Physical Therapist Assistant Program Application for Readmission - 2020 Page: 1
Baltimore City Community College
Physical Therapist Assistant Program
Re-Admission Application Submission Checklist (2020)
Readmission application materials must be typed and hand carried or emailed to the PTA Program
Coordinator at jdyett@bccc.edu; handwritten applications will not be accepted.
Student’s Name:
Today’s Date:
YOUR RE-ADMISSION APPLICATION PACKET MUST BE COMPLETE WITH ALL THE REQUIRED
DOCUMENTATION BEFORE YOUR SUBMISSION MATERIALS WILL BE CONSIDERED. PLEASE
SUBMIT THIS COMPLETED READMISSION APPLICATION BY MARCH 27, 2020, (for students who were
unsuccessful in the Fall 2019 semester) or BY JULY 10, 2020, (for students who were unsuccessful in Spring, 2020).
FAILURE TO FOLLOW DIRECTIONS AS NOTED, MAY DELAY, HINDER OR CANCEL THE
PROCESSING OF YOUR RE-ADMISSION APPLICATION
Please note, in order to reapply for admission into the PTA Program, ALL of the courses listed below must be completed.
If y
ou do not have passing grades for all of the courses listed below, your readmission application WILL NOT be
considered until this program requirement has been fulfilled; however, still within the stated deadline time period.
Please notate the grade recei
ved for each:
Grade(s) Received or Exemption Status
SOC 101: Introduction to Sociology _________________________________
SP 101: Fundamentals of Speech Communication _________________________________
HLF: Health and Life Fitness Electives (Minimum 2 Credits) _________________________________
PSY 104: Developmental Psychology _________________________________
CLT: Computer Literacy or Equivalent _________________________________
Initial each applicable box below as a notation to the committee of areas that have been completed:
Student’s Signature: ____________________________________ Date: _____________________________
(Student’s Electronic Signature Required in this Area)
I have completed the PTA program’s re-admission application, and have included it as a part of this
application packet.
Official Transcript Submission: I have attached ALL official sealed transcripts to this
packet from ALL previously attended colleges/universities. (Please be sure to only submit
transcripts with applicable courses for the PTA program, if additional courses were taken at
another institution after the last PTA course was taken, otherwise mark N/A in the box.)
I have attached a copy of my BCCC student inquiry report, and have included it as a part of this
readmission Application packet.
My student inquiry report notes that I am in good academic standing. (Students on academic
warning are not eligible for readmission.
I understand that my re-admission application will not be accepted by mail and all PTA program
re-admission application packets must be hand carried and submitted to the PTA Program
Coordinator. I understand that the processing of my PTA application cannot be
completed until receipt of all indicated documentation is present in my file, including my official
sealed transcript (s) from all schools by the issuing authority.
Revised 11/06/19
Physical Therapist Assistant Program Application for Readmission - 2020 Page: 2
BALTIMORE CITY COMMUNITY COLLEGE
Physical Therapist Assistant Program Application for Readmission - (2020)
Today’s Date: _________________________
Name: ______________________ _________________________ _____ SS #_____________________
(Last) (First) (MI)
Address: _______________________________________________________________________________
City: __________________________________ State: _____________________ Zip: _________________
Cell#: _________________________________ Home#: _________________________________________
The PTA program WILL NOT be responsible for address and/or telephone changes that are different
from this readmission application, which may result in the inability to reach the applicant.
I was unsuccessful in (list PTA courses & grades)
1) ____________________ _______
2) ____________________ _______
3) ____________________ _______
4) ____________________ _______
Have you continued any academic coursework during your time away from the PTA program?
Yes ______ No _______. If yes, please STAPLE an official transcript, to this readmission application
from the institution last attended and/or a student inquiry report from Baltimore City Community College.
Indicate the name (s) of the course or courses taken during your time away from the PTA program:
(List the courses & grades below) If no courses were taken, please notate a check in the N/A box.
1) ____________________ _______
2) ____________________ _______ N/A
3) ____________________ _______
4) ____________________ _______
Does the college/program have documentation on file indicating that you have violated the PTA program’s
dishonesty policy, such as plagiarism or cheating on a course home assignment, quiz, exam or practical
competency? Yes ____ No____. If yes, please explain to the committee the action that caused the
violation, and your future plans for success.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Revised 11/06/19
TEAS Score (minimum of 48 required for eligibility)
TOEFL Scores (if applicable - Scores must be sent to BCCC)
Minimum Scores
Writing (24) Speaking (25) Reading (21) Listening (18)
Physical Therapist Assistant Program Application for Readmission - 2020 Page: 3
Please explain to the admissions committee why you were previously unsuccessful in the PTA program.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
What have you done to rectify the situation(s) to ensure the committee that you are now a better candidate
for success in the PTA program?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Why do you believe that the PTA Program Admissions Committee should consider your application for
readmission?
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
List two strategies that you have implemented that you would like the committee to consider as they review
your application as a candidate for re-entry and acceptance into the PTA program, for the second time.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Readmissions applications are considered on a case-by-case basis by the PTA Program’s Admissions
Committee, and will receive final approval by the PTA Program Committee.
I understand that submission of this application DOES NOT GUARANTEE my readmission into the
PTA program.
Please re-copy (by hand) the statement in RED above on the lines noted below
noting your understanding of the readmission process.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Student’s Signature: ____________________________________ Date: _____________________________
(Student’s Electronic Signature Required in this Area)
Revised 11/06/19