division of health - calhoun community collegewebnt.calhoun.edu/pta/pta-program-application.pdf ·...

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Division of Health

Physical Therapist Assistant Program

2019 Application

The Physical Therapist Assistant Program at Calhoun Community College is accredited by the Commission on

Accreditation in Physical Therapy Education (CAPTE), 1111 North Fairfax Street, Alexandria, Virginia 22314; telephone: 703-706-3245; email: [email protected]; website: www.capteonline.org.

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Minimal 2019 PTA program application requirements:

o Unconditional admission to Calhoun Community College

o Submission of a PTA Program Application no later than 3:00 PM, April 16, 2019, which includes:

A Calhoun Community College transcript documenting all previously completed general education coursework taken at CCC or accepted in transfer

A reading score from an ACT or ACCUPLACER test taken in the past three years which meets the minimum requirement of:

Documentation of 24 hours of physical therapy observation signed by licensed personnel

An essay discussing what was learned through physical therapy observation

Two (2) letters of professional recommendation using the form provided

Meeting minimal requirements does not guarantee acceptance. The number of students selected for admission to the PTA program each year is limited and therefore the application process is competitive. Applications are evaluated by the PTA Admissions Committee and assigned a score based on a point system. Points are awarded on the basis of submitted information. Top scoring applicants are offered an opportunity to enroll.

PTA Application Points System

CATEGORY POINTS POSSIBLE

Completed General Education Coursework = 70

Reading Score = 5

Attendance at a PTA Information Session = 5

Physical Therapy Observation Hours = 5

Observation Essay = 7.5

Professional Recommendations = 7.5

TOTAL = 100

PTA Admission - Minimum Reading Score Requirement

ACT Reading Test Score 18 or >

-OR-

ACCUPLACER Reading Comprehension 70 or >

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Application Instructions

PTA Information Sessions are held three times a year. Additional information about the program can be found on the PTA website at

http://www.calhoun.edu/academics/health-programs/physical-therapist-assistant

Applicants are strongly advised to read and follow instructions.

APPLICATION INSTRUCTIONS

1. Apply for Admission to Calhoun Community College at least 6-8 weeks prior to the PTA application deadline. Meeting with an advisor is recommended.

http://calhoun.edu/admissions/admission-requirements

2. Obtain a Calhoun Community College transcript

PTA applications must include an unofficial copy of a Calhoun Community College transcript. The CCC transcript should include all coursework applicable to the PTA degree requirements taken at Calhoun &/or other colleges and accepted in transfer.

To allow time for transcript evaluation, transcripts from all colleges attended should be received by the CCC Office of Admissions and Records at least one month prior to the PTA application deadline.

Coursework taken at other educational institutions must be evaluated and accepted by CCC to be considered for PTA application points. It is the applicant’s responsibility to make certain all relevant coursework is listed on the CCC transcript. Applicants should contact the Admissions Office with questions regarding the transfer of credit.

Submit a copy of the CCC transcript printed from MYCALHOUN with the PTA application. Do not include transcripts from other colleges with the PTA application.

PTA application points are earned for completion of the general education courses required for the AAS degree in PTA. The number of points is determined by the grade earned. Complete the General Education Worksheet (page 9) by circling the grade and corresponding points attained for each class. If a course has not been taken or is in progress, leave space blank. Total the points earned for grades in the white box.

On the CCC transcript, highlight the general education courses and grades earned for PTA application points.

a. The following mathematics courses may be used for application points: MTH 100, MTH 110, MTH 112, MTH 113, MTH 120, MTH 125, MTH 126, MTH 227, MTH 237, MTH 238. These are the only mathematic credits which earn application points.


http://calhoun.edu/admissions/admission-requirements

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b. English Composition I (ENG 101) is the only course and grade which may be

used for English points.

c. The CCC Catalog lists courses that qualify for the HUM course requirement. Applicants may select the course to be used for points.

Points for general education courses taken spring semester 2019 will be added to the application score if an unofficial transcript of course completion with the grade earned is submitted to the PTA program once the course is completed. This is the responsibility of the applicant and the documentation of spring grades must be received no later than 3:00 PM on Thursday, May 16, 2019.

