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A completed Application will include:


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A completed Application will include:

  1. 1. Emory University Physician Assistant Program Department of Family and Preventive Medicine 1462 Clifton Road, Suite 280 Atlanta, GA 30322 Admissions Office (404) 727-7857 FAX: (404) 727-7836 E-mail address - Instructions to the Applicant - 2007 Note: Thank you for your interest in the Emory University Physician Assistant Program. Applicants to the Emory PA Program must submit an application through the Centralized Application Service for Physician Assistants (CASPA) and a supplemental application directly to Emory. Apply through CASPA on-line at or request a paper application and instructions from CASPA: PO Box 70958, Chevy Chase, MD 20813-0958. Questions about completing the online application can be directed to CASPA=s help line (240) 497-1895 or via e- mail: Failure to carefully follow all application instructions and meet required deadlines will delay consideration of your application or invalidate it completely. Therefore, before completing the applications for admission, candidates are encouraged to read very carefully the information found on the Emory PA website REAPPLICANTS MUST SUBMIT A NEW APPLICATION. Deadline October 1, 2007 Application and all Supporting Documents Deadline August 1, 2007 Completed Applications for Early Consideration A completed Application will include: 9 Application through the Centralized Application Service for Physician Assistants available at 9 Official Scores on the Graduate Record Examination (GRE) submitted directly to Emory (R-5187) T9 Completed Supplemental Application with Passport-type Photograph T9 $30.00 Application Fee T THESE ITEMS MUST BE SENT TOGETHER DIRECTLY TO THE PA PROGRAM. PLEASE N OTE: Due to the increasing number of applications and the difficulty in scheduling interviews, it has become necessary to "encourage" candidates to apply early. Priority will be given to those candidates who submit a completed application with all supporting documentation prior to August 1, 2007. Please apply as early as possible to assure your consideration as a serious candidate.
  2. 2. The Supplemental Application ! The supplem ental application and all correspondence concerning applications should be addressed to the Director of Admissions at the top of page 1. Please submit correspondence on 8.5 x 11 inch paper and include your full name (as it appears on your application) and your social security number. ! All applicants are strongly urged to keep the PA Office informed as to any change in their mailing address and/or phone number. The program will not extend deadlines to allow for mailings sent from our office to an address which has been changed without notification. Most items on the application are self-explanatory; however, the following may require further clarification. Photograph The program strongly encourages a photograph, either color or black and white, which measures approximately 2 2 x 2 2 inches. Please attach the photograph to the space provided on the application. Because photographs sometime become detached, you should print your name and social security num ber on the back of the photo. The photograph is used for purposes of identification only. Reapplicants: An additional photograph is optional, but encouraged. Items 1 through 15 These items are requested by the University Admissions Office for statistical purposes. Item 16 If you have been in military service, send a copy (not the original) of your separation papers. Reapplicants: Do not resubm it if you already subm itted separation papers. Items 17 through 19 All applicants are required to submit official scores from the general test of the Graduate Record Examination (GRE). The test scores must have been established within five years of the application date. NO OTHER TEST WILL BE ACCEPTED AS A SUBSTITUTION FOR THE GRE. If you have never taken the Graduate Record Examination, you should arrange to do so immediately. Reapplicants: Do not resubm it if you subm itted GRE scores last year and they are less than 5 years old or unless you have retaken the exam since your last application. Please Note: In order to meet the Application Deadline (October 1), the test must be taken no later than September 15, 2007. Testing information may be obtained from: Educational Testing Service, Graduate Record E xam ination, P.O . Box 6004, Princeton, New Jersey 08541-6004, (609) 771-7670 ( When making application to take the GRE, please specify Code No. R- 5187, Emory University Allied Health Program (Be careful: there are three different codes for separate programs at Emory.) Item 20 - Narrative Statement You are requested to present in a concise (no longer than one page) narrative statement your reasons for wanting to become a Physician Assistant. This may be your one opportunity to "tell" the Admissions committee why you deserve serious consideration for a place in the next class. Take the opportunity to share with us your understanding of the role of the physician assistant. Specifically, tell us: �Your personal experience with Physician Assistants as a co-worker, observer or as a patient �Your motivation for a career in health care� � Your plans following graduation from the PA Program� � Your specific interest in the Emory PA Program
  3. 3. Reapplicants: You are advised to take your tim e and give special attention to this portion of your reapplication. In place of the question answered with your previous application(s), please present in a concise (no longer than 1 page) narrative statem ent a response to the following: It is hoped that all unsuccessful candidates would have carefully reviewed their previous application and recognized ways in which they could enhance their chances on reapplication. Please share with us your plans and accom plishm ents since your last application that indicate your motivation to make yourself as com petitive as possible in this year=s applicant pool. Please include your plans to better understand the role of the physician assistant by sharing with us your personal experiences with physician assistants as a co-worker, observer or as a patient. For Dual-Degree (PA/MPH) Candidates:���� Candidates for the PA/MPH dual-degree must be accepted by both the Emory University Physician Assistant Program and the Emory University Rollins School of Public Health. Your narrative statement should address the following: Your personal interest and experience in public health�� Which area of public health is of most interest Your plans on how you will utilize a degree in public health as a physician assistant �� Fee A non-refundable fee of $30.00 must accompany the application. Please make a check or money order payable to EMORY UNIVERSITY. No