Other Information

Select your native language (the language of your birth). If you speak additional languages, click Add Another Language. Then, select the language(s) and the level of your proficiency in each.

If you have US military experience, select your anticipated status at the time of enrollment from the drop-down. Select Not a member of the military if this does not apply.

If a member of the military, select your branch of the Armed Forces from the drop-down and indicate the dates of service.

Indicate whether you've ever been convicted of a felony. Note that most programs require satisfactory background check results as a condition of acceptance. Failure to disclose and provide accurate information about prior convictions may have serious consequences, such as annulment of acceptance offers, program dismissal, or other sanctions. 

Programs might require criminal background checks or drug tests to verify your eligibility to participate in clinical education, confirm your eligibility for physical therapist licensure, and ensure patient safety. Background checks reflect all prior convictions, guilty pleas, city ordinance citations (such as public intoxication), illegal possession(s) including possession of alcohol under the legal age, payments of fines (including traffic violations), and, in some cases, prior records thought to have been expunged. Note that in some states, common traffic violations may be considered misdemeanors. See Background Checks for more information. 

If you were convicted of a felony, enter an explanation in the field provided. Include:

• A brief description of the incident and/or arrest
• Specific charge made
• Related dates
• Consequence
• A reflection on the incident and how the incident has impacted your life

You may also be required to report one or more of the following types of records directly to your designated programs with details about the judgments or disciplines.

• Arrests/convictions for misdemeanors and felonies
• Adjudication withheld
• Nolo contendere
• Plea bargain

If you are convicted of a misdemeanor or felony prior to admission and/or matriculation, it is your responsibility to immediately inform your program(s).

Indicate whether you have ever been disciplined or placed on academic probation while attending an academic institution. If yes, enter an explanation in the spaces provided.

Indicate whether you have ever had any certification, registration, license, or clinical privileges revoked, suspended, or in any way restricted by an institution, state, or locality. If yes, enter an explanation in the spaces provided. 

Enter your social security number. This field is optional, but some programs may require it for their application, or for institutional or federal financial aid forms. Contact your programs directly to determine if they require you to enter your social security number. 

Use this section to describe how the COVID-19 pandemic impacted your preparation for the physical therapy education application. 

Indicate whether your academic record accurately reflects your capabilities. If you select No, describe why. Include any information that may assist the admissions committee in interpreting and evaluating your academic history or credentials.

Indicate if your education has ever been interrupted or adversely affected for reasons other than deficiencies in conduct or academic performance. If you select Yes, enter an explanation in the field provided.

Indicate if your education has ever been interrupted because of military service. If you select Yes, enter an explanation in the space provided.