Summer Semester Deadline—April 15
Fall Semester Deadline—July 15
Spring Semester Deadline—November 15

Physical Therapist Assistant Program
Transfer Admission Application

DATE______________ SS# ____________________

NAME_______________________________________

ADDRESS_______________________________________________________________

CITY _______________________________ STATE ______________ ZIP_____________

DAYTIME PHONE _______________________ EVENING PHONE___________________

Email Address (required for Distance Learning Courses) ____________________________

Previous PTA Program Attended ______________________________________________

Address _________________________________________________________________

Director's Name __________________________ Phone # _________________________

Dates of Attendance _________________________

Reason for transfer request__________________________________________________

Submit the following documents which support this transfer application:

1. Application for admission to Arapahoe Community College

2. Copies of all college transcripts containing coursework applicable to PTA degree at ACC.

3. Letter of recommendation from your previous program director, commanding officer or

clinical supervisor.

4. Copies of previous program curriculum including course descriptions and syllabi of

completed courses.*

5. Documentation of honorable discharge from your branch of service, if applicable.**

6. Copy of your diploma from Ft. Sam Houston.**

Return the above in one application packet to:
Paula Provence, M.Ed., PT
Arapahoe Community College PTA Program
5900 S. Santa Fe Drive, P.O. Box 9002
Littleton, CO 80160-9002

• Military trained applicants do not have to submit curriculum copies.
** Applies to military trained applicants only