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Avǵ{Ht,)6_vGP:J&R}֭*%uT:=\6[ͬEgQ}e*{vD2Y;26rv6 :z׳Z_lQI<47#,;q0,m}UC8٭lx>-2<{ ݰ) | X18~%y^A"QnlnGpq|,ݸ3l<ϖ6wtwC}@?,=864n6m2IJS0ME&j2L9&I4 &H6!I{pT#9GNhyl{lc7^~r:= ͽ %($} \nk_[{4dv:Ζ]>-OާcCuutOtLr 9v]'e(.hT\'gF\#d\'@W)GȮ2]e0 s}2/Q6˴Yn %L`Ù;n/%Csz ǡ endstream endobj 23 0 obj << /Type /Outlines >> endobj 24 0 obj << /Count 7 /Kids [217 0 R 1 0 R 3 0 R 5 0 R 7 0 R 9 0 R 11 0 R] /Type /Pages >> endobj 25 0 obj [217 0 R /XYZ null null null] endobj 26 0 obj << /Length 797 /Subtype /XML /Type /Metadata >> stream Dynamic Forms Document 1 endstream endobj 27 0 obj << /K [28 0 R] /ParentTree 205 0 R /ParentTreeNextKey 7 /Type /StructTreeRoot >> endobj 28 0 obj << /K [29 0 R 30 0 R 32 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 40 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 62 0 R 63 0 R 64 0 R 65 0 R 67 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R 91 0 R 93 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 106 0 R 107 0 R 108 0 R 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 117 0 R 118 0 R 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 130 0 R 131 0 R 133 0 R 134 0 R 135 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R 144 0 R 146 0 R 147 0 R 148 0 R 150 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R 156 0 R 157 0 R 158 0 R 159 0 R 160 0 R 161 0 R 162 0 R 163 0 R 164 0 R 165 0 R 166 0 R 167 0 R 168 0 R 169 0 R 170 0 R 171 0 R 172 0 R 173 0 R 174 0 R 175 0 R 176 0 R 177 0 R 178 0 R 179 0 R 181 0 R 182 0 R 183 0 R 184 0 R 185 0 R 186 0 R 187 0 R 189 0 R 190 0 R 191 0 R 192 0 R 193 0 R 194 0 R 195 0 R 196 0 R 198 0 R 200 0 R 201 0 R 202 0 R 204 0 R] /P 27 0 R /S /Document /Type /StructElem >> endobj 29 0 obj << /A << /BBox [33.01344 678.30304 160.2281 712.01965] /O /Layout /Placement /Block >> /ActualText (Physical Therapist Assistant Program\r\nèƵ\r\n3211 Providence Drive, PSB \ 146\r\nAnchorage, AK 99508\r\n) /K [0 1 2 3] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 30 0 obj << /A << /BBox [467.78064 678.30304 560.60669 694.27405] /O /Layout /Placement /Block >> /ActualText (Phone: 907-786-6782\r\nEmail: uaa_pta@alaska.edu\r\n) /K [4 5 6] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 31 0 obj (font-size: 7.09824pt; font-family: Helvetica; font-weight: 700; line-height: 9pt; ) endobj 32 0 obj << /A << /BBox [82.70112 654.28729 528.11366 666.11768] /O /Layout /Placement /Block >> /ActualText (APPLICATION FOR ADMISSION - PHYSICAL THERAPIST ASSISTANT PROGRAM\r\n) /K [7] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 33 0 R >> endobj 33 0 obj (font-size: 11.830400000000001pt; font-family: Helvetica; font-weight: 700; ) endobj 34 0 obj << /A << /BBox [33.01344 637.60645 137.71721 647.07074] /O /Layout /Placement /Block >> /ActualText (Application Information\r\n) /K [8] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 39 0 R >> endobj 35 0 obj << /A << /BBox [33.01344 609.56836 569.01283 626.72247] /O /Layout /Placement /Block >> /ActualText (To be considered for acceptance into the AAS Physical Therapist Assistant program, the application an\ d required supplemental documents must be received\r\nno later than Sunday, September 15th at 11:59 p\ m.\r\n) /K [9 10 11] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 36 0 obj << /A << /BBox [33.01344 562.24677 575.94123 598.32953] /O /Layout /Placement /Block >> /ActualText (Electronic applications and supplemental documentation in digital form, including letters of recommen\ dation and clinical observation forms, must be received by\r\nthe UAA Physical Therapist Assistant pr\ ogram no later than the application deadline for an anticipated Spring 2025 start. Use the applicatio\ n checklist to help\r\nensure you have everything required for application submission. Incomplete app\ lications will not be processed, and applicants will not be notified of incomplete\r\napplications or\ missing documentation.\r\n) /K [12 13 14 15] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 37 0 obj << /A << /BBox [33.01344 543.31818 517.62214 551.00793] /O /Layout /Placement /Block >> /ActualText (If you have any questions about your application, please reach out to the program at uaa_pta@alaska.e\ du or 907-786-6792 prior to submitting.\r\n) /K [16] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 38 0 obj << /A << /BBox [33.01344 514.57025 115.18267 524.03461] /O /Layout /Placement /Block >> /ActualText (Program Eligibility\r\n) /K [17] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 39 0 R >> endobj 39 0 obj (font-size: 9.46432pt; font-family: Helvetica; font-weight: 700; ) endobj 40 0 obj << /A << /BBox [33.01344 495.99655 275.86374 503.68631] /O /Layout /Placement /Block >> /ActualText (To qualify as a candidate for the indicated year, applicants must:\r\n) /K [18] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 41 0 R >> endobj 41 0 obj (font-size: 7.68976pt; font-family: Helvetica; font-weight: 700; line-height: 9pt; ) endobj 42 0 obj << /A << /BBox [49.576 479.43399 353.54509 487.12375] /O /Layout /Placement /Block >> /ActualText (\200\tBe admitted as a degree-seeking student at the èƵ \(UAA\).\r\n) /K [19 20] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 43 0 obj << /A << /BBox [49.576 451.04102 574.37193 477.65942] /O /Layout /Placement /Block >> /ActualText (\200\tHave a "C" or better in all completed prerequisite courses or be in progress of all prerequisit\ e coursework by the application deadline, with the exception\r\nof BIOL A111/L and BIOL A112/L, for w\ hich the minimum required grade is a 'B'. Unless otherwise approved by the PTA faculty advisor, all \ coursework\r\nmust be documented on the UAA transcript on or before the application deadline.\r\n) /K [21 22 23 24] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 44 0 obj << /A << /BBox [49.576 441.57672 490.54588 449.26648] /O /Layout /Placement /Block >> /ActualText (\200\tHave a minimum cumulative GPA of 2.5 GPA in all coursework including all coursework from previo\ us colleges and universities.\r\n) /K [25 26] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 45 0 obj << /A << /BBox [33.01344 425.01416 417.63987 432.70392] /O /Layout /Placement /Block >> /ActualText (To qualify as a candidate for the indicated year, your complete application must contain the followin\ g:\r\n) /K [27] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 41 0 R >> endobj 46 0 obj << /A << /BBox [49.576 408.4516 301.89301 416.14136] /O /Layout /Placement /Block >> /ActualText (\200\tCompleted and submitted Physical Therapist Assistant web application.