other form of payment can be accepted. Additional Information ! If at any time you wish to withdraw your application from consideration, please do so in writing. Personal Interviews Once your application is complete, it will be reviewed by members of the faculty who will decide whether or not your application is strong enough to warrant an invitation for a personal interview. Interviews are conducted on the Emory Campus and are by invitation only. Interviews will be held during the months of October, Novem ber January, February and March. Final Decisions ! All final decisions will be made in early March, 2008. Transcripts and Present College Coursework As an addendum to their application, all candidates presently working to complete their baccalaureate or fulfill program prerequisites, must subm it a list of courses they anticipate completing prior to entering the program. Please identify the anticipated coursework by department, title and semester. Accepted applicants must submit Official transcripts of all completed coursework to the Program prior to matriculation. For information regarding services for persons with disabilities, contact Disability Services and Compliance, P. O. Box 24105, Atlanta, Georgia 30322. Telephone (404) 727-6016 or (404) 727-1065 (TDD). Information on the skills fundamental to the Physician Assistant Profession and the Emory curriculum can be found on Technical Standards of the PA Program website. Applicant's Checklist Before mailing your supplemental application be sure you have completed every step in the checklist. 9 Completed supplemental application form, photo attached, signed and dated. 9 Supplemental application fee enclosed ($30.00 payable to Emory University). 9 A list of anticipated coursework from those applicants in the process of com pleting their baccalaureate degree or in the process of completing prerequisites. 9 GRE test scheduled, taken or official scores requested (Code No. R-5187). 9 CASPA application subm itted.
  4. 4. Supplemental Application for Admissions Physician Assistant Program Emory University School of Medicine 1462 Clifton Rd., Suite 280, Atlanta, Georgia 30322 Choose One: _____PA _____PA/MPH Dual Degree If PA/MPH, Department(s) of Interest:______________________ PHOTOGRAPH Print name and social security number on back of photo and attach in this space Please type or print in black ink Biographical Information 1._________________________________________________________________________________________________________ LAST NAME FIRST MIDDLE NICKNAME 2.Under what other name(s) might documents be received ?________________________________________________________ 3._________________________________________________________________________________________________________ PERMANENT ADDRESS CITY STATE ZIP AREA CODE AND PHONE NUMBER 4._______________________________________________________________________________________________ TEMPORARY ADDRESS CITY STATE ZIP AREA CODE AND PHONE NUMBER 5. Preferred mailing address: ’ Permanent ’ Temporary 6. Telephone number at which you can be reached between 8:00 A.M. and 5:00 P.M.:_______________________________ 7. E-mail address:___________________________________________________________________________________ 8. Legal residence in what county and what state ___________________________________________________________ COUNTY STATE 9. Place of birth____________________________________________________________________________________ CITY COUNTY STATE 10. Social Security No.________________ What other languages do you speak? _____________________ 11. Religious preference (optional)_________________________________ (may assist us in directing you to scholarships) 12. Father ’ Living ’ D eceased M other ’ Living ’ D eceased Spouse Name ________________________ _______________________ __________________________ State of Residence ____________________ ___________________ ______________________ Occupation ____________________ ____________________ ______________________ Employer ____________________ ____________________ ______________________ 13. List individual to contact in case of emergency. _________________________________________________________________________________________________ NAME RELATIONSHIP _________________________________________________________________________________________________ ADDRESS CITY STATE ZIP AREA CODE AND PHONE NUMBER
  5. 5. 14. Have you previously applied for admissions to Emory? ’ Yes ’ No If yes, When?__________________ School or Program_________________________________________________________________________________ 15. How did you learn about the Physician Assistant Program?_______________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Military Experience 16. Branch of military____________________________________________ Number of years of active duty___________ Date of entrance___________________Date of discharge__________________Type of discharge___________________ If you are now on active duty, what is the earliest date you would be available to enter the program?____________________ Were (are) you a corpsman (medic) in the service? ’ Yes ’ No If yes, describe you principal military duties: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ GRE Test Information 17. Have you taken the GRE yet? ’ Yes ’ No 18. If yes, when______________________________ Results: ____________ _______________ ________________ Verbal Quantitative Analytical Writing Sample 19. If No*, when do you plan to do so?_________________________________________________________________ *Note: Official scores on the GRE must be submitted no later than the October 1, 2007 (Application Deadline). Narrative 20. Please refer to specific instructions in the previous section. Please remember to include your full name on the narrative. I understand and agree that providing false information on this application is just cause for my dismissal from the university if accepted and that, if accepted, I will abide by rules and regulations of the university. ____________________________________________________ ______________________________________ SIGNATURE DATE It is the policy of Emory University that discrimination against any individual for reasons of race, color, national origin, religion, sex, sexual orientation, age, disability, or veteran status is specifically prohibited. Accordingly, equal access to employment opportunities and educational programs is extended to all qualified persons. In addition, students, faculty, and staff are assured of participation in programs and in the use of facilities of the university without discrimination. The university promotes equal opportunity through a positive and continuing affirmative action program. All members of the student body, faculty, and staff are expected to assist in making this policy valid in fact.