Department of Physical Therapy DPT Program
Application for Early Decision
University of Delaware Undergraduates
Application Deadline: June 1, 2013
First Name:
Last Name:
UDID#:
Campus Address:
Permanent Address:
Cell Phone Number:
Email Address:
I.
Education:
College/University
Major
Years attended
Degree(s) or
Expected Date of
Graduation
II.
Physical Therapy Related Work/Volunteer Experience:*
Facility
Dates
Job Description
Supervisor/Title
Approximate #
of total hours
in this job
* provide documentation (i.e., letters from physical therapy departments director/supervisor) signed
by supervisor with supervisor’s title.
III.
Letters of Reference (See reference form at
http://www.udel.edu/PT/Study%20With%20Us/recomform.pdf)
Three letters of reference are required. It is your responsibility to ensure that these letters are
mailed to the department by the application deadline (June 1). They may be mailed directly to us
or submitted with your application, as long as the letters are sealed in an envelope and the seal is
signed by the referee. It is required that two letters be submitted from licensed physical
therapists who can address the clinical experiences and abilities of the applicant and one letter be
submitted by an instructor of an upper-level course taken at the University of Delaware.
Name
Title
Address
Phone #
IV.
Required Courses
The DPT program has a number of required courses that must be completed prior to beginning
the program. Identify the course name, number, credits, institution where you completed the
course, the semester or quarter credits (identify if they are semester or quarter credits), the grade
achieved, and the year you took the course. (If you have not completed a course, indicate when
you plan to complete it before you begin the program in July.)
Required Courses
Prerequisite
Biology I with
lab (4)
Biology II with
lab (4)
Chemistry I
with lab (4)
Chemistry II
with lab (4)
Physics I with
lab (4)
Physics II with
lab (4)
*Physiology
with lab (4)
*Anatomy with
lab (4)♣
Introductory
Psychology (3)
Statistics (3)
Course Name Credits
Institution
Grade Semester/Yr.
*May substitute two-course sequence of anatomy and physiology.
♣Note to candidates applying during the 2013-14 admissions cycle: The University of Delaware’s Physical Therapy Program
will be implementing a change in prerequisite courses beginning with the 2013-14 admissions cycle. Should an applicant be
unable to satisfy the new anatomy requirement, he/she is strongly encouraged to contact the administrative assistant for DPT
Admissions to ascertain if alternatives or course substitutions might exist. Such modifications will exist only for the anatomy
requirement during the 2013-14 admissions cycle.
Please indicate any of the following “Highly Recommended” courses you have taken or are planning
to take. NOTE: These are not a requirement for admission.
Highly Recommended Courses
Highly
Recommended
Course
Advanced
Psychology (3)
Calculus (3)
English (3)
Course
Name
Credits
Institution
Grade Semester/Yr.
V.
Please write two short essays (Limit 300 words each) answering the following questions.
a. Of all of the healthcare professions, why are you interested in choosing physical therapy
as a career path?
b. Although we appreciate that you will likely not see your letters of recommendation, what
areas of strength and areas of growth do you think will be identified?
Please answer the following question:
Have you ever been charged or convicted of a crime? If yes, please explain.
I hereby certify that I have made no willful misrepresentations nor have I withheld information
pertinent to this application. I understand that the information given by me in this application will
be investigated (transcripts, references, etc.).
Signature of Applicant
_____________
Date
Reminder!
Please remember to submit documentation of hours with your application. Also, letters of recommendation are due by
the application deadline – June 1, 2013.
Please submit all application materials to:
Jeanne Warrington
DPT Admissions
Department of Physical Therapy
University of Delaware
301 McKinly Lab
Newark, DE 19716
Please direct all questions to Jeanne Warrington at:
Email: jeannekw@udel.edu
Phone: 302-831-8910