OHSU

Oregon Health & Science University Physician Assistant Program

Supplemental Application for Admission


PLEASE PROVIDE THE FOLLOWING INFORMATION.

First Name:
MI:
Last Name:
   
CASPA ID #:
 
Email Address:
 
Have you previously applied for admission to the OHSU PA Program?   Yes   No
 
 
If yes, specify year(s):  Before 2008
 2008-2009
 2009-2010
 2010-2011
 2011-2012
 2012-2013



Section 1

CRIMINAL BACKGROUND INFORMATION

The Physician Assistant Program reserves the right to deny admission to any applicant whose criminal background poses a threat to the university, physician assistant profession, and/or health care community. Please answer the following questions.

Have you ever been convicted of a felony or misdemeanor?
Yes      No
Have you ever been found guilty except for insanity, mental disease, defect, etc. or not guilty by reason of insanity, mental disease, defect, etc. in any proceedings in which you were charged with a felony or misdemeanor?
Yes      No
Do you currently have an arrest pending for a felony or misdemeanor?
Yes      No
If the answer to any of the above questions is "Yes" please indicate the crime involved, any sentence imposed, and the year(s), state, county, and country in which the legal proceedings took place.

Should the answer to any of the above questions become "Yes' between the time of submission of this application and an applicant's enrollment at OHSU, the individual must immediately inform the Director of the Physician Assistant Program.

 


Section 2

ADDITIONAL INFORMATION (answers to items 2a-2d are optional)

a. Did you graduate from high school in Oregon with at least two years of enrollment??
Yes      No
b. Did you graduate from an institution of higher education in Oregon with at least two years in that institution?
Yes      No
c. Do one or both parents reside in Oregon at the time of this application?
Yes      No
d. Physician Assistant students interact with patients from many backgrounds. Indicate any language(s) other than English in which you feel comfortable conversing. Please provide a brief summary of your foreign language skills using the following format:

Language:  
If you selected "Other" above, please specify the language: 
Fluency:  
Level:  
Years:  
2nd Language:  
If you selected "Other" above, please specify the language: 
Fluency:  
Level:  
Years:  

 


Section 3

PREREQUISITE WORKSHEET (required)

Please enter the courses you deem appropriate to meet the prerequisites.

To be eligible for 2014 admissions, ALL PREREQUISITE COURSEWORK MUST BE COMPLETED ON OR BEFORE DECEMBER 31, 2013. A grade of 'C' or above is required to meet all prerequisites. 

Candidates may have their bachelor’s degree in progress as long as it is complete by spring 2014 (degree verification must show degree conferred prior to matriculation) and all prerequisites complete on or before the end of fall term 2013. No exceptions.

 
Bachelor's Degree required with completion by end of spring term 2014:
Degree: Major: Degree Date (Month-Year):

 

Biology - General or Cell Biology - labs optional (2 semesters or 3 quarters)
Dept/Course #
Course Name
Credit
Hours
Grade
Term/Year Completed
or Planned Completion
Institution

 

Chemistry - General, Inorganic, Organic, Biochemistry - labs optional (2 semesters or 3 quarters)
Dept/Course #
Course Name
Credit
Hours
Grade
Term/Year Completed
or Planned Completion
Institution

 

Microbiology with Lab (lab required) (one course with lab) (International grads must meet this requirement at a U.S. or Canadian institution.)
Dept/Course #
Course Name
Credit
Hours
Grade
Term/Year Completed
or Planned Completion
Institution

 

Human Anatomy & Physiology with Lab - Minimum of 2 semesters of a combined A&P w/lab OR 3 quarters of a combined A&P w/lab OR one semester each of anatomy w/ lab and physiology w/ lab. For 2014 admissions, transcripts must show A&P w/lab successfully completed summer 2007 or later. Note: A&P w/lab requirement must be completed within 7 years of planned matriculation - If A&P w/lab was taken in winter/spring 2007 or earlier, then a minimum of one quarter or one semester of A&P w/lab is required (prefer refresher of 2 quarters or 2 semesters) Please show plan to take additional A&P w/lab if your A&P w/lab needs a refresher. (International grads must meet this requirement at a U.S. or Canadian institution.)
Dept/Course #
Course Name
Credit
Hours
Grade
Term/Year Completed
or Planned Completion
Institution

 

General or Developmental Psychology (one course)
Dept/Course #
Course Name
Credit
Hours
Grade
Term/Year Completed
or Planned Completion
Institution

 

Statistics (one course; offered through statistics, math, psychology, or sociology department)
Dept/Course #
Course Name
Credit
Hours
Grade
Term/Year Completed
or Planned Completion
Institution

 


Section 4

SUPPLEMENTAL NARRATIVE (answers to 4A-4D are required for all applicants; 4E is required for applicants who have previously applied to the OHSU PA Program)

Instructions:

1. All first-time OHSU applicants: Please respond to the following (A, B, C, D) in concise typewritten statements. One or two paragraph responses per statement will be sufficient.
2. Reapplicants to OHSU: Please respond to the "For reapplicants only" question (E) and provide updated answers to questions A-D.


  1. Describe your specific interest in the OHSU PA Program.



  2. You are talking with a friend about your application to PA programs. Unsure exactly what a PA is, they ask you "is that something like a nurse, or a doctor in training?" How would you respond?



  3. Please describe your interactions, if any, with clinically practicing physician assistants. If you have not interacted with a PA, please describe resources you found useful in your quest to learn more about the PA profession.



  4. The OHSU PA Program strives to create a class of individuals with varied backgrounds and interests. If accepted, what would you see as your greatest potential contribution to the class?



 


  1. For reapplicants only: You also need to update the admissions committee on your previous year's supplemental application answers to (A-D) above. In addition to updates, please focus your answer for E to the following question: In planning for your reapplication this year, what specific aspects of last year's application did you feel could be improved upon? Specifically, please detail efforts you have made (or plan to make) in the intervening year to make yourself a more competitive applicant; mention additional PA resources you may have utilized, and expand upon your continued interest in the OHSU PA Program. If you previously interviewed with the program before, feel free to discuss thoughts regarding the interview. (Your answer to E may utilize up to a full page response.)



 


I certify that the information in this application is true and has been completed without evasion or misrepresentation. I understand and agree that providing false information on this application is just cause for my rejection or for my dismissal from the university if accepted.




Please review your information carefully. Once you are satisfied with your answers, be sure to click the Print Page button to print a copy of your application before you submit it below.

Your application will not be recorded unless you click the Submit Supplemental Application button below. An email confirming submission of your supplemental application will be sent to the email address you entered at the beginning of the form.

IMPORTANT: If you have difficulty submitting your Supplemental Application, the MOST likely reason is that you have accidentally pasted too much text into one of the size restricted boxes in the transcript section (the most common area is one of the institution names). If you are unable to find the location, contact the program at paprgm@ohsu.edu for additional information to resolve the issue.