TDPT Course Registration Form
Contact Information
Legal First Name:
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Education History
Where did you earn your bachelor's degree from?
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Have you completed or are you currently enrolled in a graduate program?
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Where did you earn (or will you earn) your graduate degree from?
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PT License
Do you have a PT License from the US?
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State your PT License is Issued from
License Number
What is your academic goal?
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Seeking academic degree
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Select Your Courses
Please see the schedule of classes here:
https://www.arcadia.edu/majors-and-programs/physical-therapy-tdpt/schedule/
Course Descriptions can be found here:
https://catalog.arcadia.edu/preview_program.php?catoid=18&poid=3127&returnto=675
Course #1
Course #2
Course #3
Affiliations
Are you affiliated with or referred by one of the following organizations?
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EduCross
Grandison Mgmt
FACTSPT
IPTA
Select Medical
Hidden Fields
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TDPT Registration
Disclosures, Acknowledgement & Communication
I have read and understand the
disclosure statements
.
I certify that the information given on this application is true and complete to the best of my knowledge. As requested, I have listed all colleges and universities I have attended. I understand that misrepresentations on this application may be considered grounds for denial of admission, cancellation of registration or suspension from the university.
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Contact Information