\r\n) /K [28 29] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 47 0 obj << /A << /BBox [49.576 398.98727 373.39238 406.67703] /O /Layout /Placement /Block >> /ActualText (\200\tCompleted or in progress prerequisite coursework indicated on the UAA academic transcript.\r\n) /K [30 31] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 48 0 obj << /A << /BBox [49.576 389.52295 495.35197 397.21271] /O /Layout /Placement /Block >> /ActualText (\200\tThree \(3\) letters of recommendation completed by non-family members and submitted digitally t\ o the PTA program via Docusign.\r\n) /K [32 33] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 49 0 obj << /A << /BBox [49.576 361.12997 572.92625 387.74838] /O /Layout /Placement /Block >> /ActualText (\200\tAt least two \(2\) completed digital clinical observation forms demonstrating a minimum of 30 h\ ours of observation/work experience in two different clinical\r\nsettings with a minimum of 15 hours \ in each, e.g., outpatient, hospital, inpatient, home health, rehab center, or long-term care. Applica\ nts must upload\r\nthe completed observation forms to the online application.\r\n) /K [34 35 36 37] /P 28 0 R /Pg 217 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 50 0 obj << /A << /BBox [33.01344 671.20477 160.2281 704.92139] /O /Layout /Placement /Block >> /ActualText (Physical Therapist Assistant Program\r\nèƵ\r\n3211 Providence Drive, PSB \ 146\r\nAnchorage, AK 99508\r\n) /K [0 1 2 3] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 51 0 obj << /A << /BBox [467.78064 671.20477 560.60669 687.17584] /O /Layout /Placement /Block >> /ActualText (Phone: 907-786-6782\r\nEmail: uaa_pta@alaska.edu\r\n) /K [4 5 6] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 52 0 obj << /A << /BBox [82.70112 643.63995 528.11366 655.47034] /O /Layout /Placement /Block >> /ActualText (APPLICATION FOR ADMISSION - PHYSICAL THERAPIST ASSISTANT PROGRAM\r\n) /K [7] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 33 0 R >> endobj 53 0 obj << /A << /BBox [38.92864 590.99469 150.08709 602.82507] /O /Layout /Placement /Block >> /ActualText (Student Information\r\n) /K [8] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 68 0 R >> endobj 54 0 obj << /A << /BBox [33.01344 573.01245 97.50805 580.11072] /O /Layout /Placement /Block >> /ActualText (Student Last Name:\r\n) /K [9] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 55 0 obj << /A << /BBox [260.15714 573.01245 324.68723 580.11072] /O /Layout /Placement /Block >> /ActualText (Student First Name:\r\n) /K [10] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 56 0 obj << /A << /BBox [487.89233 564.13965 509.17993 580.11072] /O /Layout /Placement /Block >> /ActualText (Middle\r\nInitial:\r\n) /K [11 12] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 57 0 obj << /A << /BBox [33.01344 551.71771 108.12701 558.81598] /O /Layout /Placement /Block >> /ActualText (UA Student ID Number:\r\n) /K [13] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 58 0 obj << /A << /BBox [260.15714 542.84491 326.35532 558.81598] /O /Layout /Placement /Block >> /ActualText (UAA Preferred Email\r\nAddress:\r\n) /K [14 15] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 59 0 obj << /A << /BBox [33.01344 521.55023 99.82917 537.52124] /O /Layout /Placement /Block >> /ActualText (Preferred Telephone\r\nNumber:\r\n) /K [16 17] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 60 0 obj << /A << /BBox [33.01344 485.34918 63.78786 512.55908] /O /Layout /Placement /Block >> /ActualText (Address:\r\nCity:\r\n) /K [18 19] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 61 0 R >> endobj 61 0 obj (font-size: 7.68976pt; font-family: Helvetica; line-height: 20pt; ) endobj 62 0 obj << /A << /BBox [164.33089 485.34918 185.02402 493.03894] /O /Layout /Placement /Block >> /ActualText (State:\r\n) /K [20] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 63 0 obj << /A << /BBox [284.40945 485.34918 296.83136 493.03894] /O /Layout /Placement /Block >> /ActualText (Zip:\r\n) /K [21] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 64 0 obj << /A << /BBox [33.01344 429.86462 554.98254 464.05447] /O /Layout /Placement /Block >> /ActualText (Communication from the Physical Therapist Assistant Program is sent to the email address above. If th\ e email listed above is not your preferred email address,\r\nplease see these instructions to set up \ email forwarding. If you have additional questions, please contact the UAA IT Services Call Center at\ \(907\) 786-4646 \(M-F\r\n7:00 am - 6:00 pm, Sun 10:00 am -2:00 p.m AKST\)\r\nPlease acknowledge bel\ ow that you are aware of this policy.\r\n) /K [22 23 24 25 26 27 28 29] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 65 0 obj << /A << /BBox [33.01344 380.17694 515.40986 399.69708] /O /Layout /Placement /Block >> /ActualText (If you will be submitting documents and or/records under a previous name, please list the previous na\ mes that will appear on document \(s\)/record\(s\):\r\nPrevious Name\(s\):\r\n) /K [30 31] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 66 0 R >> endobj 66 0 obj (font-size: 7.09824pt; font-family: Helvetica; line-height: 12pt; ) endobj 67 0 obj << /A << /BBox [38.92864 332.50043 207.51699 344.33081] /O /Layout /Placement /Block >> /ActualText (Program Eligibility Verification\r\n) /K [32] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 68 0 R >> endobj 68 0 obj (font-size: 11.830400000000001pt; font-family: Helvetica; font-weight: 700; color: rgb\(255,255,255\);\ ) endobj 69 0 obj << /A << /BBox [33.01344 307.41998 348.67219 314.51822] /O /Layout /Placement /Block >> /ActualText (I am admitted as an undergraduate degree-seeking student at the èƵ:\r\n) /K [33] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 70 0 obj << /A << /BBox [33.01344 278.43549 265.68664 294.40652] /O /Layout /Placement /Block >> /ActualText (What degree type are you currently admitted to at the University of èƵ\r\nAnchorage?\r\n) /K [34 35] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 71 0 obj << /A << /BBox [33.01344 258.91534 155.50067 266.01358] /O /Layout /Placement /Block >> /ActualText (What is your current academic major?