3. Obtain a Reading Score

ALL PTA applicants must submit a copy of a reading score from an ACT or ACCUPLACER test taken within the past three (3) years, regardless of applicant age, score, or prior educational accomplishment. Do not contact the program requesting an exception.

The reading test for 2019 applicants must be from 2017, 2018, 2019

Application points are earned according to the grid on page 10. Circle your score.

See the FAQ http://www.calhoun.edu/academics/health-programs/physical-therapist-assistant about taking the ACCUPLACER.

4. Attend a PTA Program Information Session

Points are earned for attending one PTA Program Information Session held in the fall of 2018 or the spring of 2019.

Dates, times, and locations of information sessions are posted on the PTA website

Legibly print and sign your name on the attendance roster at the session

Be punctual

If you live out of the CCC area or have other hindrances to attending a PTA Info Session, contact the program by email or telephone 256/260-2491.

5. Acquire PTA Observation Hours

Points are earned for completing 24 hours of physical therapy observation; 12 hours at an in-patient facility and 12 hours at an out-patient facility. Home health hours are not accepted.

Experiences should occur at a minimum of 2 different facilities.

Hours must be signed by licensed physical therapy personnel.

Submit evidence of experiences using the PT Observation Documentation Form (page 8).

Properly documented hours will be accepted on forms from other institutions.

Observation hours should have been completed in the past 3 years.

Experiences as a patient receiving PT or as an employee in a PT facility may be used; see PTA program FAQ.

Additional observation hours may be personally beneficial but will not accrue additional points.

6. Write an essay discussing your physical therapy observation experiences and what you learned.

The essay should be type written, 2-3 pages in length, double-spaced, with 1” margins, font size 11-12.

Do not put your name in/on the essay.



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7. Obtain two (2) letters of professional recommendation

Use the PTA Program Applicant Professional Recommendation Form, pp. 17-18

The best professional references are employers and teachers who are able to rate you on the 6 attributes noted on the form.

Remind your references to follow directions on the form regarding envelope sealing.

Additional references do not accrue extra application points.

8. Submit the PTA Application Packet before April 16, 2019 at 3 PM

All application requirements should be received in one envelope

Application packets may be mailed or delivered in person but must be received by the PTA program by the deadline date and time. Information cannot be accepted via fax or email.

Address: Calhoun Community College Health Sciences Center - 3rd floor ATTN: PTA Program P.O. Box 2216 Decatur, AL 35609 Hours: Monday-Thursday 8:00 AM – 4:30 PM, Friday 8:00 – 11:30 AM

Documentation must be complete and legible.

Please, no staples on transcript, forms, essay.

Each time an individual applies to the PTA program an application packet must be completed in its entirety; copies of items submitted should be retained as information will not be released from previous application packets.

9. If taking coursework spring semester, remember to submit an unofficial transcript highlighting the courses completed SP semester with the grade earned

To accrue points, SP semester grades must be received by 3:00 PM May 16, 2019

If SP courses were taken at another college, it is acceptable to submit an unofficial transcript from that college for the purpose of showing SP course completion. However, the original application packet must contain a CCC transcript.

10. The PTA Admissions Committee meets in late May.

All applicants will be notified of admission status in early June.

Letters will be mailed to the address provided by the applicant.

Information cannot be released by telephone.

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Application Envelope Packet Checklist

For an applicant to be considered by the PTA Admissions Committee, the submitted packet must

include all of the following:

□ A completed Personal Information Sheet, page 7.

□ A completed General Education Worksheet, page 9, noting required coursework

already taken and the grade received.

□ A Points Worksheet, page 10, noting your ACT or ACCUPLACER reading score and

month of attendance at a PTA Information Session in the past year.

□ PT Observation Documentation Form(s) page 8, validating a minimum of 24 hours

of physical therapy observation with twelve (12) hours observation in an inpatient

setting and twelve (12) hours in an outpatient setting.

□ A 2-3 page typed essay discussing your physical therapy observation experiences.

□ A copy of an ACT Reading Score or an ACCUPLACER Reading Comprehension test

score report from the past three years.

