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Liaison

Biographic Information

Your Name

This section pulls in information you entered when you created your account. Confirm that what appears here is correct; click the My Profile link to make changes.

Alternate Name

If you are sending any documentation or test scores in which your name is listed differently than it appears on your application, select Yes in this section and enter the alternate information. This ensures that your documents and test scores are matched to your application. Contact customer service so they can manually match these items to your application; failure to do so could cause significant delays. 

Examples of alternate names include:

  • Birth names (if different from current legal name)
  • Maiden names
  • Nicknames (e.g., "Bob" for Robert, "Beth" for Elizabeth, etc.)
  • "Westernized" names
  • Alternate punctuation (e.g., your name appears with/without a hyphen or apostrophe)
  • Alternate spacing (e.g., your name appears with or without specific spaces)
  • Known misspellings (if a document contains a misspelling)

Sex

Select the appropriate option.

Gender Identity

The American Physical Therapy Association (APTA) and its member physical therapy programs fully recognize the importance of diversity in the student body and in the workforce. Please select the gender identity option that you feel best describes you. Please note that this information is used for statistical purposes only, and in no way affects your application or financial aid eligibility.

Birth Information

Enter your date of birth in MM/DD/YYYY format. For example, January 7, 1989, would be listed as 01/07/1989. Make sure you enter your date of birth correctly; failure to do so could cause significant delays with matching documentation and test scores.

Then, enter your country, city, state/territory/province, and county of birth.

Note: to ensure applicants are entering consistent data for some questions, this application uses pre-populated answer options that are maintained by the International Organization for Standardization (ISO). For example, country answer options are derived from ISO 3166, which is the international standard for country codes and codes for their subdivisions.

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