PHYSICAL THERAPIST ASSISTANT TECHNICAL PORTION MERIT INTERVIEW APPLICATION 2021
The purpose of Physical Therapist Assistant Program Merit Interview is to allow students who are qualified to apply
for special consideration for priority placement on the interview list for the technical portion of the program.
Points are awarded on pre-set, published criteria. Students are ranked based on their total number of points
(must be a minimum of 8). The top students by points may then be placed higher on the interview list based on
the number of available slots.
Name: (please print) ________________________________________ MTC ID#: _______________________
Instructions for completing the Physical Therapist Assistant Merit Interview Application:
Applicants must do of the following in order to be considered for PTA Merit Interview:
Step 1: Successfully complete the general education coursework (as evaluated by MTC Records office) within the
published Health Science guidelines and successfully complete 20 hours of PT observation within the past 2 years
and utilizing MTC PTA program documentation. Submit a packet containing the following documents to Dr. Damian
Rankin, DPT (PTA Program Director) (room HS 203 A/B) on or before January 31
st
, 2021:
• Transfer Transcript Summary from your MyMTC account.
• Unofficial MTC transcript from your MyMTC account.
• Original and signed MTC PTA Program supplied observation forms with impression paper (include a
copy if you have previously applied or submitted).
• PTA Program Technical Portion Application form with the appropriate check in the left corner box.
Step 2: Complete the Merit Interview Application (minimum of 8 pts.). Submit a packet containing the following
documents to Molly Shealy, Merit Admissions Coordinator on or before January 31
st
, 2021:
• All completed pages of this document.
• Transfer Transcript Summary from your MyMTC account.
• Unofficial MTC transcript from your MyMTC account.
• If you are requesting points based on prior health care work experience, please have your immediate
supervisor provide a letter of reference listing your supervisor’s contact information, your job title, your
hire date and the number of hours you work per week (must be 37.5 hours or more without exception).
Your reference will be verified by the Merit Admissions Coordinator.
MTC Transcripts and MTC Transfer Transcript Summary (if applicable) must be attached or the
application will be considered incomplete. Incomplete applications will not be processed.