□ An unofficial Calhoun Community College transcript which includes all coursework

taken at CCC and coursework taken at other colleges and accepted in transfer

□ Two sealed letters of Professional Recommendation, using the provided form, pages 17-18.

□ Statements of Understanding pages 11-16, dated and signed.

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Personal Information Sheet

Applications to begin PTA Fall 2019 must be received by 3:00 PM on April 16, 2019. An application packet

may be mailed or delivered in person to the PTA program on the third floor of the Health Sciences Center,

Decatur campus. All applicants receive notification by mail regarding selection for the program at the

address provided.

Calhoun Student ID (C#):___________________________

Name _________________________________________ Last

_________________________________________________ First MI

Mailing Address__________________________________________

City_____________________________________________

Home Phone____________________________________ State_______________________ Zip__________________

Cell Phone______________________________________ Email___________________________________________

Work Phone_____________________________________

Emergency Contact: Name__________________________________________

Relationship:______________________________________

Phone_________________________________________ List all colleges and/or universities you have attended and any degrees received: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Mailing address: Calhoun Community College Hours: Monday – Thursday 8:00 AM – 4:30 PM Health Sciences Center Friday 8:00 – 11:30 AM ATTN: PTA Program P.O. Box 2216 Closed for Spring Break: March 21-22, 2019 Decatur, AL 35609

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Name: ______________________________________________________________________ Physical Therapy Observation Documentation Form

Applicants should complete a minimum of 24 quality hours of observation - twelve (12) hours in an inpatient facility (hospital or nursing home) and twelve (12) hours in an outpatient clinic. At least two different health care facilities should be used for observation. Home health hours are not accepted. Experiences must have been within the past three (3) years. Credit should only be given for actual time spent observing patient care. Paid employees of PT facilities may use their regular work hours to complete this requirement. Personal experiences receiving physical therapy may also be used for observation hours. See FAQ for directions / questions re: observation hours. Hours should be noted in ink and signed (no electronic signatures) by a licensed PT or PTA. Properly documented observation hours will be accepted on forms from other educational institutions.

Date Starting

Time Ending Time

# of Hours

Name of Facility Location

(City, State) Telephone

Number

Inpatient or Outpatient?

Signature of Supervising PT or LPTA

Example:

08/21/16

HR:MIN AM/PM

8:00 AM

HR:MIN AM/PM

11:30 AM 3.5

Robust Physical Therapy

Huntsville, AL xxx-xxx-xxxx

outpatient John Doe, LPTA

1.

2.

3.

4.

5.

_________TOTAL DAYS _________TOTAL HOURS (This form may be reproduced as necessary to document hours of observation)

I certify that the hours listed above were fulfilled by me. I understand that the PTA Admission Committee may verify this document for authenticity and I realize that falsification of information will result in my application to the PTA program being withdrawn from consideration.

_________________________________________________ ____________________________

Applicant Signature Date

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Name: _________________________________________________________________ General Education Worksheet

Application points are awarded when the course & grade is HIGHLIGHTED on an enclosed CCC transcript. If currently enrolled in a general education course spring semester 2019, do not circle a grade / points. Spring semester points will be added to the application score if a copy of an unofficial transcript with the grade earned is submitted to the PTA program at the end of the semester. This is the responsibility of the applicant and the spring transcript must be received by 3:00 PM May 16, 2019.

Course Name and Number

Circle earned grade and points

For office use: course & grade

verified / highlighted?

*BIO 201 Human Anatomy & Physiology I (within last 10 years) A= 14 B = 11 C = 8

*BIO 202 Human Anatomy & Physiology II (within last 10 years) A= 14 B = 11 C = 8

ENG 101 English Composition I A = 6 B = 4 C = 2

Mathematics Elective - MTH 100, MTH 110, MTH 112, MTH 113, MTH 120,

MTH 125, MTH 126, MTH 227, MRH 237, or MTH 238 Course: MTH ________ A = 6 B = 4 C = 2

PSY 200 General Psychology A = 6 B = 4 C = 2

PSY 210 Human Growth & Development A = 6 B = 4 C = 2

Speech Elective – SPH 106, SPH 107, SPH 116 Course: SPH ________ A = 6 B = 4 C = 2

Humanities Elective: Art, Music, Foreign Language, Literature, Philosophy, Religion, Theatre

Course: ________ ________

A = 6 B = 4 C = 2

EMS 106 Medical Terminology for Health Professions A = 6 B = 4 C = 2

MAXIMUM GENERAL EDUCATION POINTS = 70 TOTAL=

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Name: __________________________________________________________________________ Points Worksheet

All PTA applicants must submit a copy of an ACT Reading Score or an ACCUPLACER Reading Comprehension composite score

from the past 3 years.

