Saint Louis University Physician Assistant Program Suppl

							                                                    Saint Louis University
                                                 Physician Assistant Program

                                       Supplemental Application, 2006-07
Important: Your application to the Saint Louis University Physician Assistant Program will be reviewed
only when a completed CASPA application and a completed SLU Supplemental Application are received
by Saint Louis University. The Supplemental Application includes the following components:

I.         Personal Statement(s)

           On a separate sheet, please compose a personal narrative statement that addresses the
           following question:

                     There are more than 130 PA programs in the U.S. Please describe as clearly and as
                     specifically as possible why you want to attend the PA program at Saint Louis University.
                     Please include any impressions you may have of Saint Louis University and the St. Louis
                     area.

           Additional Statement (for SLU reapplicants only):

                     Please write a brief statement describing steps you have taken to strengthen your overall
                     application to the SLU PA program since last applying.

           Please keep in mind the following points when writing your statement(s):

               We have (or will have) your CASPA application and CASPA personal statement
                – we do not want a duplication of your CASPA statement.
               Statement(s) must be typed using 12 point font and be no longer than one (1) double-spaced
                page (for reapplicants, two [2] double-spaced typed pages)
               Include your name, SSN and CASPA ID (exactly as they appear on your CASPA application)
                on each page of your statement(s).

II.        Prerequisite Course Information Forms (please see pages 2-3)

           Please note: The form on page 2 is for completed courses; the form on page 3 is for courses to
           be completed. You may enter information directly on the forms (Microsoft Word) or print out the
           forms and print legibly in black ink. Complete all information concerning each prerequisite course.
           Course information should correspond exactly to the information on your CASPA application.

III.       $25.00 non-refundable check or money order payable to:
                  “Physician Assistant Program – Saint Louis University”
           (A limited number of processing fee waivers will be available for applicants experiencing severe financial hardship. To be
           considered for a fee waiver, applicants must submit a written request outlining reasons for the request and the nature of
           the financial hardship.)

A completed Saint Louis University Supplemental Application will contain the following items:

          Personal statement(s) with name, SSN and CASPA ID on each page
          Prerequisite Course Information Forms, one for completed courses, one for courses to be taken
          Check or money order for $25.00 payable to “Physician Assistant Program – Saint Louis
           University”

Mail the above items together in one envelope, postmarked no later than December 1, 2006, to:

                                                   Admissions Committee
                                             Saint Louis University PA Program
                                                    3437 Caroline Street
                                                    St. Louis, MO 63104

(Note: Faxed Supplemental Applications will not be accepted.)
                              Saint Louis University Physician Assistant Program – Supplemental Application, 2006-07 – Page 2

 (Last Name)                         (First Name)                      (Middle Name)                SSN                     CASPA ID

II. Prerequisite Course Information Form – Completed Courses Only (include labs where applicable)

                                                                                                                                          Credits            Office
    Prerequisite                                                  Term        Course                                                                Letter
                           College/University          Yr                                            Course Title                 Dept.    (Sem.              Use
      Course                                                   (e.g., Fall)    No.                                                                  Grade
                                                                                                                                            Hrs.)            Only
       Medical
    Terminology
  (1-3 sem. hours)
      Statistics
   (3 sem. hours)

  College Chemistry
     (2 semester
     sequence –
    8 sem. hours)

 Organic Chemistry
    (2 semester
    sequence –
  6-8 sem. hours)

    Microbiology
   (medical micro
  w/lab preferred –
  3-4 sem. hours)

   †Vertebrate or
  Human Anatomy
  (3-4 sem. hours)

   †Vertebrate or
 Human Physiology
  (3-4 sem. hours)

  Molecular Biology
    OR Genetics
  (3-4 sem. hours)

 †Combined Anatomy & Physiology (6-8 sem. hours) may be substituted for the separate anatomy & physiology courses listed above.

 Please note: prerequisite course work must be completed within seven (7) years of application.
                               Saint Louis University Physician Assistant Program – Supplemental Application, 2006-07 – Page 3

  (Last Name)                           (First Name)                           (Middle Name)               SSN                      CASPA ID

III. Prerequisite Course Information Form – Courses In Progress or To Be Taken (include labs where applicable)

                                                                                                                                           Credits   Office   Office
     Prerequisite                                                  Term           Course
                            College/University          Yr                                            Course Title                 Dept.    (Sem.     Use      Use
       Course                                                   (e.g., Fall)       No.
                                                                                                                                             Hrs.)   Only     Only
        Medical
     Terminology
   (1-3 sem. hours)
       Statistics
    (3 sem. hours)

  College Chemistry
     (2 semester
     sequence –
    8 sem. hours)

  Organic Chemistry
     (2 semester
     sequence –
   6-8 sem. hours)

     Microbiology
    (medical micro
   w/lab preferred –
   3-4 sem. hours)

    †Vertebrate or
   Human Anatomy
   (3-4 sem. hours)

    †Vertebrate or
  Human Physiology
   (3-4 sem. hours)
  Molecular Biology
    OR Genetics
  (3-4 sem. hours)


  †Combined Anatomy & Physiology (6-8 sem. hours) may be substituted for the separate anatomy & physiology courses listed above.