\r\n) /K [36] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 72 0 obj << /A << /BBox [33.01344 221.64957 520.00953 237.62061] /O /Layout /Placement /Block >> /ActualText (I have completed or will complete all prerequisite coursework listed on the PTA program website prior\ to the start of the PTA program in the Spring 2025\r\nsemester.\r\n) /K [37 38] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 73 0 obj << /A << /BBox [33.01344 171.37038 539.7284 187.34142] /O /Layout /Placement /Block >> /ActualText (I have a cumulative GPA of 2.5 or above for all college coursework including non-UA institutions, com\ pleted at the time of application. The PTA program will be\r\nreviewing all transcripts received from\ other universities to determine the cumulative GPA.\r\n) /K [39 40] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 74 0 obj << /A << /BBox [33.01344 129.25415 542.40149 136.94391] /O /Layout /Placement /Block >> /ActualText (I received a "C" or better for all completed prerequisite coursework at the time of application, with\ the exception of BIOL A111/L and BIOL A112/L, for which\r\n) /K [41 42] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 75 0 obj << /A << /BBox [33.01344 119.78983 154.17329 127.47959] /O /Layout /Placement /Block >> /ActualText (the minimum required grade is a 'B'\r\n) /K [43] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 76 0 obj << /A << /BBox [131.79729 573.72229 134.16336 580.229] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [44] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 77 0 obj << /A << /BBox [359.53247 573.72229 361.89856 580.229] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [45] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 78 0 obj << /A << /BBox [131.79729 552.42755 134.16336 558.93427] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [46] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 79 0 obj << /A << /BBox [359.53247 552.42755 361.89856 558.93427] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [47] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 80 0 obj << /A << /BBox [131.79729 531.13281 134.16336 537.63953] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [48] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 81 0 obj << /A << /BBox [72.64528 506.289 75.01136 512.79572] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [49] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 82 0 obj << /A << /BBox [54.30816 486.76883 56.67424 493.27554] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [50] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 83 0 obj << /A << /BBox [196.27296 483.57462 267.84689 493.27554] /O /Layout /Placement /Block >> /ActualText (\000-\000-\000 \000P\000l\000e\000a\000s\000e\000 \000S\000e\000l\000e\000c\000t\000 \000-\000-\000\ \000\r\000\n) /K [51 52 53 54 55] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 84 0 obj << /A << /BBox [190.94928 486.76883 193.31535 493.27554] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [56] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 85 0 obj << /A << /BBox [301.56351 486.76883 303.9296 493.27554] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [57] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 86 0 obj << /A << /BBox [37.7456 417.08777 265.0336 424.54092] /O /Layout /Placement /Block >> /ActualText (nmlkj I acknowledge that communications will be sent to the email above.\r\n) /K [58 59 60 61 62 63] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 87 0 obj << /A << /BBox [32.42192 418.15253 34.788 424.65924] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [64] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 88 0 obj << /A << /BBox [359.53247 304.93558 431.10641 314.63651] /O /Layout /Placement /Block >> /ActualText (\000-\000-\000 \000P\000l\000e\000a\000s\000e\000 \000S\000e\000l\000e\000c\000t\000 \000-\000-\000\ \000\r\000\n) /K [65 66 67 68 69] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 89 0 obj << /A << /BBox [354.2088 308.12979 356.57489 314.63651] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [70] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 90 0 obj << /A << /BBox [313.39392 284.82391 375.50351 292.51367] /O /Layout /Placement /Block >> /ActualText (-- Please Select --\r\n) /K [71 72 73 74] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 91 0 obj << /A << /BBox [440.57071 285.06052 446.48593 294.52484] /O /Layout /Placement /Block >> /ActualText (\000\r\000\n) /K [75] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 92 0 R >> endobj 92 0 obj (font-size: 9.46432pt; font-family: Segoe UI Symbol; ) endobj 93 0 obj << /A << /BBox [308.07025 288.01813 310.43631 294.52484] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [76] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 94 0 obj (font-size: 6.50672pt; font-family: Helvetica; color: rgb\(179,0,0\); ) endobj 95 0 obj << /A << /BBox [168.47153 259.62515 170.8376 266.13187] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [77] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 96 0 obj << /A << /BBox [37.7456 206.74327 109.31952 216.4442] /O /Layout /Placement /Block >> /ActualText (\000-\000-\000 \000P\000l\000e\000a\000s\000e\000 \000S\000e\000l\000e\000c\000t\000 \000-\000-\000\ \000\r\000\n) /K [78 79 80 81 82] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 97 0 obj << /A << /BBox [32.42192 209.93747 34.788 216.4442] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [83] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 98 0 obj << /A << /BBox [37.7456 156.46407 99.8552 164.15382] /O /Layout /Placement /Block >> /ActualText (-- Please Select --\r\n) /K [84 85 86 87] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 99 0 obj << /A << /BBox [103.40432 156.70068 109.31952 166.16499] /O /Layout /Placement /Block >> /ActualText (\000\r\000\n) /K [88] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 92 0 R >> endobj 100 0 obj << /A << /BBox [32.42192 159.65828 34.788 166.16499] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [89] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 101 0 obj << /A << /BBox [37.7456 105.00183 109.31952 114.70276] /O /Layout /Placement /Block >> /ActualText (\000-\000-\000 \000P\000l\000e\000a\000s\000e\000 \000S\000e\000l\000e\000c\000t\000 \000-\000-\000\ \000\r\000\n) /K [90 91 92 93 94] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 102 0 obj << /A << /BBox [32.42192 108.19604 34.788 114.70276] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [95] /P 28 0 R /Pg 1 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 103 0 obj << /A << /BBox [38.92864 741.24072 201.00145 753.07117] /O /Layout /Placement /Block >> /ActualText (Non-UAA College Attendance\r\n) /K [0] /P 28 0 R /Pg 3 0 R /S /P /Type /StructElem /XXStyle 68 0 R >> endobj 104 0 obj << /A << /BBox [33.01344 723.25854 306.77836 730.35675] /O /Layout /Placement /Block >> /ActualText (Have you attended any colleges other than the èƵ \(UAA\)?