Circle your score and corresponding points.

ACT Reading Score

ACCUPLACER Reading Comprehension Score

PTA Application Points

< 18 < 70 Ineligible for PTA enrollment

18 - 19 70 - 76 0

20 - 23 77 - 86 1

24 - 26 87 - 96 2

27 - 30 97 - 105 3

31 - 33 106 - 113 4

34 – 35 - 36 114 - 120 5

To calculate your Academic Point total which includes general education course completion and the grades obtained in these

classes, and points based on the reading score from the ACT or ACCUPLACER, fill in the blanks below. The maximum possible score

for this section is 75 points.

General Education Points (from page 9 ) = ___________ (max. = 70)

ACT or ACCUPLACER Reading Score Points (from grid) = ___________ (max. = 5)

Total ACADEMIC Score = ___________ (max. = 75)

Did you attend a PTA program Information Session? Yes No

If yes, please check which session attended: October 2018 January 2019 March 2019

PROGRAM USE: Attendance verified by CCC PTA Admissions Committee member: ____________ (initials)

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Statements of Understanding

1. Liability Release I, _________________________, hereby acknowledge that I am eighteen years of age or older, or that if I am

under the age of eighteen I am signing this release with the written consent of my parent(s) or legal

guardian(s). I further acknowledge that I fully understand the contents of this release and that I am signing it

voluntarily.

As a student or a prospective student of the Physical Therapist Assistant program at Calhoun Community

College, I am aware of the risk of personal illness and/or injury which are inherent in my participating in the

PTA educational activities.

Upon full awareness and consideration of the risks which I assume in participating in hospital or other clinical

rotation activities, I hereby agree to release Calhoun Community College and its instructors, officials, agents,

representatives, preceptors, and employees from any liability for any type of illness or injury which is incurred

during a period in which I am participating in clinical or laboratory activities.

_________________________________________

Student signature Date

_________________________________________

Parent or guardian signature Date

If < 19 years of age

2. Statement of Understanding of Policy

I, _________________________, agree to abide by rules and policy set forth by the PTA program, the State of Alabama Board of Physical Therapy, and my clinical affiliates that I visit during the course of my studies. I realize that I have access to and a personal obligation to become aware of these rules. I have also been advised and hereby indicate my understanding that PTA program policy requires a 75% or better average in all coursework in any primary PTA course.

________________________________________


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3. Physical Therapist Assistant Program Admission, Progression, and Graduation Contract

1. I understand that falsification and/or omission of information on the College and/or PTA application shall be

grounds for dismissal from the program in accordance with College procedures.

2. I understand that enrolled students in healthcare programs are required to submit to a background check and

drug screening by a vendor designated by the College to comply with clinical affiliate contracts. I understand

that the background check &/or a confirmed positive drug screen may render me ineligible to participate in

required learning experiences at clinical affiliates because I will be denied access. In this event, I understand

that I will be dismissed from the program and a grade of “F” will be recorded for course(s) if I do not officially

withdraw.

3. I understand that enrolled students in healthcare programs are required to submit to a preclinical health

examination by a licensed physician or CRNP and to provide documentation of immunization to certain

communicable diseases and to undergo tuberculosis screening.

4. I understand that I will be required to submit evidence of current CPR certification, a liability release, and must

purchase malpractice insurance by a deadline provided by faculty prior to clinical education experiences.

