DPT REGISTRATION & ACCEPTANCE
AUTHORIZATION FORM
BY TYPING MY NAME BELOW:
I accept the offer of admission to the Professional Doctor of Physical Therapy program at Concordia University, St Paul.
I understand that this offer is contingent on the requirements that I may have yet to fulfill. Failure to return this signed form prior
to the start of classes will forfeit your spot in the upcoming cohort.
I understand that in accepting this offer of admission, I am accepting the responsibility for paying travel and lodging costs associated
with clinical rotations. I understand that although a large percentage of clinical facilities are located within Minnesota, I may be
assigned to a clinical education experience outside of the state. I understand that I can expect to be assigned to at least one clinical
education experience that is greater than one hour from St. Paul. I also understand that I will not be assigned to a clinical education
experience in the setting in which I am currently or have previously been employed or to which I have a formal work commitment.
I authorize Concordia University, St. Paul to register me for courses scheduled in accordance to my cohort schedule.
I accept responsibility to have knowledge of registration, withdrawal, and refund policy procedures set forth in the current Concordia
University, St. Paul academic catalog and calendar.
I understand that in order to change my course schedule, including dropping or adding courses, I may do so through consultation
with my advisor or through CSPConnect. This must occur prior to the add/drop deadline.
I accept responsibility for payment of all charges relating to the registration of all courses listed to complete my program, including
penalties and collection fees should my account become delinquent.
I understand that if my balance is not paid I will be placed on hold status, which would prevent me from registering for future terms
and obtaining a copy of my academic transcript.
SEMESTER I
DPT 7100 Service Learning I
DPT 7101 Anatomy
DPT 7121 Clinical Skills I/Foundations
DPT 7111 Clinical Seminar I
DPT 7102 Systems Physiology and Pathophysiology I
SEMESTER II
DPT 7103 Applied Neuroscience
DPT 7104 Functional Anatomy/Biomechanics
DPT 7105 Systems Physiology and Pathophysiology II
DPT 7112 Clinical Seminar II
DPT 7122 Clinical Skills II/Exercise
DPT 7141 Health Promotion I **
SEMESTER III
DPT 7106 Medical Screening
DPT 7123 Clinical Skills III/Modalities
DPT 7131 Clinical Skills Assessment I
DPT 7141 Health Promotion I **
DPT 7151 Lifespan I
DPT 7161 Research Methods/EBP
SEMESTER IV
DPT 7262 Capstone I
DPT 7291 Administration Roles
DPT 7281 Neuromuscular I
DPT 7271 Musculoskeletal I
DPT 7200 Service Learning II
DPT 7501 Clinical Education Experience I
SEMESTER V
DPT 7272 Musculoskeletal II
DPT 7263 Capstone II
DPT 7242 Health Promotion II **
DPT 7209 Cardiopulmonary/Acute Care/Trauma
DPT 7208 Biopsychosocial Aspects
DPT 7207 Integumentary/Medical
DPT 7282 Neuromuscular II
SEMESTER VI
DPT 7502 Clinical Education Experience II
DPT 7264 Capstone III
DPT 7252 Lifespan II
DPT 7232 Clinical Skills Assessment II
DPT 7213 Clinical Seminar III
DPT 7210 Women’s Health
DPT 7242 Health Promotion II **
SEMESTER VII
DPT 7301 Complex Medical
DPT 7365 Capstone IV
DPT 7373 Musculoskeletal III
DPT 7374 Specialty Seminar
DPT 7383 Neuromuscular III
DPT 7503 Clinical Education Experience III
SEMESTER VII
DPT 7366 Capstone V
DPT 7392 Ethics and Professional Issues
DPT 7504 Clinical Education Experience IV
**(course is taken for 1 credit in 2 consecutive semesters)
ELECTRONIC SIGNATURE: CSP ID: L DATE:
(Type Name)
Email your completed form to graduateadmissions@csp.edu