\r\n) /K [1] /P 28 0 R /Pg 3 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 105 0 obj << /A << /BBox [320.49216 720.77417 382.60178 728.46393] /O /Layout /Placement /Block >> /ActualText (-- Please Select --\r\n) /K [2 3 4 5] /P 28 0 R /Pg 3 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 106 0 obj << /A << /BBox [481.38559 721.01074 487.30081 730.4751] /O /Layout /Placement /Block >> /ActualText (\000\r\000\n) /K [6] /P 28 0 R /Pg 3 0 R /S /P /Type /StructElem /XXStyle 92 0 R >> endobj 107 0 obj << /A << /BBox [315.16849 723.96838 317.53455 730.4751] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [7] /P 28 0 R /Pg 3 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 108 0 obj << /A << /BBox [38.92864 741.24072 134.18703 753.07117] /O /Layout /Placement /Block >> /ActualText (Work Experience\r\n) /K [0] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 68 0 R >> endobj 109 0 obj << /A << /BBox [33.01344 723.25854 291.48164 730.35675] /O /Layout /Placement /Block >> /ActualText (Have you ever been/are you currently employed in a medical/health care setting?\r\n) /K [1] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 110 0 obj << /A << /BBox [38.92864 674.99048 337.39779 686.82092] /O /Layout /Placement /Block >> /ActualText (Physical Therapist Assistant Licensure Requirements\r\n) /K [2] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 68 0 R >> endobj 111 0 obj << /A << /BBox [33.01344 659.8476 279.6394 667.53735] /O /Layout /Placement /Block >> /ActualText (Please review the following information regarding licensure requirements.\r\n) /K [3] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 112 0 obj << /A << /BBox [33.01344 621.9903 573.28065 648.6087] /O /Layout /Placement /Block >> /ActualText (State Boards of Physical Therapy have strict guidelines regarding a history of drug/alcohol abuse and\ prior criminal convictions. Students who have a history of\r\ndrug/alcohol abuse, a criminal record \ or emotional/mental illness must disclose this information when applying for licensure/registration\r\ \n/certification and may be deemed ineligible by the State Board of PT for licensure/registration /ce\ rtification.\r\n) /K [4 5 6] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 113 0 obj << /A << /BBox [33.01344 603.06165 279.06268 610.7514] /O /Layout /Placement /Block >> /ActualText (The following questions are included in the licensure application:\r\n) /K [7] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 41 0 R >> endobj 114 0 obj << /A << /BBox [46.02688 577.03479 575.90221 594.18884] /O /Layout /Placement /Block >> /ActualText (1.\tHave you ever been disciplined by any state board or physical therapy association concerning viol\ ation of the Physical Therapy Practice Act or unethical\r\nconduct?\r\n) /K [8 9 10] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 115 0 obj << /A << /BBox [46.02688 548.64185 570.23485 575.26025] /O /Layout /Placement /Block >> /ActualText (2.\tHave you had a professional license denied, revoked, suspended, or otherwise restricted, conditio\ ned, or limited or have you surrendered a professional\r\nlicense, been fined, placed on probation, r\ eprimanded, disciplined, or entered into a settlement with a licensing authority in connection with a\ \r\nprofessional license you have held in any jurisdiction including èƵ and including that of any\ military authorities or is any such action pending?\r\n) /K [11 12 13 14] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 116 0 obj (font-size: 7.68976pt; font-family: Helvetica; line-height: 9pt; ) endobj 117 0 obj << /A << /BBox [46.02688 539.17749 417.45811 546.86725] /O /Layout /Placement /Block >> /ActualText (3.\tHave you ever been denied the privilege of taking an examination before any state physical therap\ y board?\r\n) /K [15 16] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 118 0 obj << /A << /BBox [46.02688 501.32022 575.27165 537.40295] /O /Layout /Placement /Block >> /ActualText (4.\tHave you been convicted of a crime or are you currently charged with committing a crime? For purp\ oses of this question, "crime" includes a\r\nmisdemeanor, felony, or a military offense, including, b\ ut not limited to, driving under the influence \(DUI\) or driving while intoxicated \(DWI\), driving \ without\r\na license, reckless driving, or driving with a suspended or revoked license. "Convicted" i\ ncludes having been found guilty by verdict of a judge or jury,\r\nhaving entered a plea of guilty, n\ olo contendere or no contest, or having been given probation, a suspended imposition of sentence, or \ a fine.\r\n) /K [17 18 19 20 21] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 119 0 obj << /A << /BBox [46.02688 491.8559 314.60728 499.54565] /O /Layout /Placement /Block >> /ActualText (5.\tHave you ever been convicted of a violation of federal or state narcotic laws?\r\n) /K [22 23] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 120 0 obj << /A << /BBox [46.02688 482.3916 335.6049 490.08136] /O /Layout /Placement /Block >> /ActualText (6.\tHave you ever had any malpractice settlements or judgments paid on your behalf?\r\n) /K [24 25] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 121 0 obj << /A << /BBox [46.02688 472.92728 468.78386 480.61703] /O /Layout /Placement /Block >> /ActualText (7.\tDo you use drugs or alcohol in any manner that impairs your ability to practice physical therapy \ competently and safely?\r\n) /K [26 27] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 122 0 obj << /A << /BBox [46.02688 453.99863 563.4832 471.15271] /O /Layout /Placement /Block >> /ActualText (8.