DPT EAP Application - Department of Physical Therapy

About this Form

Please note that this form does not save your application as you work - it must be completed in one sitting. We recommend you answer the questions listed below in a Word Doc or other digital file first. Then come back to this form, fill in all answers, and copy/paste your question answers in the appropriate box.

Uploading Documents

There are designated buttons at the bottom of this page to upload other materials. Please use the corresponding button for each document. We prefer all materials be submitted as PDFs.

Thank you for your interest in the UAB DPT Early Acceptance program - we look forward to reviewing your application.

UAB DPT Early Acceptance Application

First Name(*)

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Middle Name

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Last Name(*)

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Preferred Name

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Date of Birth(*)

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Your Contact Information

Street(*)

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City(*)

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State(*)

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Zip Code(*)

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Phone(*)

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E-mail(*)

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Your High School Information

High School Attended(*)

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Other High School Attended

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Other High School Attended

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Expected Graduation Date(*)

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High School GPA(*)

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ACT Score(*)

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SAT Score

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Please briefly respond to each question below.

Why do you want to become a Physical Therapist? What prompted your career choice?

(*)

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Give a brief description of physical therapy, as you know it at this time.

(*)

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What prompted you to seek early admission?

(*)

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Describe your most challenging life experience. What did it teach you about yourself?

(*)

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What individual characteristics make you uniquely qualified for early admission in an entry-level PT program other than being a good student and wanting to help people?

(*)

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How have you challenged yourself, your ideals, your philosophies, your concepts of life or the way you live?

(*)

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In what way/ways have you changed as a result of this challenge?

(*)

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If you are not accepted into this program, what are your plans for the future?

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List any honors or distinctions you have received.

(*)

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Describe your leadership experiences.

(*)

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If you have had the opportunity to teach others, describe how you felt about the experience.

(*)

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Do you have interest in research? If so, could this help your working as a Physical Therapist?

(*)

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By typing your name in the Signature space below, you acknowledge that all information included is the truthful representation of you. Our Student Conduct Code promotes honesty, integrity, accountability, rights, and responsibilities expected of students consistent with the core missions of the University of Alabama at Birmingham.
Click here to see the UAB Student Conduct Code.

Signature(*)

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Date(*)

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Click below to upload your resume. In your resume, include your academic achievements, honors received, activities (extracurricular, community, volunteer, and/or a vocational) and any employment.

Upload Resume

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Upload Essay

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Click below to upload a Letter of Recommendation from your teacher. Click here for a page to share with your teacher so they can upload their letter directly to DPT Admissions.

Letter Confirmation (Teacher)(*)

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They are submitting their letter.

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Upload Letter of Recommendation (Teacher)

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Click below to upload a Letter of Recommendation from your coach or extra curricular activity leader. Click here for a page to share with them so they can upload their letter directly to DPT Admissions.

Letter Confirmation (Coach/Extra Curricular)(*)

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They are submitting their letter.

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(*)

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Contact Us

Jennifer Braswell Christy, PT, PhD

Program Director

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Cara Bullard, PT, DPT

Admissions Chair

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205-996-1359

Scarlett Naftel, MS

Program Coordinator

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205-934-4363

Concern/Complaint

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