5. In the clinical portion of the PTA program, I understand that I must attend my scheduled clinical rotations

according to the program’s clinical rules and regulations. Failure to comply fully with these rules will result in

my receiving a lower grade or being ineligible to complete my clinical training due to my non-compliance. I

agree to read and know the program’s Clinical Practice Policies and Procedures outlined in my student

handbook before entering any clinical area.

6. I understand that I am required to abide by the rules and regulations of the clinical agency in which the clinical

component of each course is performed. Failure to do so will result in dismissal from the program and a grade

of “F” for the course assigned in accordance with College procedures.

7. I understand that the clinical agency with which the program is affiliated has the right to request that a student

be removed from their facility, as well as the right to refuse a student admission to their facility for clinical

education.

8. I understand that evaluation materials, i.e., clinical evaluations with instructor notations and counseling forms,

will be maintained in my student folder. I understand that upon my request, I have the right to see any

information that is retained in my student folder.

9. Due to the nature of the training received in the PTA program, I understand that there are risks in

demonstrating or receiving return demonstration in practical application of skills in the classroom segment. I

also understand that there are certain risks involved in completing clinical rotations with clinical affiliates of the

PTA program at Calhoun Community College. I fully understand that I am not required to involve myself in any

activity that, in my opinion, would be potentially dangerous to me. I will not hold Calhoun Community College,

any of its’ employees, or other PTA students, any clinical instructor, or any PTA program Clinical Affiliate

responsible for any injury occurred as a result of 1) any classroom practical application or 2) performing clinical

rotations.

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10. I understand that during my PTA education that I will come in contact with infectious diseases. I further

understand that my health and accident insurance and/or related expenses are my responsibility.

11. I understand that I am responsible for transportation, meals, health care expenses and any liability incurred

during and while traveling to and/or from educational experiences.

12. I understand the application for licensure as a PTA will include a list of questions which ask, “Have you ever

been convicted of a felony or of a crime involving moral turpitude?” and “Have you ever been convicted of

violating any state or federal narcotic law?” and that my application may be denied on the basis of this review.

13. I certify that I am of good moral character and that I have no known physical or mental difficulties that would

prevent me from completing this training program.

14. I understand that failure to comply with legal, moral, and legislative standards which determine unacceptable

behavior of the PTA and/or behavior which may be cause for denial of license to practice as a licensed PTA

constitute grounds for dismissal from the program, regardless of course standing. A grade of “F” will be

assigned for any PTA course from which the student is dismissed for unacceptable behavior.

15. I understand that the rules above apply to me in any PTA course I should take in the Physical Therapist Assistant

program through Calhoun Community College, at the present or in the future.

16. I understand that it is my responsibility to read the College Catalog, each course syllabus, clinical evaluation

forms and other materials that are provided to the class which outline my responsibilities as a PTA student. I

understand that failure to abide by these published materials will be grounds for dismissal from the program.

I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THAT THE CRITERIA STATED HEREIN AND IN THE COLLEGE CATALOG APPLY TO ME AND THAT FAILURE TO ABIDE BY ANY STATED CRITERIA IS GROUNDS FOR DISMISSAL.

_____________________________________________

Printed student name

_____________________________________________ __________________________


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4. Statement of Understanding of Clinical Studies Component As a student enrolling in a clinical studies component of the Physical Therapist Assistant program at Calhoun Community College, I am aware that: 1. I will be enrolled in a clinical course that requires my presence at one or more health care facilities; 2. I am not an employee of the College or of the health care facility and if I am an employee of the College or

of the health care facility I must notify the PTA Program Director at the beginning of my PTA education coursework at Calhoun Community College;

3. I do not expect and will not receive compensation from the College or health care facility for participation in the clinical course; and

4. I have not been promised and do not expect to be offered a job at the health care facility as a result of participation in the clinical course.

5. I may be required by the hospital/clinical site to undergo drug and/or alcohol testing at any time as a precondition to beginning a clinical rotation or to continue a clinical rotation at the hospital/clinical site.

6. I will be required to purchase medical malpractice insurance at an approximate cost of $20.00. This fee will be added to my class tuition the semester of my first clinical experience. If I am attending classes on loans or grants, which do not pay this fee, the fee will be added to MYCalhoun tuition balance.

