Department of Physical Therapy DPT Program
Application for Early Decision
University of Delaware Undergraduates
Application Deadline: June 1, 2015
First Name:
Last Name:
UDID#:
Campus Address:
Permanent Address:
Cell Phone Number:
Email Address:
Are you a first-generation
college student?
I.
 No
Education:
College/University
II.
 Yes
Major
Years attended
Degree(s) or
Expected Date of
Graduation
GRE Scores – Please note that we will utilize your highest percentile rankings on each section
of the GRE even if obtained on different testing dates. Please include planned testing dates as
well. NOTE: All applicants must have taken GRE at least once by June 1.
Test Date
Verbal
Scaled
Score
Verbal
Percentile
Score
Quantitative
Scaled Score
Quantitative
Percentile
Score
III.
Physical Therapy Related Work/Volunteer Experience:*
Facility
Dates
Job Description
Physical
Therapist’s
Name
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.
IV.
Letters of Reference (See reference form at
http://www.udel.edu/PT/Study%20With%20Us/recform-2015.pdf)
Three letters of reference are required. It is your responsibility to ensure that these letters along
with the reference form are mailed to the PT 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 evaluator. Letters along with the reference
form may also be emailed directly from the evaluator to pt-admissions@udel.edu. 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 #
V.
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 June 2016.)
Required Courses
Prerequisite
Course
Number/
Name
Credits
Institution
Grade Semester/Yr.
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)
*May substitute two-course sequence of anatomy and physiology.
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.
VI.
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 felony or a misdemeanor? 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, 2015.
Please submit all application materials to:
Jeanne Warrington
Administrative Assistant – DPT Admissions
University of Delaware Department of Physical Therapy
STAR Health Sciences Complex
540 S. College Avenue, 210B
Newark, DE 19713
Please direct all questions to Jeanne Warrington at:
Email: jeannekw@udel.edu
Phone: 302-831-8910