Physical Therapist Assistant (PTA) Program Admission Application

Physical Therapist Assistant (PTA) Program Admissions Application
Fall 2024 Applications are due by March 1, 2024.

This program is offered at our Mt. Pleasant Campus.
Applicant Information

Please make sure the information provided is accurate. Letters of acceptance or denial will be emailed to the email address provided below.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail *
Please note that your acceptance/denial letter will be sent to this email
Student ID #*

Transfer Students
For transfer students, all official transcripts have been sent to the Mid Registrar by May 30th.

YesNo
For transfer students, list all institutions from which you are transferring prerequisite coursework:
Example: Central Michigan University, Lansing Community College

Mid Credits
Number of credits successfully completed at Mid:
This only includes successful course work taken at Mid, not transfer credits. You can view your total Mid credits on MidWeb.

Previous Earned Degrees
I have a previous earned degree.

Yes - Complete next questionNo - Click to Next page
Degree Earned and Institution Degree Received (If Applicable)
Example: Associate Degree in General Studies from Mid Michigan College

Health Care Work or Health Care Volunteer Experience
Previous Health Care Work or Volunteering Experience?

Yes - Health Care Work Experience- see next QuestionYes - Volunteer Experience - see next questionNo - Click to Next page
Proof of Health Care Work or Health Care Volunteer Experience
If applicant has prior health care work or volunteer experience, the applicant MUST upload documentation of job description/or volunteer experience, length of service, and hours per week from supervisor on agency letterhead. Applicant must be working for a minimum of four (4) months in the past five years. Rehab volunteer experience (completed in skilled rehab services (PT,OT,SLP) must be for a minimum of 40 hours in the past two years. In home care of family/friends is not accepted as volunteering.

Essential Functions of a PTA Student

Below are functions PTA students typically participate in.

The student will:
1. Clearly and effectively communicate (verbally and in writing) with multiple stakeholders including patients, families, physical therapists, physicians, and other healthcare professionals, etc.
2. Demonstrate ability to maintain positive interpersonal relationships with classmates, faculty, clinical educators and the staff and healthcare professionals during clinical education.
3. Safely lift/push/pull an excess of fifty (50) pounds.
4. Independently work and set priorities in the following potential situations:
  1. Multiple tasks simultaneously
  2. Adapt to schedule changes, patient demands and fluctuating workloads
  3. Moderate noise
  4. High concentration and focus
  5. Stressful interactions
5. Perform interventions and patient care in accordance with the plan of care developed by the physical therapist.
  1. Ability to wear and tolerate personal protective equipment (PPE) as required and potential contact with bodily fluids.
  2. Demonstrate dexterity in bilateral upper and lower extremities including handling of patient limbs, writing, reaching, grasping, standing, walking, squatting and kneeling.
  3. Demonstrate dexterity and tolerance to positional transitions including supine, prone and sidelying from treatment tables and the floor.
  4. Ability to have close contact with patients which involves physical contact.
6. Demonstrate adequate vision to perceive peripheral field and depth, to read, to use computer and to perform close-up work.
7. Demonstrate adequate hearing and speech to clearly communicate, with individuals and within groups, when in person, using the telephone and through electronic media.
8. Abide by legal and ethical professional standards.
9. Maintain confidentiality and other privacy requirements.
10. Regularly attend class and clinical education.
I have read and reviewed the Essential Functions of a PTA Student.

Additional Requirements/Statements
I have viewed the PTA Information Meeting Video online and completed the quiz on the PTA website.

Yes, I have viewed the video and completed the quiz.
By checking this box I certify that my answers are true and complete to the best of my knowledge. I am responsible for assuring all documents are received and all required are completed to apply. Late documents will NOT be accepted for consideration.

I agree to and understand this statement
By checking this box, I understand immunizations will be required for the PTA program.

I agree to and understand this statement
Final acceptance into the PTA program is pending a clear criminal background check and drug screening. These tests will be at the students expense.

I agree to and understand this statement
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Physical Therapist Assistant (PTA) Program Admissions Application

Applicant Information

Prerequisite Information

Transfer Students

Mid Credits

Previous Earned Degrees

Health Care Work or Health Care Volunteer Experience

Additional Requirements/Statements