____________________________________________


5. Information for PTA Student Applicants:

I understand that completion of this application is a component of the student profile and does not in itself grant admission to the Physical Therapist Assistant program. I understand I must submit a new application if I am not selected and choose to apply in the future. I certify that the information given in this application is true and correct. I understand that providing false information may be deemed sufficient reason to dismiss a student and/or refuse admission. Minimum admission standards include: 1. Unconditional admission to the college 2. An ACT reading score of 18 or > or an ACCUPLACER reading comprehension score of 70 or > from a reading

assessment test taken in the past three years 3. Receipt of a completed PTA Application packet 4. An unofficial CCC transcript documenting all courses and grades taken at Calhoun &/or accepted in transfer 5. Twenty-four hours of documented physical therapy observation 6. A 3-4 page typed essay discussing my physical therapy observation experiences 7. Two professional letters of recommendation. Admission to the Physical Therapist Assistant program is competitive, and the number of students enrolled is limited by the number of faculty and clinical facilities available. Meeting minimal requirements does not guarantee acceptance.

______________________________________________


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6. PTA Program Essential Functions

Title III of the 1990 American with Disabilities Act provides comprehensive civil rights protection for “qualified

individuals with disabilities. The Alabama College System endorses the Americans’ with Disabilities Act. If you have a

disability that might require special materials, services, or assistance, please contact Calhoun’s Disability Services Office

in the Chasteen Student Center, Room 220 (Decatur Campus) or call (256) 306-2630 or (256) 306-2635.

The mission of the Physical Therapist Assistant program is dedicated to the academic and clinical education of

individuals who will function as care providers in a multiplicity of settings in which PTAs practice. Implicit in the

Program’s curriculum is the development of skills for treatment and therapeutic client interactions.

Based on its mission, the intent of the Physical Therapist Assistant program is to educate a competent entry-level

physical therapist assistant who can treat the general population of acute and rehabilitation patients in current health

care settings. Enrolled students are required to successfully complete both the academic and clinical requirements of

the program to receive the AAS degree. The purpose of the following is to delineate the cognitive, affective and

psychomotor skills deemed the minimal essential functions necessary for admission, progression, and graduation and

for the provision of safe and effective patient care. If a student cannot demonstrate the following skills and abilities, it

is the responsibility of the student to request appropriate accommodations through the Office of Disabled Students.

Cognitive learning skills: the student must be able to demonstrate the following abilities:

1. Retain and use information in the cognitive, psychomotor, and affective domain in order to treat patients. 2. Perform a physical therapy assessment of a patient’s posture and movement including analysis of physical,

biomechanical, and environmental factors in a timely manner, consistent with the acceptable norms of all clinical settings.

3. Use information to execute physical therapy treatment in a timely manner appropriate for the problems identified and consistent with the acceptable norms of all clinical settings.

4. Reassess the treatment plan as needed for effective and efficient management of physical therapy problems in a timely manner, consistent with the acceptable norms of all clinical settings.

Affective learning skills: the student must be able to demonstrate the following abilities:

1. Demonstrate appropriate affective behaviors and mental attitudes in order to not jeopardize the emotional, physical, mental, and behavioral safety of patients and other individuals with whom one interact in the academic and clinical setting and to be in compliance with the ethical standards of the American Physical Therapy Association.

2. Cope with the mental and emotional rigors of a demanding educational program in physical therapy that includes academic and clinical components that occur with set time constraints and often concurrently.

3. Acknowledge and respect individual values and opinions in order to foster harmonious working relationships with colleagues, peers and patients.

