DEPARTMENT OF PHYSICIAN ASSISTANT EDUCATION
SAINT LOUIS UNIVERSITY
SUPPLEMENTAL APPLICATION, 2011-12
Applications to the Saint Louis University Physician Assistant Program are reviewed only upon receipt of the following items:



Completed CASPA application, submitted electronically on or before December 1, 2011,
Three (3) CASPA recommendations, submitted electronically/postmarked on or before December 1, 2011,
Completed Saint Louis University Supplemental Application and fee, postmarked on or before December 1, 2011.
The SLU Supplemental Application includes the following components:
I.
Narrative Statements
A.
On a separate sheet, please compose a personal narrative statement that addresses the following:

There are more than 150 PA programs in the U.S.; please describe clearly and specifically why you want to
attend the PA program at Saint Louis University.
B.
On a separate sheet, please compose an additional narrative that addresses ONE of the following:

Access to healthcare and the expanding role of the Physician Assistant
OR

The role of the Physician Assistant in the pursuit of social justice
C.
(For SLU reapplicants only):

On a separate sheet, please provide a brief statement describing steps you have taken
to strengthen your overall application to the SLU PA program since last applying.
Please keep in mind the following when writing your statements:



Statements should be typed, limited to one (1) page each and should NOT duplicate your CASPA narrative.
Include your name, SSN and CASPA ID on each page of your statements.
Spacing: 1.5 or double spacing is preferred; single spacing is acceptable
II.
Prerequisite Course Information Forms (pages 2-3)

The form on Page 2 is for completed courses; the form on Page 3 is for courses in progress or to be taken.

Enter course information directly on the forms using Microsoft Word (preferred), or print out the forms and
PRINT information clearly in black ink.
o
Complete all information concerning each prerequisite course, including laboratories.
o
See examples on pages 2-3 for correct way to enter courses with accompanying laboratories.

Course information should correspond to the CASPA application, except when additional course work has been
added following submission of the CASPA application.
III.
Non-refundable Supplemental Application fee (check or money order) payable to:
“Physician Assistant Program – Saint Louis University”

$30.00 – Supplemental Application postmarked on or before October 15, 2011

$60.00 – Supplemental Application postmarked October 16-December 1, 2011
(A limited number of processing fee waivers will be available for applicants experiencing severe financial hardship.
To be considered for a fee waiver, applicants must submit a request in writing or via e-mail (paprog@slu.edu),
outlining reasons for the request and the nature of the financial hardship.)
A completed Saint Louis University Supplemental Application will contain the following items:



Narrative statements (2 for new applicants, 3 for SLU reapplicants) with name, SSN and CASPA ID on each page
Prerequisite Course Information Forms – one for completed courses and one for courses in progress or to be taken
Check or money order ($30.00 or $60.00, see #III. above) payable to “Physician Assistant Program – Saint Louis
University”
Mail the above items together in one envelope (no staples or paperclips, please), postmarked on or before December 1, 2011, to:
Department of Physician Assistant Education
Attn: Admissions Committee
Doisy College of Health Sciences
3437 Caroline Street, Room 3025
St. Louis, MO 63104-1111
(Note: Supplemental Applications sent by fax or e-mail will not be accepted.)
SAINT LOUIS UNIVERSITY PHYSICIAN ASSISTANT PROGRAM – SUPPLEMENTAL APPLICATION, 2011-12 – PAGE 2
(Last Name)
SSN
II.
(First Name)
(Middle Name)
CASPA ID
Prerequisite Course Information Form – Completed Courses Only (include separate laboratories if applicable; see example
below)
SLU Prerequisite
Course Requirement
EXAMPLE ENTRY
FOR COURSE
WITH SEPARATE
LABORATORY
College Chemistry I
(List separate lab if
applicable)
(4 semester hours)
College Chemistry II
(List separate lab if
applicable)
(4 semester hours)
Organic Chemistry I
(List separate lab if
applicable)
(3-4 semester hours)
Organic Chemistry
II
(List separate lab if
applicable)
(3-4 semester hours)
Microbiology
(medical micro w/lab
preferred)
(List separate lab if
applicable)
(3-4 semester hours)
†Vertebrate or
Human Anatomy
(List separate lab if
applicable)
(3-4 semester hours)
†Vertebrate or
Human Physiology
(List separate lab if
applicable)
(3-4 semester hours)
Molecular Biology,
Genetics, OR Upper
Level Biochemistry
(List separate lab if
applicable)
(3-4 semester hours)
College/
University
Year
(e.g.,
2009)
Term
(e.g.,
Fall)
Course No.
(e.g., BIOL
351)
John Smith
University
2009
Fall
CHEM 101/
CHEM 103L
Name of Course
Dept.
(e.g.,
BIOL)
Credits
(Semester
Hours)
Letter
Grade
Chemistry I/
Chemistry I Lab
CHEM
4/1
B/A
Office
Use
Only
Statistics
(3 semester hours)
Medical
Terminology
(1-3 semester hours)
† Anatomy & Physiology I PLUS Anatomy & Physiology II (6-8 semester hours total) may be substituted for the separate anatomy & physiology
courses listed above.
It is highly recommended that prerequisite course work be completed within seven (7) years of application.
SAINT LOUIS UNIVERSITY PHYSICIAN ASSISTANT PROGRAM – SUPPLEMENTAL APPLICATION, 2011-12 – PAGE 3
(Last Name)
SSN
(First Name)
(Middle Name)
CASPA ID
III. Prerequisite Course Information Form – Courses In Progress or To Be Taken (include separate laboratories if applicable; see
example entry below)
SLU Prerequisite
Course Requirement
EXAMPLE ENTRY
FOR COURSE
WITH SEPARATE
LABORATORY
College Chemistry I
(List separate lab if
applicable)
(4 semester hours)
College Chemistry II
(List separate lab if
applicable)
(4 semester hours)
Organic Chemistry I
(List separate lab if
applicable)
(3-4 semester hours)
Organic Chemistry
II
(List separate lab if
applicable)
(3-4 semester hours)
Microbiology
(medical micro w/lab
preferred)
(List separate lab if
applicable)
(3-4 semester hours)
†Vertebrate or
Human Anatomy
(List separate lab if
applicable)
(3-4 semester hours)
†Vertebrate or
Human Physiology
(List separate lab if
applicable)
(3-4 semester hours)
Molecular Biology,
Genetics, OR Upper
Level Biochemistry
(List separate lab if
applicable)
(3-4 semester hours)
College/
University
John Smith
University
Year
(e.g.,
2011)
2011
Term
(e.g.,
Fall)
Course No.
(e.g., BIOL
353)
Fall
Chemistry
201/
Chemistry
203L
Name of Course
Dept.
(e.g.,
BIOL)
Credits
(Semester
Hours)
Chemistry II/
Chemistry II Lab
CHEM
4/1
Office Use Only
Statistics
(3 semester hours)
Medical
Terminology
(1-3 semester hours)
† Anatomy & Physiology I PLUS Anatomy & Physiology II (6-8 semester hours total) may be substituted for the separate anatomy & physiology
courses listed above.