\tAre you currently suffering from any condition, mental or physical, that impairs your judgement o\ r that would otherwise adversely affect your ability to\r\npractice physical therapy in a competent, \ ethical and professional manner?\r\n) /K [28 29 30] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 123 0 obj << /A << /BBox [33.01344 418.50742 574.97236 445.12582] /O /Layout /Placement /Block >> /ActualText (A "yes" answer to one of the above questions does not necessarily mean that you will not be eligible \ for licensure. It is highly recommended that applicants\r\nwith a "yes" answer to any of the above qu\ estions contact the State of èƵ Division of Occupational Licensing, Board of Physical and Occupat\ ional Therapy\r\n\(907\) 465-2580 to discuss the potential ramifications on their future eligibility \ for licensure.\r\n) /K [31 32 33] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 124 0 obj << /A << /BBox [300.97198 720.77417 372.54593 730.4751] /O /Layout /Placement /Block >> /ActualText (\000-\000-\000 \000P\000l\000e\000a\000s\000e\000 \000S\000e\000l\000e\000c\000t\000 \000-\000-\000\ \000\r\000\n) /K [34 35 36 37 38] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 125 0 obj << /A << /BBox [295.64832 723.96838 298.0144 730.4751] /O /Layout /Placement /Block >> /ActualText (*\r\n) /K [39] /P 28 0 R /Pg 5 0 R /S /P /Type /StructElem /XXStyle 94 0 R >> endobj 126 0 obj << /A << /BBox [38.92864 741.24072 170.82578 753.07117] /O /Layout /Placement /Block >> /ActualText (Essential Requirements\r\n) /K [0] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 68 0 R >> endobj 127 0 obj << /A << /BBox [33.01344 717.10675 114.58406 725.388] /O /Layout /Placement /Block >> /ActualText (Essential Functions\r\n) /K [1] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 132 0 R >> endobj 128 0 obj << /A << /BBox [33.01344 679.95929 544.93617 706.5777] /O /Layout /Placement /Block >> /ActualText (Successful participation in the PTA Program requires the ability to perform essential functions \(wit\ h or without reasonable accommodation\), which are\r\nnecessary for safe/ethical delivery of physical\ therapy. Applicants should consider their ability to complete the tasks below, with or without reaso\ nable\r\naccommodation.\r\n) /K [2 3 4] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 129 0 obj << /A << /BBox [33.01344 632.6377 573.3498 668.7204] /O /Layout /Placement /Block >> /ActualText (Reasonable accommodation refers to ways in which the university can assist students with disabilities\ to accomplish these tasks \(for example, providing extra\r\ntime to complete an examination or enhan\ cing the sound system in a classroom\). Reasonable accommodation does not mean that students with dis\ abilities\r\nwill be exempt from needing to demonstrate competency in certain tasks; it does mean tha\ t we will work with students with disabilities to determine whether\r\nthere are ways that we can ass\ ist the student toward completion of the tasks.\r\n) /K [5 6 7 8] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 130 0 obj << /A << /BBox [33.01344 566.38745 574.54939 621.3988] /O /Layout /Placement /Block >> /ActualText (Prospective students who indicate that they can complete these tasks \(with or without reasonable acc\ ommodation\) are not required to disclose the specifics of\r\ntheir disabilities prior to an admissio\ n decision. Prospective students who cannot complete these tasks with or without accommodations are i\ neligible for\r\nconsideration for admission. If admitted, it is the responsibility of the student wi\ th a disability who wishes reasonable accommodation to request it through the\r\nDisability Support S\ ervices. An offer of admission may be withdrawn if it becomes apparent that the student cannot comple\ te essential tasks \(even with\r\naccommodation\), that the accommodations needed are not reasonable \ and would cause undue hardship to the institution, or that fulfilling the functions\r\nwould create a\ significant risk of harm to the health or safety of others.\r\n) /K [9 10 11 12 13 14] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 131 0 obj << /A << /BBox [222.89136 547.93201 387.42383 556.21326] /O /Layout /Placement /Block >> /ActualText (Essential Functions for the PTA Student\r\n) /K [15] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 132 0 R >> endobj 132 0 obj (font-size: 8.28128pt; font-family: Helvetica; font-weight: 700; ) endobj 133 0 obj << /A << /BBox [33.01344 530.42303 539.45869 537.52124] /O /Layout /Placement /Block >> /ActualText (Motor: The student must possess sufficient motor capabilities in order to provide safe and effective \ physical therapy procedures, including the ability to:\r\n) /K [16] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 134 0 obj << /A << /BBox [49.576 514.45197 166.66147 521.55023] /O /Layout /Placement /Block >> /ActualText (\200\tSit or stand for up to 8 hours a day\r\n) /K [17 18] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 135 0 obj << /A << /BBox [49.576 505.57916 328.61491 512.67743] /O /Layout /Placement /Block >> /ActualText (\200\tAssist and protect patients who are walking, exercising, or performing other activities\r\n) /K [19 20] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 136 0 obj << /A << /BBox [49.576 496.70636 528.10387 503.80463] /O /Layout /Placement /Block >> /ActualText (\200\tAdjust, move, position, and lift patients and equipment, which involves lifting, carrying, pull\ ing and pushing weights up to and including 100 pounds\r\n) /K [21 22] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 137 0 obj << /A << /BBox [49.576 487.83356 386.06096 494.93182] /O /Layout /Placement /Block >> /ActualText (\200\tPerform pushing, pulling, bending, twisting, reaching, standing, kneeling, sitting, walking, an\ d crawling\r\n) /K [23 24] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 138 0 obj << /A << /BBox [49.576 478.96078 366.05101 486.05902] /O /Layout /Placement /Block >> /ActualText (\200\tPalpate anatomical structures and handle injured body parts without causing injury to the patie\ nt\r\n) /K [25 26] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 139 0 obj << /A << /BBox [49.576 470.08798 306.86591 477.18622] /O /Layout /Placement /Block >> /ActualText (\200\tGive manual resistance to a patient's limbs or trunk during treatment/exercise\r\n) /K [27 28] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 140 0 obj << /A << /BBox [49.576 452.34238 571.31084 468.31342] /O /Layout /Placement /Block >> /ActualText (\200\tMove with adequate agility and speed to ensure patient safety. Walk and balance well enough to \ help patients walk and transfer with or without equipment, while\r\npreventing injury to patient and \ oneself\r\n) /K [29 30 31] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 141 0 obj << /A << /BBox [49.576 443.46957 473.73137 450.56781] /O /Layout /Placement /Block >> /ActualText (\200\tProvide cardiopulmonary resuscitation \(CPR\) using guidelines issued by the American Heart Ass\ ociation or American Red Cross\r\n) /K [32 33] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 142 0 obj << /A << /BBox [49.576 434.59677 413.88609 441.69501] /O /Layout /Placement /Block >> /ActualText (\200\tManipulate equipment including adjustment of dials, gauges, small nuts/bolts, and various equip\ ment settings\r\n) /K [34 35] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 143 0 obj << /A << /BBox [49.576 425.72397 281.35483 432.8222] /O /Layout /Placement /Block >> /ActualText (\200\tMove about in a clinical setting steadily throughout an 8-hour work day\r\n) /K [36 37] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 144 0 obj << /A << /BBox [33.01344 392.00732 518.42659 416.85117] /O /Layout /Placement /Block >> /ActualText (Observational and Sensory: The student must possess sufficient sensory abilities in order to competen\ tly assess and monitor patients, including:\r\nSufficient visual ability to:\r\n) /K [38 39] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 145 0 R >> endobj 145 0 obj (font-size: 7.09824pt; font-family: Helvetica; line-height: 18pt; ) endobj 146 0 obj << /A << /BBox [49.576 376.03629 258.51981 383.13452] /O /Layout /Placement /Block >> /ActualText (\200\tRecognize and interpret facial expressions and body language\r\n) /K [40 41] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 147 0 obj << /A << /BBox [49.576 367.16348 268.30115 374.26172] /O /Layout /Placement /Block >> /ActualText (\200\tIdentify normal and abnormal postures and patterns of movement\r\n) /K [42 43] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 148 0 obj << /A << /BBox [49.576 358.29068 180.97151 365.38895] /O /Layout /Placement /Block >> /ActualText (\200\tRead or set parameters on equipment\r\n) /K [44 45] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 149 0 obj (font-size: 7.09824pt; font-family: Helvetica; line-height: 9pt; ) endobj 150 0 obj << /A << /BBox [49.576 349.41788 346.51665 356.51614] /O /Layout /Placement /Block >> /ActualText (\200\tRead small numbers / scales on goniometers, thermometers, sphygmomanometers, etc.\r\n) /K [46 47] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 151 0 obj << /A << /BBox [49.576 340.5451 253.2316 347.64334] /O /Layout /Placement /Block >> /ActualText (\200\tDiscriminate differences and changes in skin and soft tissue\r\n) /K [48 49] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 152 0 obj << /A << /BBox [49.576 331.6723 192.64813 338.77054] /O /Layout /Placement /Block >> /ActualText (\200\tRecognize a patient's physiological status\r\n) /K [50 51] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 153 0 obj << /A << /BBox [49.576 322.7995 159.10185 329.89774] /O /Layout /Placement /Block >> /ActualText (\200\tAssess a patient's environment\r\n) /K [52 53] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 154 0 obj << /A << /BBox [33.01344 306.82846 119.41322 313.9267] /O /Layout /Placement /Block >> /ActualText (Sufficient auditory ability to:\r\n) /K [54] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 155 0 obj << /A << /BBox [49.576 290.85742 540.02892 297.95566] /O /Layout /Placement /Block >> /ActualText (\200\tRecognize and respond to verbal communication, auditory timers and equipment alarms in an envir\ onment with a moderate level of background noise\r\n) /K [55 56] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 156 0 obj << /A << /BBox [49.576 281.98462 371.44572 289.08286] /O /Layout /Placement /Block >> /ActualText (\200\tEffectively use devices for measurement of blood pressure, auscultation of heart and lung sound\ s\r\n) /K [57 58] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 157 0 obj << /A << /BBox [33.01344 257.14078 561.84651 273.11182] /O /Layout /Placement /Block >> /ActualText (Communication: The student must possess sufficient ability to communicate effectively and competently\ in the English language with others using appropriate\r\nverbal and written methods, including the a\ bility to:\r\n) /K [59 60] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 158 0 obj << /A << /BBox [49.576 241.16974 405.25462 248.26797] /O /Layout /Placement /Block >> /ActualText (\200\tRead at a level of competency that allows him/her to safely perform the essential functions of \ an assignment\r\n) /K [61 62] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 159 0 obj << /A << /BBox [49.576 232.29694 137.65807 239.39517] /O /Layout /Placement /Block >> /ActualText (\200\tWrite in a legible manner\r\n) /K [63 64] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 160 0 obj << /A << /BBox [49.576 223.42413 487.218 230.52237] /O /Layout /Placement /Block >> /ActualText (\200\tPresent information about physical therapy procedures and services to patients, family members,\ and other health care professionals\r\n) /K [65 66] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 161 0 obj << /A << /BBox [49.576 214.55133 295.07571 221.64957] /O /Layout /Placement /Block >> /ActualText (\200\tRecognize, interpret, and respond to nonverbal behavior of self and others\r\n) /K [67 68] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 162 0 obj << /A << /BBox [49.576 205.67853 366.19298 212.77678] /O /Layout /Placement /Block >> /ActualText (\200\tInterpret and communicate information regarding the status, safety, and rehabilitation of patie\ nts\r\n) /K [69 70] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 163 0 obj << /A << /BBox [49.576 196.80573 279.59448 203.90398] /O /Layout /Placement /Block >> /ActualText (\200\tRecord thoughts legibly and clearly for written assignments and tests\r\n) /K [71 72] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 164 0 obj << /A << /BBox [49.576 179.06013 569.28783 195.03117] /O /Layout /Placement /Block >> /ActualText (\200\tRecord/document patient care notes and communications in standard medical charts in hospital/ c\ linical settings in a timely manner and be consistent with the\r\nacceptable norms of the clinical se\ ttings.