Psychomotor skills: the student must be able to demonstrate the following skills:

1. Sit and maintain upright posture. 2. Stand and maintain upright posture. 3. Locomotion:

a. Arrive at lecture, lab, and clinical locations in a timely manner b. Move within rooms as needed for changing groups, lab partner and work stations, and perform

assigned clinical tasks

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4. Manual tasks:

a. Safely maneuver self or move another individuals’ body parts to effectively perform evaluation techniques

b. Safely maneuver or move clinical equipment from side to side, forward and backward or from a lower to a higher position.

c. Manipulate common tools used for screening tests of the cranial nerves, sensation, range of motion, and muscle testing procedures (e.g. cotton balls, safety pins, reflex hammer, and goniometer)

d. Safely and effectively guide, facilitate, inhibit, and resist movement and motor patterns through the use of facilitation and inhibition techniques, including ability to give time urgent verbal and sensory feedback.

e. Safely move another individual’s body in transfers, gait, positioning, exercise and mobilization technique.

f. Safely manipulate and move equipment and items to aid in the treatment of a patient (i.e. bolsters, pillows, plinths, mats, gait assistance devices, other supports or chairs, IV’s, monitors, etc.)

g. Competently perform CPR using guidelines issued by the American Heart Association or the American Red Cross.

5. Fine motor/hand skills: a. Legibly record/document progress notes in standard medical charts in hospital/clinical settings in a

timely manner and consistent with the acceptable norms of clinical settings. b. Legibly record thoughts for written assessments c. Palpate changes in an individual’s muscle tone, soft tissues, skin quality, joint play, kinesthesia, and

temperature in a timely manner and sense that individual’s response to environmental changes and treatment

d. Apply and adjust therapeutic modalities e. Apply and effectively position hands to apply soft tissue and mobilization techniques

6. Visual Acuity: a. Obtain visual information from clients (e.g. movement, posture, body mechanics and gait pattern) b. Obtain visual information from treatment environment (e.g. dials on equipment, assistive devices,

furniture placement, and floor surfaces) 7. Communication skills:

a. Effectively communicate in English with other students, faculty, patients, peers, staff and families to ask questions, explain conditions and procedures, teach home programs, and to maintain safety in a timely manner and within the acceptable norms of academic and clinical settings

b. Receive and interpret written communication in both academic and clinical settings in a timely manner c. Receive and send verbal communication in life threatening situations in a timely manner within

acceptable norms of clinical settings 8. Self-care:

a. Maintain general good health, self-care and hygiene in order not to jeopardize the health and safety of self and individuals with which one interacts in the academic and clinical settings

b. Arrange transportation and living accommodations for/during off campus clinical assignments to foster timely reporting to the classroom and clinical site.

9. Auditory: a. Effectively auscultate lungs, apical pulse, and blood pressure.

I have reviewed the Essential Functions for the PTA program.

________________________________________


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PTA PROGRAM APPLICANT

PROFESSIONAL RECOMMENDATION

Please provide your comments on this applicant on the following page. Thank you.

Applicant Name

__________________________________________________________________

1. How long have you known the applicant?

___ Less than 30 hours of observation experience ___ Less than 6 months ___ 6 months to 1 year ___ 1 - 3 years ___ 3 - 5 years ___ Greater than 5 years

2. In what capacity have you been able to observe the applicant’s attitude and personal behaviors?

___ As a student ___ As an employee ___ Through Physical Therapy Observation Hours ___ Other, please describe_________________________

3. Using the following rating scale, please rate the applicant regarding: 3 – Above Average 2 – Average 1 – Below Average 0 – Unable to rate

___ Demonstration of ethical and professional behaviors and/or demeanor ___ Ability to manage stress ___ Acceptance of constructive criticism ___ Personal hygiene & attire appropriate to situation ___ Maturity ___ Relationships, conversation, and conduct appropriate to environment

4. Would you recommend this applicant for admission to the PTA Program?

___ Without reservation ___ With some reservation ___ With concern ___ Unable to recommend this applicant

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Please use the following space to explain your relationship with the applicant (teacher, supervisor, employer,

coach, etc.) and for comments you would like to include in regards to this applicant entering the professional

component of the PTA program at Calhoun Community College. All information in this document is kept in

strict confidence and will be accessible only to PTA program faculty. Following the admissions process for the

current year, this document will be destroyed.

COMMENTS:

The applicant is required to turn in their professional recommendations with the PTA Application. Therefore, when you have completed this confidential document, please fold, seal in a standard letter-size envelope, and sign across the seal before returning to the applicant.

__________________________________ ______________________________________ Please type or print name Position or Title ______________________________________ Place of employment ______________________________________ Telephone Number __________________________________ _______________________________________ Signature Date

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