Associate of Applied Science in Physical Therapist Assistant

The documents and information below are for the spring 2012 clinical application process.

Application Packet Instructions

Deadline for submission (hand-delivery or postmark date) – April 15, 2012
The following documents should be completed, placed in a sealed single large envelope, and addressed to:

Bossier Parish Community College
Division of Science, Nursing, and Allied Health
Attn: PTA Clinical Selection Committee
6220 E. Texas St.
Bossier City, LA 71111
1. Signed Essential Requirements Form
2. Completed & Signed Application Form
3. Employee Rating Formcompleted and returned by either a current or former employer. (See detailed instructions below)
4. Completed prerequisite course verification form
5. Two Clinical Observation Rating Forms (CORFs) completed and signed by the PTs or PTAs with whom you completed the required 40 hours observation, volunteer or work experience. (See detailed instructions below)

Essential Requirements

The PTA Program has established Essential Requirements,identifying occupational-specific technical standards required of students in the program. Please print, read and Sign this document and include it in your application packet. If you have questions or concerns related to your ability to meet these described requirements, please contact your academic advisor.

Application Form

Neatly type all information requested on PTA Clinical Application Form.It must be printed, SIGNED, and included in your application packet.

Employee Rating Form

Following the instructions on the Employee Rating Form, you must print and provide this form to one current or former employer. The employer is to complete the form, evaluating your job performance while under his/her supervision, and return it by mail to the PTA Program Admissions Committee. The form must be received by the April 15th deadline in order for the applicant's packet to be considered. It is the responsibility of the applicant to follow up with the employer and Program to verify that the form has been sent/received.

CORF (Clinical Observation Rating Form)

You are required to complete a minimum of 40 hours observation, volunteer or work experience in two different physical therapy settings (20 hours each) under the supervision of two different licensed PT/PTAs. If unfamiliar with PT facilities in the area, you may elect to contact a suggested PTA observation site to request an observation opportunity.

Plan ahead and start early – These observation experiences should be scheduled to take place beginning in the fall semester and should be completed no later than March in the spring semester of the year in which you plan to apply.
After your observation experience is complete, print one Clinical Observation Rating Formfor each PT/PTA you observed (2 forms minimum) and give them the form along with an ADDRESSED and STAMPED envelope.
You should address the envelope to:

BPCC PTA Program Admissions Committee
6220 E. Texas St.
Bossier City, LA 71111
The PT/PTA should be asked to complete the form, seal it in the provided envelope, sign across the seal and mail directly to the college at the address above.
It is the responsibility of the applicant to follow up with the PT or PTA completing the forms so that they are mailed with a postmark date of no later than the April 15th deadline.

Prerequisite Course Verification Form

Use the Prerequisite Course Verification Formto document each course you have taken (including when, where and the grade you earned for each attempt). The applicant must pay careful attention to and follow explicitly the directions for completion/submission of this document outlined on the bottom of the form. Failure to complete/submit the form following those instructions may result in disqualification of the application packet.

BPCC College Admissions/Official Transcripts/Other Institutions

Transfer students must complete all BPCC College Admissions forms and requests for official transcripts to be sent to the BPCC Admissions office early in the spring semester so that all transfer courses are accessible in the BPCC system (are visible on the BPCC transcript) by the April 15th application deadline.

Clinical Student Disclosure of Clinical Requirements

The 20 students selected into the clinical program each year will be required to adhere to additional Clinical Requirements.These requirements include providing additional documentation, completing additional immunizations/tests and following additional policies/procedures unique to Allied Health Clinical Programs. It is the responsibility of the selected student to (a) complete/fulfill the listed requirements and (b) cover the costs of those requirements. Students will be notified upon selection into clinicals which procedures to follow and what documentation to provide.

Bossier Parish Community College