\r\n) /K [73 74 75] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 165 0 obj << /A << /BBox [33.01344 154.21629 558.80848 170.18733] /O /Layout /Placement /Block >> /ActualText (Behavior: The student must possess sufficient ability to exercise good judgment, develop therapeutic \ relationships with patients and others, work in stressful\r\nsituations, and tolerate close physical \ contact with patients and co-workers, including the ability to:\r\n) /K [76 77] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 166 0 obj << /A << /BBox [49.576 138.24525 251.97522 145.34349] /O /Layout /Placement /Block >> /ActualText (\200\tWork with multiple patients and colleagues at the same time\r\n) /K [78 79] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 167 0 obj << /A << /BBox [49.576 129.37245 196.92126 136.47069] /O /Layout /Placement /Block >> /ActualText (\200\tWork with others under stressful conditions\r\n) /K [80 81] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 168 0 obj << /A << /BBox [49.576 120.49965 533.42046 127.59789] /O /Layout /Placement /Block >> /ActualText (\200\tRecognize and respond appropriately to individuals of all ages, genders and races, and from all\ socioeconomic, religious, and cultural backgrounds\r\n) /K [82 83] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 169 0 obj << /A << /BBox [49.576 111.62685 167.28612 118.72509] /O /Layout /Placement /Block >> /ActualText (\200\tAct in the best interests of patients\r\n) /K [84 85] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 170 0 obj << /A << /BBox [49.576 102.75405 415.46898 109.85229] /O /Layout /Placement /Block >> /ActualText (\200\tBehave in an ethically sound, competent, compassionate and professional manner in the classroom\ and clinic.\r\n) /K [86 87] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 171 0 obj << /A << /BBox [33.01344 86.78301 511.37803 93.88125] /O /Layout /Placement /Block >> /ActualText (Critical Thinking: The student must possess sufficient ability to comprehend and process information \ in a timely manner, including the ability to:\r\n) /K [88] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 31 0 R >> endobj 172 0 obj << /A << /BBox [49.576 70.81197 294.48657 77.91021] /O /Layout /Placement /Block >> /ActualText (\200\tCollect and interpret data related to patients and physical therapy services\r\n) /K [89 90] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 173 0 obj << /A << /BBox [49.576 61.93917 270.04022 69.03741] /O /Layout /Placement /Block >> /ActualText (\200\tPrioritize multiple tasks, process information, and make decisions\r\n) /K [91 92] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 174 0 obj << /A << /BBox [49.576 53.06637 302.61404 60.16461] /O /Layout /Placement /Block >> /ActualText (\200\tApply knowledge from education to the provision of physical therapy services\r\n) /K [93 94] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 175 0 obj << /A << /BBox [49.576 44.19357 557.15697 51.29181] /O /Layout /Placement /Block >> /ActualText (\200\tObserve, measure, and interpret normal and abnormal patient responses to physical therapy inter\ ventions, and appropriately modify treatment interventions\r\n) /K [95 96] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 176 0 obj << /A << /BBox [49.576 35.32077 246.61604 42.41901] /O /Layout /Placement /Block >> /ActualText (\200\tAct safely and ethically in the physical therapy lab and clinic\r\n) /K [97 98] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 177 0 obj << /A << /BBox [49.576 26.44797 411.55077 33.54621] /O /Layout /Placement /Block >> /ActualText (\200\tCope with the stress of heavy workloads, demanding patients and potentially life-threatening cl\ inical situations\r\n) /K [99 100] /P 28 0 R /Pg 7 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 178 0 obj << /A << /BBox [49.576 765.25647 289.86563 772.35468] /O /Layout /Placement /Block >> /ActualText (\200\tRecognize and respond appropriately to potentially hazardous situations\r\n) /K [0 1] /P 28 0 R /Pg 9 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 179 0 obj << /A << /BBox [49.576 732.60455 507.41248 763.48187] /O /Layout /Placement /Block >> /ActualText (\200\tDemonstrate the physical and emotional capacity to work a 40 hour work week while on clinical a\ ffiliation\r\nI acknowledge that I have read the above Essential Requirements for acceptance into the\ UAA Physical Therapist Assistant Program.\r\n) /K [2 3 4 5 6] /P 28 0 R /Pg 9 0 R /S /P /Type /StructElem /XXStyle 180 0 R >> endobj 180 0 obj (font-size: 7.09824pt; font-family: Helvetica; line-height: 24pt; ) endobj 181 0 obj << /A << /BBox [32.42192 732.95947 47.40867 740.53094] /O /Layout /Placement /Block >> /ActualText (gfedc *\r\n) /K [7 8 9 10 11 12 13] /P 28 0 R /Pg 9 0 R /S /P /Type /StructElem /XXStyle 203 0 R >> endobj 182 0 obj << /A << /BBox [38.92864 741.24072 156.04851 753.07117] /O /Layout /Placement /Block >> /ActualText (Application Checklist\r\n) /K [0] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 68 0 R >> endobj 183 0 obj << /A << /BBox [33.01344 707.16919 556.74763 733.7876] /O /Layout /Placement /Block >> /ActualText (Below is a list of application documents that must be received by the Physical Therapist Assistant Pr\ ogram for consideration as a PTA candidate. Please\r\nselect all the support documentation that has b\ een submitted to the department. If an item has yet to be submitted, please submit remaining support\r\ \ndocumentation no later than the application deadline.\r\n) /K [1 2 3] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 184 0 obj << /A << /BBox [51.35056 674.75391 540.1283 690.72491] /O /Layout /Placement /Block >> /ActualText (Three \(3\) letters of recommendation must be completed by nonfamily members. Letters of recommendati\ on are digital and must be received by the PTA\r\nprogram no later than September 15, 2024 at 11:59pm\ .