4. According to the APTA website, what are the primary areas of curriculum for a Physical Therapist Assistant
program?
5. According to the APTA website, how many weeks of clinical education is the average for Physical Therapist
Assistant programs?
7
View and read the material on this link:
https://www.choosept.com/aboutptsptas/default.aspx
and answer the following seven (7) questions:
1. According to the webpage, list treatments that PTAs are trained to provide.
2. According to the webpage, explain what types of injuries or pathologies a PTA might work with in Acute
Care.
3.
According to the webpage, explain what types of health conditions might be treated in Geriatric Physical
Therapy.
8
4. A
ccording to the webpage, list locations that Home Health Physical Therapy might be performed.
5. According to the webpage, what is a goal of Physical Therapy in Neurological Rehab?
6. According to the webpage, what are some goals of Physical Therapy while working with someone with
c
ancer?
7. According to the webpage, what are some locations for the provision of Pediatric Physical Therapy?
9
Vi
ew this video: https://www.youtube.com/watch?v=rAEjjcjob-Y
and answer the following five (5) questions:
1. N
ame three (3) pieces of medical equipment or appliances that you see at the beginning of the video.
2. Name two (2) exercises you see performed early in the rehab process.
3. Describe the differences that you see in the patient’s ability to stand and walk throughout the rehab
p
rocess.
4. What do you notice about the patient’s communication from the beginning to the end?
10
5. Wha
t did Phyllis say about her therapy at the end?
11
Physical Therapist Assistant Program Application Instructions
1. Follow the procedure for applying to Stark State College (SSC). See procedures on the SSC website under
Admissions (http://www.starkstate.edu/admissions).
2. Meet with an Admissions Counselor for review of transcripts and first semester scheduling. Admissions
contact number is 330-494-6170 or 800-797-8275.
3. Refer to Program website for frequently asked questions regarding the application process
(https://www.starkstate.edu/academics/programs/physical-therapist-assistant/)
4. Meet with a PTA advisor located in H209.
5. Contact SSC Security (http://www.starkstate.edu/content/background-check-information) to schedule BCI
and FBI background checks. You will receive an email of verification of eligibility through your Stark State
email. Please direct all background questions to the security office.
6. Review the Core Values and Webpages on pages 2-10 of this application and answer each of the associated
questions.
7. Once these steps have been successfully completed, email all documents and forms to:
studentservices@starkstate.edu
8. You will be notified by mail of your acceptance. At that time, you will be assigned a permanent advisor in the
Physical Therapist Assistant program that will assist you in scheduling while waiting for entrance, as well as
throughout your program.
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Completed 2 October 2020

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