\r\n) /K [4 5 6 7] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 185 0 obj << /A << /BBox [51.35056 648.1355 552.98553 664.10651] /O /Layout /Placement /Block >> /ActualText (Please provide current email addresses for each of your three references below. References will be se\ nt an email from Docusign via the UAA PTA program\r\nwith instructions on how to complete the digital\ letter of recommendation.\r\n) /K [8 9 10 11] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 186 0 obj << /A << /BBox [51.35056 621.51709 550.22193 637.48816] /O /Layout /Placement /Block >> /ActualText (If you would like an update on the status of your Letters of Recommendation, please contact your Refe\ rences directly. Let uaa_pta@alaska.edu know if your\r\nReferences do not receive a Docusign email wi\ thin 24 hours after you have submitted your application.\r\n) /K [12 13] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 149 0 R >> endobj 187 0 obj << /A << /BBox [53.71664 547.57709 242.50853 596.08173] /O /Layout /Placement /Block >> /ActualText (Letter of Recommendation #1 Reference's Email Address:\r\nLetter of Recommendation #2 Reference's Ema\ il Address:\r\nLetter of Recommendation #3 Reference's Email Address:\r\n) /K [14 15 16] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 188 0 R >> endobj 188 0 obj (font-size: 7.09824pt; font-family: Helvetica; line-height: 21pt; ) endobj 189 0 obj << /A << /BBox [51.35056 488.30679 554.40699 514.92517] /O /Layout /Placement /Block >> /ActualText (At least two \(2\) completed digital clinical observations using the form provided demonstrating a mi\ nimum of 30 hours of observation/work experience\r\nin two different clinical settings with a minimu\ m of 15 hours in each e.g., outpatient, hospital, inpatient, home health, rehab center, or long-term\r\ \ncare. Clinical observation forms must be received by the PTA program no later than September 11, 20\ 23 at 11:59pm.\r\n) /K [17 18 19 20 21] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 190 0 obj << /A << /BBox [51.35056 459.91382 545.55725 477.0679] /O /Layout /Placement /Block >> /ActualText (Access the correct form by clicking the "View/Print Clinical Observation Form" link on the UAA PTA Ap\ plication Procedure page \(we recommend\r\nthat you right-click this link to open the page in a new w\ indow\).\r\n) /K [22 23 24 25] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 191 0 obj << /A << /BBox [51.35056 435.18829 124.04364 454.70847] /O /Layout /Placement /Block >> /ActualText (Clinical Observation 1:\r\nClinical Observation 2:\r\n) /K [26 27] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 66 0 R >> endobj 192 0 obj << /A << /BBox [33.01344 387.74838 393.5171 395.43814] /O /Layout /Placement /Block >> /ActualText (Upon acceptance, PTA candidates will be required to show proof of completion of the following:\r\n) /K [28] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 41 0 R >> endobj 193 0 obj << /A << /BBox [49.576 371.18582 331.11406 378.87558] /O /Layout /Placement /Block >> /ActualText (\200\tInitiation of all immunization requirements as listed on the PTA program website.\r\n) /K [29 30] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 194 0 obj << /A << /BBox [33.01344 338.53394 73.61655 346.81522] /O /Layout /Placement /Block >> /ActualText (Overview\r\n) /K [31] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 132 0 R >> endobj 195 0 obj << /A << /BBox [33.01344 291.92215 541.30659 328.00488] /O /Layout /Placement /Block >> /ActualText (The information I have provided on this application is accurate. I have read the information provided\ on the UAA Physical Therapist\r\nAssistant website, the UAA catalog, and this application. I underst\ and that if any of the required application documents are not included\r\nin my application, my appli\ cation will be considered incomplete and will not be reviewed by Physical Therapist Assistant program\ \r\nselection committee.\r\n) /K [32 33 34 35] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 41 0 R >> endobj 196 0 obj << /A << /BBox [33.01344 273.46674 432.05522 281.74802] /O /Layout /Placement /Block >> /ActualText (Adding my electronic signature to this document signifies my understanding of the above statement.\r\n\ ) /K [36] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 197 0 R >> endobj 197 0 obj (font-size: 8.28128pt; font-family: Helvetica; font-style: italic; font-weight: 700; ) endobj 198 0 obj << /A << /BBox [33.01344 200.82806 549.20399 255.83943] /O /Layout /Placement /Block >> /ActualText (The University of èƵ is an affirmative action/equal opportunity employer and educational institut\ ion. The University of èƵ does not discriminate\r\non the basis of race, religion, color, nation\ al origin, citizenship, age, sex, physical or mental disability, status as a protected veteran, marit\ al status,\r\nchanges in marital status, pregnancy, childbirth or related medical conditions, parenth\ ood, sexual orientation, gender identity, political affiliation or\r\nbelief, genetic information, or\ other legally protected status. The University's commitment to nondiscrimination, including against \ sex discrimination,\r\napplies to students, employees, and applicants for admission and employment. C\ ontact information, applicable laws, and complaint procedures are\r\nincluded on UA's statement of no\ ndiscrimination available at www.alaska.edu/nondiscrimination.\r\n) /K [37 38 39 40 41 42 43 44] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 199 0 R >> endobj 199 0 obj (font-size: 7.68976pt; font-family: Helvetica; font-style: italic; line-height: 9pt; ) endobj 200 0 obj << /A << /BBox [22.36608 164.15382 54.93221 171.84358] /O /Layout /Placement /Block >> /ActualText (Signature\r\n) /K [45] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 201 0 obj << /A << /BBox [115.82624 164.15382 452.99247 171.84358] /O /Layout /Placement /Block >> /ActualText (_______________________________________________________Date:______________________\r\n) /K [46] /P 28 0 R /Pg 11 0 R /S /P /Type /StructElem /XXStyle 116 0 R >> endobj 202 0 obj << /A << /BBox [34.788 683.27179 49.77475 690.84326] /O /Layout /Placement /Block >> /ActualText (gfedc *\r\n) /K [47 48 49 50 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